Therapy interventions

phonological interventions

1. minimal pairs therapy

2. metaphon therapy

3. multiple oppositions

4. maximal oppositions

5. treatment of the empty set

6. core vocabular

7. cycles therapy

how does core vocabulary target inconsistent speech

1. choose a set of 50 functional words

2. each week, teach on best production of 10 of the words, replace with another word once succeeding the 10

3. to monitor generlaisation, trest th understanf

Intervention for CAS

1. Dynamic temporal and tactile cueing (DTTC)

2. Melodic intonation therapy (MIT)

3. Rapid Syllable Transition Treatment (ReST)

4. PROMPT (Prompts for restructuring oral and muscular phonetic targets)

5. cueing articultation

6. cueing speech

7. electropalatography (EPG)

8. ultrasound biofeedback

9. nuffield dyxpraxia program (NPD)

10. kaufmann speech to language protocol (K-SLP)

11. core vocabulary

12. other linguistic approaches: cycles, integrated phonological awareness

13. AAC

Techniques for CAS

• shaping

• sensory cueing

• core set of child-specific functional stimuli

• backward chaining

• backward build-ups

• silent posturing

• slow pace/rate

• vocal play

• DDK sequencing tasks

• drill-based games/activities

• aim for consistency

• proprioception

• use mirrors

• works on vowels with consonants

• slow build up when introducing targets

• observe coarticulation effects

• choose phonemes the child can produce

tongue thrust treatment

1. myofunctional appliances

2. orthodontic/dental approaches

3. medical management of nasal blockage

4. oral habit training/myofunctional therapy

Clinician-directed approaches for Language Intervention

1. drill

2. drill-play

3. clinician directed modelling

language facilitation techniques for child-directed approaches

• self talk and parallel talk

• imitations

• expansions

• extensions

• build ups and breakdowns

• recast sentences

• communication temptations

• creating communication opportunities

hybrid approaches for language therapy

1. script therapy

2. joint action routines (JARS)

3. enhanced milieu teaching

4. focused stimulation

goals for language therapy for children 3-5 years

1. increasing vocabulary

2. increasing verb use

3. increasing pronoun use

4. increasing understanding and use of concepts

• category naming

• naming within categories

• sorting within categories

• odd-one-out

• simlarities/differencs

• describing features

• basic concepts

aritculation therapy

the articulation hierarchy

1. sensory-perceptual (ear) training in identifying lcating, stiulation and discrimination

2. pre-practice

3. practice

4. transfer and carryover

5. maintenance

what must make you ensure before progression in the articulation hierarchy

• progression on most stage: 80-90% accuracy

• progression on connected speech: 50% accuracy