Tagged "TalkTools hierarchies"


Ask a Therapist: Horn Hierarchy targeting specific phonemes?

Posted by Deborah Grauzam on

Hi,

I have a student that backs sounds meaning he has difficulty making /t/ & /d/ sounds.  Do you sell a horn that would help?  

School-Based Speech-Language Pathologist

Hi,

I am so pleased you decided to contact us as the Horn program has been very beneficial for so many of our child clients with muscle-based articulation disorders.

The question you asked is an interesting one.  I will try to answer it with as much information as I can.  The TalkTools Horn Hierarchy was developed, with the help of an engineer and palatograms, to address the following speech systems: grading in the muscles of the abdomen, velum, jaw lips and tongue.  So, you can see that one horn will not correct a phoneme error such as the one you mentioned.

The hierarchy then addresses all of the muscles in the tongue needed for standard speech sound production on the conversational level and is only one technique used to treat the /t/ and /d/ placement errors.  In most cases for those phoneme errors I would use the Horn Hierarchy in conjunction with the TalkTools Straw Drinking Hierarchy.

Because you seem to be interested in using Oral Placement Therapy (OPT) I would encourage you to attend a class or watch the video of my our 2-day class:  "A Three Part Treatment Plan for Oral Placement Therapy."  In it you will learn how this therapy works and step-by-step instructions for how to implement the Horn and Straw Hierarchies in addition to numerous other techniques to improve speech clarity.

I hope this has answered your question,

Sara Rosenfeld-Johnson

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Ask a Therapist: Bite Block Hierarchy Application

Posted by Deborah Grauzam on

I bought the OPT Program, but am struggling with one part of it. I have a child who can hold the bite block #2 between her teeth on the L and R sides for 15 seconds with isometric pull. She can't hold both of the bite blocks between her teeth at the same time with isometric pull (Exercise B) for even one second, though, without demonstrating compensatory strategies (moving head or body forward or pulling up on the chair). I have read and reread the OPT for Speech Clarity and Feeding book looking for what to do next. Page 94 says to make a note of the failure and then proceed to 'Using the Correct Diagnostic Term.' But, in that section, it doesn't tell me what to do. If she fails at having both bite blocks in her mouth with isometric pull, what can I do to strengthen her jaw so that I can then move to bite block #3 for the Bite Block Exercise section?

Without actually seeing the child it is hard to figure out the problem so I will give you some options as any of these can explain the problem:

1. Look at her bite on both sides of her mouth. If she is grinding her teeth or has dental alignment problems that may be the reason she cannot maintain a hold on both bite blocks at the same time. If that is the case then go on to Exercise C - using Bite Block #2.

2. Repeat Exercise A using Bite Block #2. While you are pulling make sure a) you are pulling hard enough, b) she is not tightening her body (even slightly) in any way, as that can also be a compensatory strategy and c) her jaw is not sliding out of alignment (even a little bit). If none of these compensatory behaviors are present, go onto Exercise C - using Bite Block #2.

3. Remember to use the Bite-Tube Hierarchy in conjunction with the Bite Blocks as this activity will also address her jaw instability.

Thanks,

Sara Rosenfeld-Johnson

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Ask a Therapist: What Hierarchies to follow for my child?

Posted by Deborah Grauzam on

I am a parent who has been watching your DVDs in order to help my son – I don't think there is a TalkTools trained therapist where I live (Hawaii). How do I know which hierarchies are appropriate? I don't know how to diagnose him properly. Could I send you a video and have you tell me what he needs? Also, stuttering isn't mentioned on the DVD, would the hierarchies apply? I'm very excited to get started. Thank you!

I will do my best to help, although I do wish you had a speech therapist to guide you. Check "Find a Therapist" to see a list of Speech Language Pathologists (SLPs) we have trained in our techniques. If no one in your area is listed, please call the TalkTools Customer Service Department at 888-529-2879, we may be able to find a therapist near you who has completed “A Three Part Treatment Plan for Oral-Placement Therapy.” Do you travel to the mainland? The best way to determine what he needs is to see him and we have many SLPs in the States who could do an evaluation, however, we have had parents view our DVDs to help their children when a therapist is not available.

If you know other families with children with similar issues you might buy the DVD as a group and learn together. That way you would have a support system in place if you have questions. Also, with the knowledge you gain, you are welcome to ask me specific questions and I will do my best to help you. Without seeing your son, I cannot tell you what hierarchies he would need, but the DVDs will teach you what to look for.

Thanks and good luck!

Sara Rosenfeld-Johnson

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