Professional Documents
Culture Documents
"
,&!/- &0 1*.(12.01
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Febiuaiy 1S, 2uu9
Piesenteu by:
Naigaiet Fish, N.S., CCC-SLP
%.,#0#1#&0 &, !(-
". a !"#$%&%'()*& chiluhoou (peuiatiic) speech sounu uisoiuei in which the +$")(,(%! anu )%!,(,-"!). %0
1%2"1"!-, unueilying speech aie impaiieu in the *3,"!)" %0 !"#$%1#,)#&*$ 4"0()(-, (e.g., abnoimal ieflexes,
abnoimal tone). CAS may occui as a iesult of known neuiological impaiiment, in association with complex
neuiobehavioial uisoiueis of known oi unknown oiigin, oi as an iuiopathic neuiogenic speech sounu uisoiuei. The
)%$" (1+*($1"!- (! +&*!!(!' *!45%$ +$%'$*11(!' ,+*-(%-"1+%$*& +*$*1"-"$, %0 1%2"1"!- ,"6#"!)", iesults in
eiiois in ,+"")7 ,%#!4 +$%4#)-(%! *!4 +$%,%4.."
89:8 84 :%) ;%11(--"" %! 8+$*<(* %0 9+"")7 (! ;7(&4$"!
!"(*(!1.*#-1#!- "(3#04 4*.(1.-1 )*&2#-. ,&*
-.0-#1#3#15 (0% -).!#,#!#15 ,&* #%.01#,#!(1#&0 &, !(-
-6789:9;9:< = Chaiacteiistic is obseiveu in most kius with CAS
->6?9@9?9:< = Chaiacteiistic is not obseiveu in most kius without CAS
=!)%!,(,-"!- "$$%$, in piouuction of consonants anu vowels with iepeateu piouuctions of syllables anu
woius;
>"!'-7"!"4 *!4 4(,$#+-"4 )%*$-()#&*-%$. -$*!,(-(%!, between sounus anu syllables;
=!*++$%+$(*-" +$%,%4.? especially in the iealization of lexical oi phiasal stiess.
89:8 84 :%) ;%11(--"" %! 8+$*<(* %0 9+"")7 (! ;7(&4$"!
@AAB =9:8 8!!#*& ;%!0"$"!)"? C"3$#*$. D@EDF? @AAB
Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . 2
(%%#1#&0($ !"(*(!1.*#-1#!- &, !(-
! Piesence of vowel uistoitions
! Limiteu consonant anu vowel iepeitoiie
! 0se of simple syllable shapes
! uieatei uifficulty as woiu length oi phiase length inciease
! Connecteu speech moie unintelligible than single-woiu aiticulation test might suggest
! Pooi uiauochokinesis
! Limiteu piouuction of complex woiu shapes
! Slow uevelopment of Speech-Language Pathology Seivices limiteu speech intelligibility
! Limiteu babbling uuiing infancy
! uioping, stiuggling to speak
! Possible soft palate involvement
! Receptive language (typically) exceeus ieceptive language
! Regiession oi loss of sounus oi woius
.3($/(1#&0
.--.01#($ .$.2.01- &, ( 2&1&* -)..!" .+(2
" Piouuce woius imitatively anu spontaneously
" Piouuce woius with incieasingly complex syllable shapes
" Repeat test items moie than once
" Execute non-vocal oial movement
" Piouuce phiases anu sentences
" Piouuce challenging woius with the benefit of cueing (visualauuitoiytactilepiopiioceptive)
!"#$ #&$ '"((")*+,-
! Weakly piouuceu phonemes
! uioping
! Resonance uiffeiences
! Piosouy uiffeiences (intonation, stiess)
! Rate anu volume
,&*2($ (--.--2.01 #0-1*/2.01-
KSPT - Kaufman Speech Piaxis Test foi Chiluien (Kaufman)
vNPAC - veibal Notoi Piouuction Assessment foi Chiluien (Bayuen anu Squaie)
@AAB =9:8 8!!#*& ;%!0"$"!)"? C"3$#*$. D@EDF? @AAB
Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . S
1*.(12.01 ,&*
!"#$%"&&% ()*(+#( &, -)..!"
1*.(12.01 !&0-#%.*(1#&0-
)A97?9>B68 C@ 2C:CA $6DA797E
# Shoitei, Noie Fiequent Sessions
# Focus on Phoneme Sequencing - Not }ust Sounus
# Encouiage Repeateu Piactice to Builu Nuscle Nemoiy
# Pioviue 0ptimal Reinfoicement
&:F6A 1A6D:G67: !C789H6AD:9C78
# Facilitate Speech Piaxis 0sing Nultimoual Cues
# Focus on vowels
# Facilitate Woiu Appioximation as Necessaiy
# Nove Quickly to Phiases anu Sentences
# Choose vocabulaiy Caiefully
# Enhance Notivation
# Auuiess Speech Piosouy
# Consiuei Puipose of 0ial Notoi Activities
# Consiuei Relative Contiibution of Notoi Speech
# Auuiess Cuiient anu "Futuie" Liteiacy Neeus
@AAB =9:8 8!!#*& ;%!0"$"!)"? C"3$#*$. D@EDF? @AAB
Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . 4
IJ !"#$%& () *%**+(!* ,%& -%%. /!0 1%!234 () *%**+(!*
2C:CA $6DA797E *686DA?F 97H9?D:68K
Notoi skills aie acquiieu moie quickly (in teims of total houis spent within piactice sessions) when
shoitei, fiequent sessions aie useu.
Notoi skill accuiacy is bettei when shoitei, fiequent piactice sessions aie implementeu.
Retention of motoi skills is highei foi inuiviuuals ieceiving shoitei, fiequent piactice sessions.
G7"$"0%$"H
When possible, incoipoiate a tieatment scheuule of shoitei, fiequent sessions foi kius with CAS.
Ex: Rathei than 2, 4S min. sessionsweek, scheuule S oi 4- Su minute sessions
LJ )(5"* (! ,4(!%#% *%6"%!5+!27 !(3 8"*3 *("!0*
Notoi Leaining Reseaich inuicates:
Whole piactice is moie effective foi teaching movement patteins when the component paits of the movement
aie highly ielateu
Paits piactice is moie effective in teaching a movement pattein in which the component paits aie less ielateu
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-Since speech movements aie highly ielateu to one anothei anu phoneme piouuction is highly uepenuent on the
phonemes suiiounuing it (uue to coaiticulation), whole piactice is piefeiable to paits piactice.
Suggestions:
-Begin at least at the syllable level (Cv oi vC);
-Nove to phiase level as quickly as possible;
-Nake the woius meaningful;
-If Cv oi vC is too challenging tiy:
- aujusting the tempoial aspects of the woiu
- auuing multimoual cues
- using isolateu phonemes that uenote meaning - many of which aie fun, silly oi emotionally chaigeu.
@AAB =9:8 8!!#*& ;%!0"$"!)"? C"3$#*$. D@EDF? @AAB
Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . S
)"&0.2. -.M/.0!. "#.*(*!"5
# C (m, s, z, sh, ch)**
# Cv (boy, hi, no, go, moo)
# vC (up, on, in, off, out, ape)
# Cv-Cv with ieuuplication (mama, baba, wawa, moo-moo, boo-boo)
# Cv-Cv with same C but vaiieu v (mommy, uauuy, puppy, cookie, tuitle)
# Cv-Cv with vaiieu C anu v (bunny, uino, potty, hippo, table)
# CvC with assimilation (pop, pup, mom, cake, mop, five)
# CvC without assimilation (cup, pin, bake, fish)
# Cv-Cv-Cv (banana, tomato, potato, bicycle)
# Cv-CvC (button, chicken, magic, finish)
# CvC-CvC (popcoin, cupcake, basket, picnic, football)
# Blenus (spoon, jump, splash, jumps)
# Nultisyllables (motoicycle, alligatoi, iefiigeiatoi, Cinueiella, hippopotamus)
NJ %!5("&/2% &%,%3+3+(! 3( $"+10 #"*51% #%#(&9
2C:CA $6DA797E *686DA?F 97H9?D:68K
2D88 >AD?:9?6 (piacticing fewei things many times) leaus to bettei accuiacy uuiing initial
leaining of motoi skill B0T inhibits caiiyovei
%98:A9OP:6H >AD?:9?6 (piacticing numeious things fewei times) leaus to bettei
caiiyoveihabituation B0T incieases time to uevelop a new skill
G7"$"0%$" H
-When teaching new movement patteins, GD88 >AD?:9?6 is iecommenueu
-When tiying to habituate skills, H98:A9OP:6H >AD?:9?6 is iecommenueu
@AAB =9:8 8!!#*& ;%!0"$"!)"? C"3$#*$. D@EDF? @AAB
Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . 6
2D:6A9DB8 D7H (?:9;9:968 :C )ACGC:6 *6>6D:6H )AD?:9?6
QEcho miciophone
-Puzzles
-Sounu puzzles
-Stiing beauspop beaus
-Faim toy
-Cash iegistei toy
-Cais, tiucks anu iamps
-Tiain tiack anu tiains
-Ni. Potato BeauNi. Potato Beau Pals
-Coloieu blocks
-Laige blocks
-Naikeisciayonspapei
-Bot Aiticulation (Supei uupei, Inc)
-Stickeisstamps
-Familiai chaiacteis anu accessoiies
-Bollhouse anu family chaiacteis
-Big tiuck, aiiplane
-Tool toys
4DG68 @CA *6>6:9:9;6 )AD?:9?6 R)PA?FD86HS = 4DG68 8FCPBH O6K
" Quick
" Fun
" 0seu eithei as:
o Reinfoicei
o Selecteu vocabulaiy
-DG>B6 EDG68K
Pop-0p Piiate
Caiiboo
Ciocouile Bentist
Bon't Spill the Beans
Silly Six Pins
Lego Cieatoi
Nousetiap
Animal Buuuies
Bainyaiu Bingo
Lucky Bucks
Nilk anu Cookies
Silly Faces
Coloifoims
Nemoiy uames
Lotto uames
Boliuay& Seasonal uameboaius foi
Speech anu Language (Supei Bupei, Inc.)
@AAB =9:8 8!!#*& ;%!0"$"!)"? C"3$#*$. D@EDF? @AAB
Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . 7
MP9?T D7H -9G>B6 4DG68K
BowlingSoccei bowling
Basketball
Long jump
Pictuie hop
Animal walk
Tieasuie hunt
Nailman
Block uesigns
Tall towei
Bominoes
Stickeis & Stamps
Piogiessive uiawing
Eain it now - make it latei
Laige numbei uice
Laige numbei spinnei
Nagnet chips
Bouble uice ioll
1uu
uo Fish
Nemoiy
Simon Says
Lettei Path
Louueisofteiothei vaiiations
Biuuen puzzle pieces
@AAB =9:8 8!!#*& ;%!0"$"!)"? C"3$#*$. D@EDF? @AAB
Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . 8
UJ ,&(:+0% (,3+#/1 &%+!)(&5%#%!3
1<>68 C@ ,66HOD?TK
$ .V:A9789? ,66HOD?T = Sensoiy infoimation pioviueu by an outsiue souice. Notoi Leaining Reseaich
inuicates Extiinsic Feeuback is necessaiy to acquiie NEW skills
o Knowleuge of Peifoimance
o Knowleuge of Results
$ #7:A9789? ,66HOD?T - Sensoiy infoimation within the leainei. Notoi Leaining Reseaich inuicates
Intiinsic Feeuback is necessaiy foi CARRY0vER of skills
o Auuitoiy
o Piopiioceptive
o Tactile
)A97?9>B68 C@ *697@CA?6G67: WF67 16D?F97E D 06X 2C:CA -T9BB
" Pioviue fiequent feeuback
" Pioviue immeuiate feeuback
" Pioviue KN0WLEBuE 0F PERF0RNANCE
o Tell what was not coiiect about the movement
o Tell what shoulu be uone uiffeiently
" Limit the amount of infoimation pioviueu
" Bon't oveiloau
)A97?9>B68 @CA %6;6BC>G67: C@ #7:A9789? ,66HOD?T
" Faue extiinsic feeuback piogiessively
" Begin to use inteimittent ieinfoicement
" Nove to pioviuing KN0WLEBuE 0F RES0LTS
" Begin to uelay feeuback
@AAB =9:8 8!!#*& ;%!0"$"!)"? C"3$#*$. D@EDF? @AAB
Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . 9
YJ )/5+1+3/3% *,%%54 ,&/;+* "*+!2 #"13+#(0/1 5"%*
->6?9@9? !P697E 16?F79ZP68 (visual, Auuitoiy, TactilePiopiioceptive)
# )*&2)1 (Piompts foi Restiuctuiing 0ial Nusculai Phonetic
Taigets)
# %11! = Bynamic Tempoial anu Tactile Cueing (Euythe Stianu anu
colleagues)
# 3DA9D:9C7 C@ AD:6
# !FCADB ->6DT97E (simultaneous piouuction)
# "D7H GC:9C78[>C89:9C78
# 1D>>97E[?BD>>97E CP: >FC76G68 D7H 8<BBDOB68
# \BC?T8 CA >D>6A[@6B: 8ZPDA68 :C H67C:6 7PGO6A C@ 8<BBDOB68 CA
XCAH8
# WA9::67 B6::6A8 D7H XCAH8
# -CP7H 7DG68
# 36AODB H68?A9>:9C78 D7H 8>6?9@9? @66HOD?T (knowleuge of
peifoimance)
# 2CP:F )9?:PA68
# 398PDB = looking at self in miiioi oi looking at theiapists face
# )9?:PA68 :C H67C:6 8<BBDOB68 CA >FC76G68
@AAB =9:8 8!!#*& ;%!0"$"!)"? C"3$#*$. D@EDF? @AAB
Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . 1u
#"13+*%!*(&9 5"%+!2 3%54!+6"%*
5<=>?@ 3=AB?>C<= 398PDB (PH9:CA< 1D?:9B6
%<7DG9? 16G>CADB D7H 1D?:9B6 !P697E + + +
*D:6 3DA9D:9C78 +
!FCADB ->6DT97E[-9GPB:D76CP8
)ACHP?:9C7
+ +
%9A6?: #G9:D:9C7 R# 8D< 9:] <CP 8D< 9:S + +
WD:?F97E !B979?9D7 + +
29G6 +
29AACA +
"D7H 2C:9C78[468:PA68 +
WA9::67 $6::6A8[WCAH8 +
1D>>97E[!BD>>97E &P: -<BBDOB68 + +
\BC?T8[)D>6A -ZPDA68 :C %67C:6 ^ C@
-CP7H8[-<BBDOB68[WCAH8
+
-CP7H 0DG68 +
36AODB %68?A9>:9C78 C@ "CX :C )ACHP?6
-CP7H8
+
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1CP?F !P68 +
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Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . 11
@AAB =9:8 8!!#*& ;%!0"$"!)"? C"3$#*$. D@EDF? @AAB
Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . 12
``(HD>:6H @ACG ;&(!()*& I*!*'"1"!- %0 I%-%$ 9+"")7 J(,%$4"$, (! ;7(&4$"!K Caiuso, A
anu Stianu E.
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Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . 1S
aJ :(-%1*
v0WEL BIAuRAN
T0Nu0E P0SITI0N
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A
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B
I
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B
E
I
u
B
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@AAB =9:8 8!!#*& ;%!0"$"!)"? C"3$#*$. D@EDF? @AAB
Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . 14
bJ ,&(2&%**+:% /,,&(;+#/3+(!*
-DG>B6 (>>ACV9GD:9C7 -6ZP67?6
,CA :F6 WCAH c%97C8DPAd
"uah no"
"ui no"
"ui no so"
"ui no saui"
./01#*1$ 233/"4*50#*"+6
@AAB =9:8 8!!#*& ;%!0"$"!)"? C"3$#*$. D@EDF? @AAB
Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . 1S
eJ ,4&/*%* /!0 *%!3%!5%*
-DG>B6 !DAA96A )FAD86 !CAA68>C7H97E $D7EPDE6 (?:9;9:<
It's a ___________ "Feely box" - place hanu insiue box, feel what's insiue anu tell
what it is
_________ inonup Animal chaiacteis going on a school bus.
Tv toy chaiacteis climb up mountain.
I got a ___________ uo Fish game oi Nemoiy game - tell what you got when you
tuin ovei a pictuies
I founu a _____________ I Spy - using a flashlight, finu "hiuuen" toys
Biglittle ___________ }ack-o-lantein pictuie
(coloi woiu) ___________ Potato heau
I have (a) _________
You have (a) __________
Besciibe clothing oi physical chaiacteiistics of self anu othei
peison
I want (a) _________
I want (a) _______ _______
Tell what piece you neeu to complete a stickei pictuie, block
stiuctuie, oi ciaft pioject
(numbei woiu) ________ Counting books
_________ go Animals, chaiacteis oi toy people going uown sliue oi moving in
vehicle
Noie ____________ Bubbles
Bo you have a _________. uo Fish game
Bye-bye ___________ Putting toys away
@AAB =9:8 8!!#*& ;%!0"$"!)"? C"3$#*$. D@EDF? @AAB
Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . 16
fJ 5(!*+0%&/3+(!* -4%! 54((*+!2 :(5/$"1/&9
WF67 ?FCC897E :DAE6: XCAH8g :DT6 97:C ?C789H6AD:9C7K
# Phoneme iepeitoiie
# Syllable shapes
# Planes of movement
# Chilu's inteiests
# Family ioutines
# School ioutines
5/*% %;/#,1%*
54+10 /
Age S yeais, 6 months
Consonants b, m, u, n
vowels o, oo, ah, uh
Syllable shapes - Cv, CvCv ieuuplicateu
Inteiests - vehicle toys, balls, faim animals
Consistency - "bah", "mah" aie consistent. 0thei combinations achieveu using multisensoiy cues
54+10 $
Age 7 yeais, 1u months
Consonants p, b, m, w, t, u, n, h, f, s
vowels all, though uiphthongs can be uifficult at iapiu iate
Syllable Shapes - all except blenus, thou inconsistent
Inteiests - action heioes, soccei, basketball
Consistency - uifficulty with multisyllabic woius. 0mits meuial consonants (even at Cv-CvC) unless iate is
significantly ieuuceu.
@AAB =9:8 8!!#*& ;%!0"$"!)"? C"3$#*$. D@EDF? @AAB
Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . 17
1%**(! ,1/! -(&.*4%%3 D 5B>EF /
!GH=IIIIIIIIIIIIIIIIIIII 0GJ=IIIIIIII
Syllable
Shape(s)
Phoneme(s)
C anu v
vocabulaiy;
Phiase Stiuctuies
Activities;
Nateiials
@AAB =9:8 8!!#*& ;%!0"$"!)"? C"3$#*$. D@EDF? @AAB
Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . 18
1%**(! ,1/! -(&.*4%%3 D 5B>EF $
!GH=IIIIIIIIIIIIIIIIIIII 0GJ=IIIIIIII
Syllable
Shape(s)
Phoneme(s)
C anu v
vocabulaiy;
Phiase Stiuctuies
Activities;
Nateiials
@AAB =9:8 8!!#*& ;%!0"$"!)"? C"3$#*$. D@EDF? @AAB
Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . 19
&%*("&5%* )(& ,+53"&%*
Noving Acioss Syllables
Kaufman Speech Piaxis Tieatment Kits
Woiu Flips"
Pictuie Expiess
Becoming veibal anu Intelligible
Boaiumakei"
uoogle" Images
KLM %!4/!5+!2 #(3+:/3+(!
#(3+:/3+(! 0%:%1(,* -4%! 54+10&%!N
Know they aie successful
o 0se cleai anu conciete ieinfoicement
o 0se poweiful anu piagmatic vocabulaiy
o When choosing taigets, taking into account
! Phoneme iepeitoiie
! Syllable shapes
! Planes of movement
o 0tilize piogiessive appioximations when necessaiy
0nueistanu the powei of language
0nueistanu how the motoi system will affect theii ability to communicate
Aie having fun
@AAB =9:8 8!!#*& ;%!0"$"!)"? C"3$#*$. D@EDF? @AAB
Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . 2u
KKM *3&%** /!0 +!3(!/3+(!
Chiluien with CAS fiequently uemonstiate inappiopiiate stiess patteins - 6V?6889;6 6ZPDB 8:A688 is common
Teach exclamations using ovei exaggeiation
Count anu stop
Emphasize key woius expiessing high levels of emotional content
Questions vs. ueclaiatives
Statement-Question-Response
Changing meaning of sentence baseu on which woiu is stiesseu
Syllable stiess
KOM 5(!*+0%&/3+(!* )(& (&/1 #(3(& /53+:+3+%* +! 5/*
1. Time
2. Puipose
S. Reseaich
KPM &%1/3+:% 5(!3&+$"3+(!*
1. Language - compiehension, naiiative language, giammai, vocabulaiy, piagmatics, NL0
2. Social - iecipiocity, Inteiaction, emotional iegulation, play
S. Bysaithiia - speaking iate, muscle weakness, aiticulatoiy piecision
"# Phonology - phonological piocesses
@AAB =9:8 8!!#*& ;%!0"$"!)"? C"3$#*$. D@EDF? @AAB
Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . 21
KQM 1+3%&/59 5(!*+0%&/3+(!*
->JB>? JB= AR?J=SJ RT JU=GJH=?J7 B=EV AB>EFU=? JRN
! Recognize that woius begin oi enu with the same sounus
! Segment woius into inuiviuual sounus
! Blenu inuiviuual syllables oi sounus
! Recognize ihyme patteins
0R JB>W XYN
! 0sing wiitten letteis as sounu cues
! Wiiting taiget woius on piactice caius
! Bighlighting specific sounus, syllables, woius
o Nake the sounusyllablewoiu laigei
o 0se uiffeient coloi
o 0nueiline
! Focus attention to the # of sounussyllableswoius
! Soit taiget woius by
o Beginning sounus
o Enuing sounus
o Numbei of syllables
o Enuing syllables
o vowels
@AAB =9:8 8!!#*& ;%!0"$"!)"? C"3$#*$. D@EDF? @AAB
Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . 22
3&%/3#%!3 5(!*+0%&/3+(!* )(& 54+10&%! -+34
1+331% (& !( 1/!2"/2%
! Cast a wiue net
! Reinfoice vocalizations
! uive meaning to vocalizations
! uet imitation going
! Choose toys that ieinfoice eaily sounu effects anu simple exclamations
! Imitate Chilu's movementssounus
! Emphasize key woius
! 0se small vocabulaiy set
! Choose activities with vocabulaiy containing
! Nouel slow, exaggeiateu aiticulation
! 0se amplification tools
! 0se motion
! 0se music
! 0se iepetitive books anu counting books
! Besciibe what chilu is uoing with the speech motoi system fiom the stait
! 0se consistent teiminology
@AAB =9:8 8!!#*& ;%!0"$"!)"? C"3$#*$. D@EDF? @AAB
Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . 2S
-9G>B6 OCCT8 :C 68:DOB98F P86 C@ 8CP7H 6@@6?:8g 897EB6 XCAH8 D7H :XCh
XCAH >FAD868
-Noo, Baa, La La La - Sanuia Boynton
-Blue Bat uieen Bat - Sanuia Boynton
-Spot Books - Eiic Bill
-0lu Nacuonalu Bau a Faim - vaiious authois
-Who Says That - Ainolu L. Shapiio
-Biown Beai Biown Beai What Bo You See - Bill Naitin
-0pen The Bain Booi - Chiistophei Santoio
-Baby Bop's Toys - Kimbeily Keains anu Naiie 0'Biien
-Nommy anu Ne - Neil Ricklen
-Kiss the Boo-Boo - Sue Taisky
-Five Little Bucks - Raffi
-Beie Aie Ny Banus - Bill Naitin }i. anu }ohn Aichambault
-Five Little Nonkeys }umping on the Beu - Eileen Chiistelow
-Five Little Nonkeys Sitting in a Tiee - Eileen Chiistelow
-Fieight Tiain - Bonalu Ciews
-Aie You Ny Nothei. - P.B. Eastman
-Who's Bat - Naigaiet Nillei
-Who's Shoe - Naigaiet Nillei
-Naiy Woie Bei Reu Biess anu Beniy Woie Bis uieen Sneakeis - Neile Peek
-City Sounus - Ciaig Biown
-Animal Sounus - Auieleuo Battaglia
@AAB =9:8 8!!#*& ;%!0"$"!)"? C"3$#*$. D@EDF? @AAB
Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . 24
\CCT8 :C >ACGC:6 97?A6D86H 867:67?6 B67E:Fg GCA>FCBCE9?DB GDAT6A8g
D7H 8>6?9@9? >FC76G68
-The Thiee Beais - Byion Baiton
-The Little Reu Ben - vaiious authois
-The Thiee Little Pigs - vaiious authois
-Ni. uumpy's Notoi Cai - }ohn Buiningham
-Ni. uumpy's 0uting - }ohn Buiningham
-Anuiew's Bath - Baviu NcPhail
-The veiy Bungiy Cateipillai - Eiic Caile
-The veiy Busy Spiuei - Eiic Caile
-The Nitten - }an Biett
-0wl Babies - Naitin Wauuell
-Beai Zoo - Rou Campbell
-The Thiee Little Pigs - }ames Naishall (anu othei authois)
-It Lookeu Like Spilt Nilk - Chailes Shaw
-Who's Toes Aie Those - }oyce Elias anu Cathy Stium
-King Biugoou's in the Bathtub - Auuiey Woou
-A Pile of Pigs - }uuith Zoss Enueile anu Stephanie uoiuan Tesslei
-uuess Wheie You'ie uoing, uuess What You'll Bo. - A.F. Bauman
-I Wish I Coulu Fly - Ron Naiis
-Beie Comes a Bus - Baiiiet Ziefeit
-I Went Walking - Sue Williams
-A uiiaffe anu a Balf - Shel Silveistein
-Foui Fui Feet - Naigaiet Wise Biown
-"Slowly, Slowly, Slowly," saiu the Sloth - Eiic Caile
-When Sheep Sleep - Lauia Numeioff
-Beie Comes a Bus - Baiiiet Ziefeit
-A Pile of Pigs - }uuith Zoss Enueile anu Stephanie uoiuan Tesslei
@AAB =9:8 8!!#*& ;%!0"$"!)"? C"3$#*$. D@EDF? @AAB
Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . 2S
-C7E8 :C >ACGC:6 8>66?F @CA ?F9BHA67 X9:F (>ADV9D
-Apples anu Bananas - vowel vaiiety
-Baby Bumblebee - animal sounus, simple woiu piouuction
-Bown by the Bay - ihyming, simple woiu piouuction, vowel vaiiety
-Five Little Bucks - counting, simple woiu piouuction thiough sentence completion
-Five Little Nonkeys }umping on the Beu - counting, simple woiu piouuction thiough
sentence completion
-Beau, Shoulueis, Knees anu Toes - simple woiu piouuction, vowel vaiiety
-I Caught a Fish Alive - counting, simple woiu piouuction thiough sentence completion
-If You'ie Bappy anu You Know It - vocal anu non-vocal imitation
-}ohn }acob }ingleheimei Schmiut - complex woiu piouuction
Lonuon Biiuge is Falling Bown j- simple woiu piouuction thiough sentence completion
-0lu Nacuonalu hau a Faim - animal sounus anu vowel vaiiety
-0ne, Two, Buckle Ny Shoe - simple woiu piouuction, counting
-Pat-a-Cake - simple woiu piouuction (esp. bilabials)
-Pop goes the Weasel - simple woiu piouuction, non-vocal imitation
-Ring Aiounu the Rosy - simple woiu piouuction
-Row, Row, Row, Youi Boat - simple woiu piouuction, eaily ueveloping vowels o, i
-The Alphabet Song - vowel vaiiety, piouuction of Cv anu vC combinations
-The Wheels on the Bus - simple woiu piouuction
-The Itsy Bitsy Spiuei - simple woiu piouuction thiough sentence completion
-This is the Way We . . . - vocal anu non-vocal imitation, simple woiu piouuction
-Twinkle, Twinkle Little Stai - simple woiu piouuction
Wibbely Wobbely Woo - complex woiu piouuction
@AAB =9:8 8!!#*& ;%!0"$"!)"? C"3$#*$. D@EDF? @AAB
Chiluhoou Apiaxia of Speech: Focus on Tieatment, Naigaiet Fish, N.S., CCC-SLP . . . . . 26
54+104((0 /,&/;+/ $+$1+(2&/,49
)AC@6889C7DB \CCT8g (A:9?B68g 39H6C8 D7H W6O89:68K
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