Treatment FAQ

which speech treatment approach should i use

by Marisol Skiles Published 2 years ago Updated 1 year ago
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Thus types of speech therapy treatment approaches are as follows:

  • Contextual utilization.
  • Contrast therapy.
  • Cycles Approach.
  • Core Vocabulary approach.
  • Metaphor therapy.
  • Distinctive feature therapy.
  • Non- speech oral motor therapy.
  • Naturalistic Speech intelligibility intervention.
  • Speech sound perception training.

Full Answer

What is the best approach to speech therapy?

According to Asha, some of the speech therapy treatment approaches previously focus on articulation production. And also others focus on phonological or language disorder. Therefore, the best approach used in therapy with the same person at different times for different reasons.

What are the treatment options for speech impairment?

Oral motor therapy. Here the focus is on improvement of the associated body parts which cause speech like muscles around the mouth and so on. Oral muscles need to be strengthened which also help in other activities as well like swallowing and eating.

What is the best approach for inconsistent speech disorder?

I use the core vocabulary approach (Dodd et al., 2010), which is currently the ONLY approach for children with inconsistent speech disorder. So can you see WHY you can’t just follow a flow chart? If you follow a flow chart, then you can be blinded to other options.

When is speech therapy needed?

Speech therapy may be needed for speech disorders that develop in childhood or speech impairments in adults caused by an injury or illness, such as stroke or brain injury. There are several speech and language disorders that can be treated with speech therapy.

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How do you choose a phonological approach?

Which phonological therapy approach should you choose?Review the approaches that YOU KNOW. ... Consider the child's temperament, personality, and resilience – this is so important because you want to start therapy off successfully. ... Take your time to probe an approach.

When do you use the minimal pairs approach?

The Minimal Pairs Approach is suitable for children with mild or moderate speech sound disorders, with one or two phonological processes that are no longer age-appropriate. It can also be used with people who are looking to modify their accent.

How do you choose a speech sound target?

8 Traditional Target Selection CriteriaWork in developmental sequence. ... Prioritise targets that are 'important' ... Choose targets that are stimulable. ... Use words that can be minimally contrasted. ... Choose unfamiliar words as therapy stimuli. ... Target sounds the child sometimes says correctly.More items...•

What phonological process should be targeted first?

The first step in an articulation or phonological intervention is deciding what phoneme or error pattern to work on.

How do you target fronting in speech therapy?

Minimal pairs is a therapy approach that is commonly used to treat fronting. Our activities involve showing your child word pairs containing both the word that they mean to say, and the word that they actually said. Using the cards, we will ask your child to say each word pair.

Why do we use minimal pairs?

In phonology and phonetics, the term minimal pair refers to two words that differ in only one sound, such as hit and hid. The words in a minimal pair have completely different, often unrelated definitions. Minimal pairs are useful to linguists because they provide insight into how sound and meaning coexist in language.

When do you target R in speech therapy?

In general, the /r/ sound should be correctly produced in a child's daily conversational speech by age 5. Use the start of kindergarten as a good rule of thumb: Children should be easily understood by others and able to say all speech sounds when they begin school.

When do you target l sound?

Once your child is able to produce /l/ in isolation and in syllable shapes, begin targeting this sound in various positions in words (i.e., initial, medial, and final). *It is worth noting that /l/ has two different placements depending on its position in a word.

What is a treatment approach speech therapy?

A treatment method or therapy approach is the program that the speech-language pathologist (SLP) will use to treat your child. Treatment methods can be developed by research teams or individual clinicians. Some therapy approaches require formal training and/or certification in order to use the approach.

When do you use Cycle therapy?

The cycles approach to speech therapy is intended for children who meet the following criteria:Highly unintelligible (very difficult to understand)Frequently leave out or omit speech sounds.Replace some sounds with other sounds.Don't use very many different consonant sounds.

How do you implement cycles approach to speech therapy?

Cycles sessions usually take an hour and consist of 7 steps:Review words from the last session.Auditory bombardment (1-2 minutes).Introduction of target words for the session (usually 5-6 words).Play games requiring the child to practice the target words.Probe for next session targets.Repeat auditory bombardment.More items...•

What are the 4 main categories of phonological processes?

Phonological ProcessingPhonological Awareness. ... Phonological Working Memory. ... Phonological Retrieval. ... Reference.

Therapy for Speech Sounds

It can be very difficult to figure out what type of speech sound therapy to do with a child. Today, I’m going to walk you through the four main types of therapy and when to use them. Plus, I’ll touch on some of the less common types of speech sound therapy in case you’ve tried all of the mainstream approaches with no success.

Types of Speech Sound Therapy

For children working on a single sound error or substitution that is not part of a whole class of sounds

How to Choose an Approach

Download the free flow chart that will help you decide which method to use:

More Resources for Speech-Language Pathologists

Looking for more therapy ideas and resources to help you provide the BEST services to your clients? Join us in The SLP Solution, our membership program for speech-language professionals! Inside the membership, you’ll find:

What can a speech therapist do for infants?

For infants, a speech therapist may assist in coordinating her suck-swallow-breath pattern. As previously mentioned these are only some of the things that a speech therapist might do.

What is a speech pathologist?

on January 13, 2020. You may be referred to a speech therapist, or more appropriately termed a speech-language pathologist (SLP), for a variety of disorders. An SLP can help treat problems related to speech, hearing, and swallowing. More specifically an SLP can help assess and treat:

How to help a child who stutters?

Speech therapists will try to teach your child who stutters behavioral modification techniques that in turn may help control their stuttering. A common method that may be used on your child is to teach them to control the rate of speech since speaking too quickly can make stuttering worse for some people.

How to diagnose apraxia?

Children with apraxia have difficulty saying certain syllables or making certain sounds. Your child knows what he or she wants to say, but it doesn't seem to come out right. Speech therapists are qualified to evaluate children for apraxia by using several tests, including: 1 Oral-motor assessment to check for muscle weakness in the jaw, lips or tongue 2 Melody of speech assessment during which the therapist listens to see if they can appropriately stress certain syllables and use pitch and pauses at the appropriate place in a sentence 3 Speech sound assessment which further determines how well the child can pronounce sounds, including vowels, consonants, and sound combinations. This includes determining how well others are able to understand the child's conversational speech

How to help a child with swallowing difficulty?

A speech therapist may help your child with swallowing difficulty by assisting them with exercises to make her mouth strong, increase tongue movement, and improve chewing. A speech therapist may also make recommendations about the consistency of food.

What to do if your toddler is late talking?

Speech Therapy for Late Talkers. If your infant or toddler should be talking by now but isn't, he may be referred to a speech therapist . The therapist will likely try different things to encourage your child to talk, including playing with him.

What is oral motor assessment?

Oral-motor assessment to check for muscle weakness in the jaw, lips or tongue. Melody of speech assessment during which the therapist listens to see if they can appropriately stress certain syllables and use pitch and pauses at the appropriate place in a sentence.

Overview

Speech therapy is treatment that helps improve your speech and language skills. It helps with early language skills, voice and sound production, comprehension, fluency, clarity and expression.

Procedure Details

If your healthcare provider suspects that you or your child has a speech disorder, they’ll recommend some initial screenings. These tests will help determine the underlying cause. For example, if your child has trouble communicating, your healthcare provider will find out if it’s due to a speech disorder or a hearing problem.

Recovery and Outlook

The answer to this question is different for everyone. It depends on several factors, including:

When to Call the Doctor

If you have a medical condition that’s resulted in a speech disorder, your healthcare provider will let you know when it’s time to see a speech-language pathologist. If you suspect your child has difficulties with language or comprehension, call your healthcare provider to schedule an appointment.

What is speech intervention therapy?

Speech language intervention therapy. The intervention helps the people who might have suffered delays in speech or a kid with similar speech impediments. The idea is to encourage the individual to be able to put words into sentences in a coherent manner.

What is speech pathology?

Today, speech pathology is a multifaceted and highly specialized field which covers varied disorders namely: Language disorders: An inability to understand or express one’s basic ideas, feelings or thoughts. This can manifest in both oral and verbal form like morphology or semantics, etc.

What is oral motor therapy?

Oral motor therapy. Here the focus is on improvement of the associated body parts which cause speech like muscles around the mouth and so on. Oral muscles need to be strengthened which also help in other activities as well like swallowing and eating.

Can autism cause difficulty in basic communication?

Some people with speech or language disorder might find difficulty in even basic communication like greeting, asking questions, comprehending rules of language communication, story narration, and so on. Autism in children.

What is speech therapy?

Speech therapy is the assessment and treatment of communication problems and speech disorders. It is performed by speech-language pathologists (SLPs), which are often referred to as speech therapists. Speech therapy techniques are used to improve communication. These include articulation therapy, language intervention activities, ...

Why do people need speech therapy?

Speech therapy may be needed for speech disorders that develop in childhood or speech impairments in adults caused by an injury or illness, such as stroke or brain injury.

What is the fluency disorder?

Fluency disorders. A fluency disorder affects the flow, speed, and rhythm of speech. Stuttering and cluttering are fluency disorders. A person with stuttering has trouble getting out a sound and may have speech that is blocked or interrupted, or may repeat part of all of a word.

What are some examples of speech disorders?

There are several speech and language disorders that can be treated with speech therapy. Articulation disorders. An articulation disorder is the inability to properly form certain word sounds. A child with this speech disorder may drop, swap, distort, or add word sounds. An example of distorting a word would be saying “thith” instead of “this”.

How does a SLP help children?

During speech therapy for children, the SLP may: interact through talking and playing, and using books, pictures other objects as part of language intervention to help stimulate language development. model correct sounds and syllables for a child during age-appropriate play to teach the child how to make certain sounds.

What causes aphasia in the brain?

Stroke is the most common cause of aphasia, though other brain disorders can also cause it. Dysarthria. This condition is characterized by slow or slurred speech due to a weakness or inability to control the muscles used for speech.

When does speech disorder begin?

Some speech disorders begin in childhood and improve with age, while others continue into adulthood and require long-term therapy and maintenance. A communication disorder caused by a stroke or other medical condition may improve as with treatment and as the condition improves.

Possible Treatment Approaches

As you explore possible therapy approaches, it appears as though the leading texts and articles offer a wide variety of possible treatment approaches including:

Evidence

The clinical literature suggests several different therapeutic approaches, but which are supported by evidence? 1 Before you recommend and apply an approach, it might be wise to use Google Scholar to search for supportive evidence. Search for the above case scenario, unilateral vocal fold paralysis.

Need

In making your therapy decisions, you must take into account the needs and desires of the patient. This particular individual works as a salesperson and finds it difficult to sustain his daily work activities because of his voice problem. He needs immediate assistance.

Ability

What do we mean by ability? First, does the patient have the cognitive and physical ability to follow through with the prescribed therapy approach? Many of the evidence-based voice therapy approaches used by SLPs seem a bit silly to patients and others are somewhat complicated to perform.

Choices, Choices, Choices

Therapeutic choices should never be made using a cookbook approach. In this case of a unilateral vocal fold paralysis, a clinician may find many different management approaches. I strongly suggest that finding techniques to use is only a first step. The next steps are to:

How Does it Work?

The therapist presents a verb. The patient then builds a sentence from this verb, filling in the WHO and WHAT. We use the terms agent for the WHO and patient for the WHAT.

Basic Treatment

1. Place down the WHO, WHAT, and one VERB card in front of the patient.

Going Deeper, Part 1

1. Have the patient choose one of the agent/patient pairs (such as “carpenter” and “wood”). 2. Ask WHERE, WHEN, and WHY questions about the pair • Short phrases answers are fine—complete sentences aren’t required (see example below). 3. Write the patient’s responses on blank notecards. Place them next to the appropriate cards (see image below).

Going Deeper, Part 2

1. Remove all cards from the table. 2. Prepare 12 sentences containing a target VERB (“measure”): – 3 sentences will be correct – 3 sentences will have the inappropriate agent – 3 sentences will have the inappropriate patient – 3 sentences will have the agent and patient switched.

How to

1. The patient completes a complex left-hand movement. For example, they open the lid of a box then squeeze a rubber ball. 2. After the hand movement, ask them to name a target picture.

Intention Manipulation Resources

An Intention Manipulation to Change Lateralization of Word Production in Nonfluent Aphasia: Current Status

How To

The therapist uses a worksheet (or “word web”). The target picture is usually placed in the center of the web.

What are the areas of clinical teaching and research interests?

Other areas of clinical teaching, and research interests have included pediatric feeding disorders, childhood apraxia of speech, autism spectrum disorder, family and sibling experiences with autism spectrum disorder, and the impact of trauma on child development.

Is the alveolar place of articulation similar to the /s/ sound?

The alveolar place of articulation is similar for both sounds. When the client is instructed to release the /t/ with a strong burst of air, while slowly retracting the tongue lightly from the alveolar ridge, the resulting sound can be prolonged and will approximate a /s/ sound.

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