A Little Help with /r/

I have most definitely dropped the ball on my poor blog. I feel a little guilty, but I've been told guilt is only productive for about ten minutes. I should be over it by the time I'm finished writing. :)

I was working with a student today whose profile is fairly complex. We were working on /r/ using the "ka-la" technique. While we had the "ka" piece down the "la" was proving more of a challenge. I think this is because we previously worked on /l/ and curling the tongue way back is counter intuitive, given all our work on tongue placement for /l/. We have tried play-dough, used a mirror, flashlights, flossers, and the jumbo mighty mouth by Super Duper Publications. It was tough.  This student needed some feedback that just wasn't happening.  I pulled out the mini mouth finger puppet also from Super Duper Publications. I asked the student to simultaneously move the mini puppet tongue while producing the "ka-la."  Wonder of wonders it worked. My student could see and feel what the tongue should be doing for this method!

Now, how to maintain the connection for home practice? I whipped out some red felt, a red pipe cleaner, and my trusty glue gun. Voilà! After trimming off the annoying glue threads and trimming around the felt a bit, we made sure it worked well with a few trials (it did!).  My student was super excited and now has a puppet to practice with at home.  Phew! Whatever it takes, right?

Helping Students Who Are Orally Defensive in Speech Therapy

I was working with a group of students last week and I wanted to help them grasp proper tongue placement for /s/. I pulled out the mirrors, tongue depressors, and toothettes when all of a sudden one second grader flipped out. With his hand covering his mouth he pushed himself away from the table and expressed with terror in his voice, "I don't like things in my mouth!" Okay," I responded, "no worries we don't have to use these." He remained fearful even with reassurance that I wouldn't come anywhere near him with the toothette. His peers on the other hand, were eager to use the cherry flavored tongue depressors. That session was lost for him and yet I still needed to help him understand tongue placement. I have a Super Duper Jumbo mighty Mouth Hand Puppet, but I wanted him to have a more personalized experience.

In the car on my way home (where all my ideas/thoughts happen) I decided that in order to have him develop comfort with his own mouth, he had to make one and not just a paper mouth, but a mouth where he could move the tongue. I've seen mouth craftivities with mini marshmallow teeth, but I wanted this one to be used more than once. I also didn't want to spend too much money as lately I've been a little too spendy. I ordered 1/4 inch white pom poms to be used as teeth and found pink baby socks at Walmart. I bought the 0-6 month size. I made a mouth template from card stock that the students traced on pink paper with a small rectangle where the sock tongue would be glued. Unfortunately, the pom poms didn't arrive in time, so we used crumpled tissue paper for teeth. I wish I had thought of that before I bought the pom poms!  I struggled stapling the tongue in when it occurred to me to use hot glue. I also trimmed about two inches of the sock cuff off, so there wasn't excess sock.

My little ones placed their fingers in the sock and moved it all around their mouths. They used tongue depressors and toothettes to touch all around the teeth and tongue. My colleague from our PK had a great idea to add some texture to the alveolar ridge I had drawn on. I think I'll outline it with white glue and sprinkle sand, glitter or salt on top. I'd like them to understand that the alveolar ridge is bumpy.

Years ago, I worked with twins one of whom was very orally defensive. His parents were at their wits end, because he was having considerable dental problems, yet they couldn't get him to the dentist. We are fortunate to have a dental program in our school whereby a dental hygienist comes and cleans students' teeth.  They asked for help so I ordered some dental tools. Never fear, they were never placed in the student's mouth, they were simply to desensitize him to the tools. He used them on the Jumbo Mighty Mouth and used the mirror tool to look in my mouth. It worked like a charm.

I'm fairly certain it's going to take repeated exposure "playing" with these mouths before this particular student becomes more at ease. It may never happen, in fact, but at least he will have  a greater awareness of his tongue in his mouth and will be less anxious when I pull out tongue depressors for use with his peers.

One last picture. I was able to find some white pom poms in my big ole bucket of pom poms, so one student glued them on his mouth as teeth. I actually think I like the look of the crumpled tissue paper better, plus there was no drying time because we used glue sticks.

Any other suggestions? How do you help your students with oral defensiveness? I am open to any and all suggestions!

Thinking Outside the Box in Speech-Language Therapy

One of the things I have really come to appreciate about our profession, is the ability of an SLP to be a nonconformist.  I consider myself a fairly traditional gal, but when it comes to my work I will do what ever it takes to help my students understand a concept or reach a goal.  I would venture, most of us feel the same way.

Today was no exception.  I have an absolutely darling little kindergarten student who has a phonological processes difficulty.  We have made incredible gains using the cycles approach along with some other articulation techniques.  She is very highly motivated and just relishes being better understood by her peers, teachers, and family, and as soon as she learns a target production, she scans ahead and self-corrects like nobody's business.  Stopping is reduced, gliding is reduced, but fronting of /sh/ (sorry, don't know how to insert phonetics into my blog!) was eluding her.

This is where thinking outside the box became critical.  We had previously talked about the parts of the tongue, we did auditory bombardment, we used pictures, apps, flashlights.  Zilch!  I was grasping when it came to me...a pipe cleaner and a bead.  We knew she could now produce /s/ consistently, but moving to /sh/ was vexing.  The pipe cleaner represented the roof of her mouth and the pink bead was her tongue.  As she moved the bead along the pipe cleaner, she was able to grasp how her tongue had to change for the /sh/ sound.  A couple of trials and she had it.  That little girl fell into my arms and then sprawled across my lap with relief.  She did it!  We laughed and said /sh/ over and over and over. Then she showed her teacher what she had learned and her teacher jumped for joy.

Thinking outside the box in action!

It was a bead and a pipe cleaner, and it resulted in improved communication.  It is days like today that I am happy to announce I am a nonconformist.  It is days like today that make me so happy I am an SLP.