Hello, I am a Speech Pathologist from the Pittsburgh area.  Could you tell me what you use as far as horns so that I may incorporate them into my therapy sessions.  I see stroke patients who have issues without velopharyngeal closure, and wanted to try your techniques. Thank you so much!

Hi, Your email came at a very good time as I am just finishing my new book on using Oral Placement Therapy with adults. One of the chapters addresses the issue of VPI and how horns can be used in a hierarchy to improve mobility in the velum. The Horn Blowing Hierarchy develops a supported oral airflow and is a pre-requisite for direct work on velar mobility.  The real way to improve closure is by using the exercise called "Oral-Nasal Contrasts."