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Thursday, May 28, 2020

Childhood Apraxia of Speech (CAS) - Therapy Tools

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To refresh my knowledge about Apraxia I took “Building and Expanding Your CAS Toolkit” ASHA web presented by Ruth Stoeckel

What is Childhood apraxia of speech (CAS)?
CAS is a neurological pediatric speech sound disorder (SSD) that impairs speech motor planning/programming. CAS can delay acquisition of skills including the control of vocal pitch, intensity, and duration of speech sounds [ASHA Ad Hoc Committee on Apraxia of Speech in Children 2007].
It also impairs the child’s ability to correctly pronounce sounds, syllables, and words. CAS can thus render the child unable to start articulating the first sounds, and can lead to a serious communicative disability.

CAS can be difficult to diagnose and monitor due to a high comorbidity with other speech and language disorders and a lack of specific tools [Newbury and Monaco 2010].
By working intensely with a trained speech language pathologist (SLP), those with CAS can overcome their motor planning and motor programming difficulties (articulation capabilities) [ASHA Ad Hoc Committee on Apraxia of Speech in Children 2007].


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Read my other posts about CAS
Childhood Apraxia of Speech (CAS)
Apraxia Treatment


11 Videos with Kaufman Treatment Materials

Kaufman (K-SLP) Treatment Kit 1 Demo
Teach children with apraxia to produce and combine the oral-motor movements necessary for functional and intelligible speech. Kit 1 trains children to combine consonants and vowels to form words while controlling for oral-motor difficulty. Published by Northern Speech Services.
Kaufman (K-SLP) Treatment Kit 2 Demo

Once a child has mastered the sounds in Kit 1, Treatment Kit 2 helps to refine intelligibility by addressing more complicated motor-speech movements and synthesis into initial and final word positions. Published by Northern Speech Services. Learn more at www.northernspeech.com.

“Architecture of an automated therapy tool for childhood apraxia of speech”
“Development of a Remote Therapy Tool for Childhood Apraxia of Speech”

Apraxia: Speech Therapy and Treatment for Toddlers and Young Children written by Sharon Gretz, M.Ed., revised and updated by Megan Overby, PhD, CCC-SLP
Practicing Speech Sounds, Syllables, or Words Multiple Times with Preschoolers By Robin Strode, M.A., CCC-SLP
A Dozen Tips for Supporting Early Speech Development in Children with Severe CAS By Margaret Fish, M.S., CCC-SLP
Apraxia Kids

Child Apraxia Therapy Ideas


Talk Tools – Apraxia Program
Apraxia Program was developed by TalkTools Instructor and apraxia expert, ReneeRoy Hill, MS, CCC-SLP.
There are three sets of tools that provide tactile cueing for specific sounds: /m/, /p/, /b/, /oo/, /oh/, /ee/, /ih/, /eh/, /uh/ and /ah/, so clients can feel where the articulators should be during speech production. When the tools are combined with verbal and visual cues, they provide a multisensory approach to facilitating speech.
Program includes 1 set each:
  • bilabial shapes
  • tactile tubes
  • speech blocks
  • instruction manual and demo videos
You can also take live or online course "A Sensory-motorApproach to Apraxia of Speech" to learn how to use them.

Wednesday, May 27, 2020

“The best practice for swallowing is swallowing” – Dysphagia in Children and Adults

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Swallowing Evaluation and Rehabilitation

Check my other post:
Dysphagia - Feeding & Swallowing Disorders in Infants & Children
Dysphagia and Swallowing Therapy and Treatment, Diet and Liquid Consistency

 
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I refreshed my knowledge about Dysphagia by viewing ASHA webinars:
“Elements of a Comprehensive Clinical Dysphagia Evaluation presented” by Joseph Murray, PhD, CCC-SLP
“Impact of Impaired Antomy and Physiology on Treatment of Dysphagia in Adults” presented by Nancy B. Swigeret, MA CCC-SLP, BCS-S
“Dysphagia Intervention: Planning and Implementation” presented by Nancy B. Swigeret, MA CCC-SLP, BCS-S
“Theoretical Basis of Exercise and Treatment of Dysphagia” Nancy B. Swigeret, MA CCC-SLP, BCS-S
 
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What is normal swallowing?
Normal swallowing consists of a set of physiologic behaviors which result in food, liquid or other substances moving from the mouth to the pharynx and esophagus while protecting and closing the airway to the stomach. Swallowing is an important part of eating and drinking.
What is swallowing dysfunction?
When the process fails and the bolus is aspirated, this is called swallowing dysfunction or dysphagia. Dysphagic patients may have difficulty with any one or more of the anatomic or physiologic components of the oral, pharyngeal or esophageal stages of the swallow.

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What is a role of swallowing evaluation?
Evaluation of the patient with dysphagia should identify the anatomic or physiologic abnormalities characterizing the patient's swallow and include introduction and assessment of the efficacy of treatment strategies.

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What is the primary goal in the management of swallowing disorders?
The primary goal in the management of swallowing disorders is to ensure safe swallowing. For determination of the appropriate rehabilitative approaches, clinicians should consider the assessment of all symptoms and problems causing dysphagia.


What are tree types of management?
The management of swallowing disorders:
  • medical management
  • surgical approaches
  • rehabilitative approaches.

What are the types of treatment?
Treatment may involve:

  • compensatory management, such as postural changes or enhancing sensory input
  • rehabilitative management, such as active muscle exercise with or without the introduction of food.

Thursday, April 23, 2020

I Speak, I Say, I Talk but Animals Don’t Because They Purr, They Roar, They Hoot…

Art by BP, 2020 

“I Speak, I Say, I Talk” 
by Arnold L. Shapiro

Art by BP, 2020

Cats purr.
Lions roar.
Owls hoot.
Bears snore.
Crickets creak.
Mice squeak.
Sheep baa.
But I SPEAK!

 
Art by BP, 2020

Monkeys chatter.
Cows moo.
Ducks quack.
Doves coo.
Pigs squeal.
Horses neigh.
Chickens cluck.
But I SAY!

 
Art by BP, 2020

Flies hum.
Dogs growl.
Bats screech.
Coyotes howl.
Frogs croak.
Parrots squawk.
Bees buzz.
But I TALK!

 
Art by BP, 2020


Art by BP, 2020


https://youtu.be/eXsk30mbJGE (real animal sounds)
https://youtu.be/Qg8YmmqpnVA (comprehension exercise)

Art by BP, 2020

Art by BP, 2020

Poetry Month with Shel Silverstein

 

Shel Silverstein poems are short, funny but most of all educational. 
Kids love them and so do I. Read them with your child, laugh, and talk about them.

 

The Voice 
by Shel Silverstein

There is a voice inside of you
That whispers all day long,
"I feel this is right for me,
I know that this is wrong."
No teacher, preacher, parent, friend
Or wise man can decide
What's right for you--just listen to
The voice that speaks inside.”

The poem is about inner You. It makes You sit down and think back when there is a tough decision to be made. When Your heart says one thing and Your head tell another when You have to decide what is right for You. The other part of the poem says how there are going to be all sorts of people who will try and give You advice on what is the right decision. The words “listen to the voice that speaks inside” give emphasis that it is important to listen to Your inner voice and that no matter what people tell You, You are the only one that can make the decision. Overall, You must remember no matter what happens and what You are facing, You always have to base Your decisions on what You want to do and what You think is right. Only You can make the right decision for yourself.

 

The Homework Machine 

by Shel Silverstein

The Homework Machine,
Oh, the Homework Machine,
Most perfect contraption that's ever been seen.
Just put in your homework, then drop in a dime,
Snap-on the switch, and in ten seconds' time,
Your homework comes out, quick, and clean as can be.
Here it is— 'nine plus four?' and the answer is 'three.'
Three?
Oh me . . .
I guess it's not as perfect
As I thought it would be.

I love that poem. In your life You can look for a shortcut, an easy way to go get it done, someone to do it for you, procrastinate, build a machine but the machine can make a mistake. You should not trust a machine to think for You. You have to take things in your hands, you are a manager of small and big things in your life, especially your homework.

 

Dream 
by Shel Silverstein

“I’ll take the dream I had last night
And put it in my freezer,
So someday long and far away
When I’m an old grey geezer,
I’ll take it out and thaw it out,
This lovely dream I’ve frozen,
And boil it up and sit me down
A dip my old cold toes in.”

Freezing is preserving something. The same with your dreams. You can preserve the dreams of your youth for later when you are old, wise, and gray. Taking your dreams out and thawing them is a waste. It is better to keep them for later when you have time to dips your  “old cold toes in,” soaking them up and reminiscing in the dreams you once had as a young man.

 

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