M.O.R.E. (Motor, Oral, Respiration, Eye) was developed by Patricia Oetter, MA, OTR/L, FAOTA and Eileen Richter, MPH, OTR, FAOTA and subsequently revised with the assistance of Sheila Frick, OTR. It is a theoretical framework that combines Motor components, Oral organization, Respiratory demands and Eye contact/control.

M.O.R.E. elucidates the effect of oral-motor-respiratory dysfunction, which is commonly observed clinically, on sensory integrative and sensorimotor difficulties.

The innovation of M.O.R.E. lies in understanding “why” and “how” oral functions affect a person’s development.

The visual model of M.O.R.E. in the form of four (4) concentric circles of increasing diameter, surrounded by the frame of “Health”, places the oral functions at the center.

Thus, it explains how the Suck/Swallow/Breath synchrony, which is involved in the 1st (inner) circle, initially affects the components of the 2nd circle, postural development, psychosocial development and arousal, which in turn interact with the components of the 3rd circle, communication, self-regulation, feeding, eye/vision, ears/hearing, postural mechanisms and form in/and space, which act on the components of the 4th (outer) circle, attention, visual/auditory perception, eye/hand, postural adaptation, praxis, social/emotional domain, language, speech and eating.

References

Oetter, P., Richter, E. & Frick, S. (2011). M.O.R.E.: Integrating the Mouth with Sensory and Postural Functions (2nd ed.). Pileated Press, LLC
Richter, E. [TheraproInc]. (2019, December 6). Therapro Webinar: Understanding the Relationship Between Sensory Integration and the SSB Synchrony [Video]. YouTube. https://youtu.be/RdFEiLncV_Y