Therapist recommended this item to use as a chewy tube. Mother quickly learned that having this item available stopped holes in shirts from chewing. Daughter loved having it available with a string around her neck whenever she needed to chew.

The best thing about this item is the durability. It took well over a year for it to break down after chewing daily, multiple times each day. We used it with an older child and it still lasted and lasted.

It is made out of thick rubber, very strong. We loved that the P and Q's had holes so we could put a string in them to hang around daughter's neck. (Please do not do this if your child is under 3 years old. It can be dangerous for younger children. Older children should be supervised especially on playgrounds and slides.)

This product is good for children who still mouth items and are very oral. It takes gentle reminders to use the P's + Q's Oral Motor Exercisers instead of a shirt sleeve or toy or anything picked up off of the floor. It takes a little time for the child to remember to use it.

Overall a great product for the special needs child and very durable.

Recommended: Yes