Ask A Therapist: Exercises to Remediate Speech Lateralization

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Hi TalkTools,

What would you recommend for a 12 month old who is talking and lateralizes many of her sounds? Currently, she is drinking from cups, not sippy cups, she does nurse 1 time a day and is eating solids. She is using straw #1, and the lateralizations decreased, but when she moved to straw #2 they increased. She is also using the maroon spoon for the spoon feeding exercise. She is not on the horns or bubbles at this point. 

Thank you, 



Hi Sandi,

I would move her back to straw #1 where you felt like you were seeing more improvement on the lateralization. I would stay on that straw for a good amount of time and introduce the bubbles and horns while on this straw. Then work on transitioning to straw #2 once you are consistently using the bubbles and horns. I would also work on the apraxia shapes to try to get /m/, /b/ and /p/ sounds. See if this helps. Please let me know if you have any other questions. 

We are always here and happy to help.




Elizabeth Smithson, MSP, CCC-SLP is a Speech-Language Pathologist who has over 11 years of professional experience working with infants, children, adolescents and adults. She earned her Master of Speech Pathology at the University of South Carolina. Liz is also a Level 5 TalkTools® Trained Therapist. She has received specialized training in Oral Placement Therapy, Speech, Feeding, Apraxia, Sensory Processing Disorders, and PROMPT©. Liz works with clients with a wide range of disabilities including Cerebral Palsy, Down Syndrome, and Spinal Muscular Atrophy.  She works through her own private practice Elizabeth Smithson Therapy, LLC in the home setting and in the TalkTools® office in Charleston, SC.

1 comment

  • Siang

    Hi talktools,

    I have a 15 years old boy who is moderately to severely autistic and hypersensitive to sound. But, he is okay with brushing teeth and eating. He doesn’t blow and he doesn’t utter a word at all. He doesn’t seem to have the awareness of how to produce a sound though he has some random meaningless sounds that he is making daily. He attended speech therapy before and he was diagnosed as having childhood apraxia of speech. But, we stopped because he had a lot of behaviour issues back then. Currently, he is more settled, would you please advise if talktools OPT program or apraxia program will help him.


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