frontal/lateral lisp and r

what are the 6 phonemes affected in frontal/lateral lisp

s,z,sh,3,ch,d3

skills needed

auditory discrimmination and kinesthetic awareness

midline stridency

direct airstream through middle of mouth in central groove of tongue

some turbulence when air hits teeth, tongue, or exits mouth

s and z placement

back mid palate forms wide channel

tongue at alveolar ridge - narrow channel

tongue tip at ridge, mid, or floor

sh and 3 placement

sides of tongue hit palate back to front

wide central groove

broad airstream

tongue tip not elevated

lips rounded

ch and d3 placement

stop phase - tongue tip on ridge and tongue sides touch palate

released air phase - lower tip but sides remain up

frontal lisp

tongue is in interdental placement with lowered jaw

sloppy sounds

OM issues range from none to severe and it impacts interdental placement on more than 6 phonemes

frontal lisp oral structures

anterior open bite

teeth issues

large tongue

narrow palate

large tonsils/adenoids

oral resting posture

classic frontal lisp

jaw too far down and tongue through teeth

jaw protrusion FL

jaw too forward which causes lower incisors to be in front of upper teeth

function issue, not of tongue

whats the stability zone?

back lateral parts of tongue rest between molars and palate

tongue moves out of zone forward during FL

oral tactile sensitivity

don’t feel movements the same

more primitive oral movement patterns

right unilateral lisp

left tongue side up and air escapes through right

left unilateral lisp

right tongue side up and air espcaes through left

bilateral lisp

mid tongue touches palate and air through right and left

omni lisp

no tongue palate contact, direct airflow out

oral functions of lateral lisp

incorrect jaw position - move right and left

tongue follows jaw

oral tactils hypersentivity

when tongue moves out of stability zone it trys to push up to midline which causes laterlization

movements needed for /r/

elevate and sustain tongue body

lateral lingua dental sustained contact

make slight tongue bowl

tongue retracts with other moves at same time

regulate muscle tone according to need

/r/ assessment

artic test - ID as error

deep test - hear /r/ in variety of contexts

ask them to make very best /r/ and take deep look

imitate clients error

examine structure and function

stimulability

what do you have to go to generate a goal?

ID exact error

5 elements of /r/

oral constriction with part of tongue raised

pharyngeal constriction with tongue root retracted

lower midline of back tongue towards pharynx

sides of tongue against back teeth

slight lip round

cueing for /r/

teach anatomy of tongue

diff tongue parts move in diff ways

low midline and tongue sides touch molars

lip cues

anatomy of tongue cues

make models

drawl and label

phonetic placement

retroflexed /r/

tongue root tense and back

tongue tip up

low midline

bunched /r/

lift tongue behind tip, root back and tense, low midline

tongue bowl cue for /r/

visual cues

make a boat

lift wings

lip cues /r/

dont push too far forward

keep corners tight