Professional Documents
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Sara Rosenfeld-Johnson, M.S., CCC-SLP Talk Tools / Innovative Therapists International, Tucson, AZ Tel. 520-795-8544 www.talktools.net
8 Months Later
11 Therapy Sessions
Inter-dental Lisp
The Goldman Fristoe Test of Articulation
Standard in Conv. Level Standard in Phrase Level Standard in Word Level Standard in Isolation
Interdentalized
Sound Approximation
L S Z sh ch j
Progress Chart
Name:
Dates of Service 5/16/07
Level Number of Repetitions Level
Record the date and any changes for each activity pg. 1 10/18/07 11/19/07 1/21/08
Number of Repetitions Level Number of Repetitions Level Number of Repetitions
SENSORY
Toothette with Vibration
1
Level
1 min
Number of Repetitions
---Level
---Number of Repetitions
---Level
---Number of Repetitions
---Level
---Number of Repetitions
FEEDING
Solid: Independent Fork-Feed Purees: Spoon Slurp Liquids: Straw Hierarchy- Thin Liquids Thickened Liquids ORAL-MOTOR THERAPY Bite Tube Sequence: Red Chewy Tube Yellow Chewy Tube Purple ARK Grabber Green ARK Grabber Jaw Grading Bite Blocks Bite Block Exercise Twin Bite Blocks Bite Block for Jaw Stability
All Solids
Completed
------------Number of Repetitions
------------Level
------------Number of Repetitions
---#5 A- puree 3 oz
Level
---Completed Completed
Level
------Completed Completed
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#2 (2XR 1XL)
(9R 10L)10X
#6 (2XR 1XL)
(7R 10L)10X
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Slow Feed Gum Chewing Horn Blowing Hierarchy Tongue Tip Lateralization Tongue Tip Elevation/Depression Tongue Tip Up and Down
------------10X 10X
------------Completed Completed
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SPEECH
Auditory Discrimination
Level of Exercise
Level of Exercise
Level of Exercise
Level of Exercise
Completed
Phoneme Production
Attempted single sound production of /l/, /s/, /z/, /sh/, /ch/ and /j/
Attempted single sound production of /l/, /s/, /z/, /sh/, /ch/ and /j/
Attempted single sound production of /l/, /s/, /z/, /sh/, /ch/ and /j/ Phoneme production of /l/ practiced
Carryover of /l/, /s/,/z/, /sh/, /ch/ and /j/ into conversational speech completed
Contact: 3420 N. Dodge Blvd., Suite 148. Tucson, AZ 85716 t:520-529-2879/ 520-795-1036 f: 520-795-8559 www.talktools.net
ORAL-MOTOR THERAPY:
Jaw Techniques:
Tongue
Bite-Tube Hierarchy
Lips
Diagnosis: Oral-motor deficits characterized by instability and poor coordination in the muscles of the abdomen, jaw, lips and tongue. Jaw asymmetry, reduced lingual grading and insufficient tongue retraction result in the inter-dental production of /l/ and all sibilant sounds. Poor abdominal grading and excessive tension in the jaw results in frequent loss of voice and difficulty with breath control while speaking. Food stuffing, insufficient mastication and tongue thrusting associated with straw drinking and swallowing characterize feeding behaviors.
Chewy Tube Red add set info Chewy Tube - Yellow Jaw Grading Bite Blocks Exercise A Bite Block #2 (1 unit, 10x) Slow Feed (1 unit, 3x) (1 unit 2x)
Jaw
Balls
Goals: Adequate jaw strength, symmetry, stability and grading as components of improving speech clarity
References Goldman, R. Fristoe, M. (2000). The Goldman Fristoe 2 Test of Articulation, Circle Pines, MN: American Guidance Service, Inc. Bahr, D.C. (2001). Oral Motor Assessment and Treatment: Ages and Stages. Allyn and Bacon. Green, J.R., Moore, C.M., Higashikawa M., & Steeve, R.W. (2000). The Sequential Development of Jaw and Lip Control for Speech. Journal of Speech, Language and Hearing Research, 45, 66-79. Meyer, P.G. (2000). Tongue Lip and Jaw Differentiation and its Relationship to Orafacial Myofunctional Treatment. International Journal of Orofacial Myology, 26, 44-52. Fletcher, S.G. (1992). Articulation: A Physiological Approach. San Diego, CA: Singular. Fields, D., Polmanteer, K. (2002). The Effectiveness of Oral-Motor Techniques in Articulation and Phonology Therapy. American Speech-Language-Hearing Association Mysak, E. (1983). Treatment of deviant phonological systems: Cerebral palsy. In W.H. Perkins (Ed.), Dysarthria and apraxia: Current therapy of communication disorders (pp. 3-23). New York, NY: Thieme-Stratton Inc.
Oetter, P., Richter, E.W., & Frick,S.M. (1995). M.O.R.E.: Integrating the mouth with sensory and postural functions (2nd ed.). Hugo, MN: PDP Press. Perkell, J. S., Matthies, M., Lane, H., Guenther, F. H., Wilhelms-Tricarico, R., Wozniak, J., et al. (1997). Speech motor control: Acoustic goals, saturation effects, auditory feedback and internal models. Speech Communication, 22(2-3), 227-250. Rosenfeld-Johnson, S., Gray, J. (2008). The role of the jaw for feeding and speech. Advance, 18 (35). Savrson, R. H. (1961). Motor Phonetics. Amsterdam, The Netherlands: North Holland.