Tagged "Sara Rosenfeld-Johnson"


An interview with Diane Bahr, MS, CCC-SLP, CIMI before her first TalkTools Workshop

Posted by Deborah Grauzam on

While Diane Bahr’s first workshop with TalkTools is approaching, we wanted to highlight her recent addition to the team.

TalkTools: What was your first encounter with Oral Placement Therapy (OPT)?

Diane:  I took courses with Sara Rosenfeld-Johnson and Lori Overland when they were first teaching workshops. I have been using TalkTools products and programs in my own treatment, as well as teaching about them in my graduate course and continuing education ever since.

TalkTools: You contributed to several publications about OPT since then. Can you tell us more about them?

Diane: Absolutely. Firstly, Sara and I wrote the first article using the terms OPD and OPT: “Treatment of Children With Speech Oral Placement Disorders (OPDs): A Paradigm Emerges.” You will also see my name on the acknowledgement page in Oral Placement Therapy for Speech Clarity and Feeding, as well as the Introduction to the 4th edition. Sara mentions me as well in her acknowledgement page in Oral Placement Therapy (OPT) for /s/ and /z/, and Lori in A Sensory Motor Approach to FeedingSo, I have a long history of helping and supporting the work of TalkTools.

TalkTools: Why did you decide to join the TalkTools team?

Diane: Sara had invited me to join the team many years ago, but we were working through the oral sensory-motor controversy and decided to work separately until we had some resolution. We now seem to have this resolution particularly with Ray Kent’s 2015 article and all of the orofacial myofunctional research that is coming out around the globe. I decided to join the TalkTools team now because the timing is right. Both my textbook (Oral Motor Assessment and Treatment: Ages and Stages, 2001) and my parent-professional book [Nobody Ever Told Me (or my mother) That!, 2010] discuss the work of TalkTools.

TalkTools: How is your workshop going to help therapists?

Diane: My 15-hour workshop “Integrated Treatment of Feeding, Speech and Mouth Function in Pediatrics” can be taken either by therapists new to TalkTools who want an introduction or by therapists who have taken TalkTools workshops and want integration regarding the many aspects of oral sensory-motor treatment (i.e., feeding, motor speech, and mouth development/function). My course was a graduate course for many years, and I have been teaching it in continuing education since 1989. The goal of this workshop is to help all therapists integrate the wealth of oral sensory-motor information (re. feeding, motor-speech, and mouth development/function) that is currently available. I keep the workshop updated with the newest and best information I can find. Basically, I have spent 33 of my 36 year career studying and doing oral sensory-motor treatment.

TalkTools: Thank you and welcome to the TalkTools team!


TalkTools | Diane Bahr
Diane Bahr is a certified Speech-Language Pathologist and infant massage instructor. She has practiced Speech-Language Pathology since 1980 and has been a feeding therapist since 1983. Her experiences include teaching Graduate, Undergraduate, and Continuing Education courses; working with children and adults who exhibit a variety of speech, language, feeding, and swallowing disorders; and publishing/presenting information on oral sensory-motor function, assessment and treatment. She is the author of the textbook Oral Motor Assessment and Treatment: Ages and Stages (Allyn & Bacon, 2001). She has also written a book for parents entitled Nobody Ever Told Me (Or My Mother) That! Everything from Bottles and Breathing to Healthy Speech Development (Sensory World, 2010). Diane maintains a private practice, writes articles appearing in a variety of publications, is interviewed frequently on radio and in magazines, and is an international presenter.

She will be teaching the workshop “Integrated Treatment of Feeding, Speech and Mouth Function in Pediatrics” offered for 1.5 ASHA & AOTA approved CEUs on December 8-10, 2016 in New York, NY. Learn more and register here.

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How this researcher took a step toward clinicians: Ray D. Kent, PhD's latest findings

Posted by Deborah Grauzam on

Recently, Ray D. Kent, PhD has published a review article entitled "Nonspeech Oral Movements and Oral Motor Disorders: A Narrative Review," in the American Journal of Speech-Language Pathology, November 2015, Vol. 24, 763-789. In this article, Kent proposes careful definitions and task descriptions to analyze if nonspeech oral movements have substantial clinical value to oral motor disorders.

This is important to us, as TalkTools® strive to help speech and feeding disabilities using oral motor exercises. More specifically, we call our method Oral Placement Therapy. To learn more, visit our page What is OPT?

Ray D. Kent, PhD is Professor Emeritus at the University of Wisconsin-Madison. He has published over 150 articles and reviews, and is the author of The MIT Encyclopedia of Communication Disorders, among other books and manuals.

Kent defines NSOMs as "motor acts performed by various parts of the speech musculature to accomplish specified movement or postural goals that are not sufficient in themselves to have phonetic identity." At TalkTools®, we have a passion for challenging the NSOME "nay sayers."  Our argument is that OPT is a modern extension of Van Riper’s Phonetic Placement Therapy (PPT), and uses tactile cueing to help individuals who cannot respond to visual-verbal treatment cues. We have seen numerous client successes since we began implementing this technique, and believe it is not just a good luck streak. There is enough evidence available in the form of clinical data, and parent, client and clinician testimonials, to warrant open discussions on the value of nonspeech oral movements. However, as Kent pointed out, the lack of definition and clarity clouds the evidence. This is why we are thrilled by this step from a researcher toward clinicians.

"Muscles do not transform themselves as they perform one task or another."

Here are a few excerpts from Kent's review article: "Although it was initially assumed that specific language impairment is not related to problems in other areas such as motor development, recent research points to the contrary conclusion. Children with language disorders or dyslexia often present with atypical motor skills." As Kent puts it, "muscles do not transform themselves as they perform one task or another." Actually, "speech production involves more than 100 muscles located in the trunk, neck, and head." But the issue is that "rather little attention has been given to the interplay with motor control, although motor performance is intrinsic to the task [of speech]."

Kent also mentions in his review article specific diagnoses that have been proven to benefit from NSOMs. "Among the therapeutic components that a speech-language pathologist might address are efforts to increase awareness of the muscles and postures of the orofacial system and to improve muscle strength and coordination (American Speech-Language-Hearing Association. (2011). Speech language pathology medical review guidelines). Presumably, NSOMs are one means to achieve these objectives. Although research on clinical outcomes from orofacial myology is not extensive, promising reports have been published on speech production in cerebral palsy (Ray, J. (2001). Functional outcomes of orofacial myofunctional therapy in children with cerebral palsy. The International Journal of Orofacial Myology, 27, 5-17) and adult dysarthria (Ray, J. (2002). Orofacial myofunctional therapy in dysarthria: A study on speech intelligibility. The International Journal of Orofacial Myology, 28, 39-48)." He later adds: "oral motor performance also appears to be a predictor of verbal fluency in individuals with autism."

Additionally, Kent writes that "the learning of a motor skill proceeds through stages," hence the hierarchical approach of TalkTools® Therapy, such as the Horn Hierarchy, the Bubble Hierarchy, or the Straw Hierarchy. He adds that nonspeech motor exercises should be used as one component of therapy, and we agree that this should be an essential component to consider when practicing Oral Placement Therapy.

In conclusion, research is still needed to follow Kent's work in proofing the value of NSOME, but therapy services should not be denied to clients on the ground that these techniques are not developed enough in literature. Many times, TalkTools® Trained Therapists have won cases where a client was denied the necessary therapy on this ground. We hope more researchers will follow his path toward clinicians' work.

If you are interested by this subject, read Diane Bahr and Sara Rosenfeld-Johnson's article "Treatment of children with speech oral placement disorders (OPDs): A paradigm emerges" in Communication Disorders Quarterly, 31, 131-138 (quoted by Kent), where the authors study the case of children who do not respond to traditional speech therapy techniques. Robyn Merkel Walsh and Sara Rosenfeld-Johnson also recently published on this topic and have found similar conclusions to Kent's in the literature. In a recent interview with Jeff via the podcast Conversations in Speech, Robyn Merkel Walsh discusses as well how years of clinical data is a form of Evidenced Based Practice.

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TalkTools News: On-demand Evaluations Now Available

Posted by Deborah Grauzam on

After being available for pre-sale for two weeks, 11 new Speech Clarity Evaluation for Therapy Planning Videos On-Demand were finally released yesterday. TalkTools is proud to be offering this innovative way to help Speech and Language Therapists and other professionals perfect their Continuing Education. We hope this technique will improve the way speech, oral-motor and feeding disorders are being treated, as well as facilitate the understanding of special needs.

Each video includes interviews with the referring SLP and parent of the client, an initial Oral Placement Therapy (OPT) evaluation with program plan, and a four month follow-up with a program plan update. The tool is intuitive and lets you go through your training easily and smoothly. You just have to watch the video and take the quiz online to earn your ASHA/AOTA CEUs.

Each video is unique in regards to the client, the diagnoses, and the program plans. The diagnoses treated are:

- Language and Intelligibility: A four-year-old female with the diagnosis of benign hypotonia with a multiple articulation disorder and hyper-nasality is being treated.

- Bilabial and Tongue-Tip Sounds: A four-year-old female with the diagnosis of benign hypotonia with a multiple articulation disorder characterized by an inter-dental production of bilabial and tongue-tip sounds is being treated.

- Speech and Language Delay - Short Frenum: A four-year-old male with the diagnosis of multiple articulation disorder with associated muscle weakness that reduces intelligibility on the conversational level is being treated.

- Speech/Motor Planning Disorder: A three-year-old male with the diagnosis of multiple articulation disorder with motor planning problems not severe enough to be diagnosed with Childhood Apraxia of Speech (CAS) is being treated.

- Inter-dental Productions: A seven-year-old male with the diagnosis of inter-dental production of /t, d, l, n, s and z/ is being treated.

- Speech and Language Disorder: A three-year-old male with the diagnosis of multiple articulation disorder and a limited food repertoire is being treated. 

- Motor Planning with Dysarthria: A twelve-year-old male with the diagnosis of multiple articulation disorder secondary to a suspected neurological component is being treated.  He presents with a large gap between what he is saying and what the listener can understand.

- Transitioning from OPT to Speech: A six-year-old female with the diagnosis of inter-dental and lateral production of /s/, /z/, /∫/ (sh) and /t∫/ (ch) and “j” is being treated.

- Lateral /s/ and /z/: A six-year-old male with the diagnosis of multiple articulation disorder with lateral production of /s/ and /z/ is being treated.

- Lip Rounding and Tongue Mobility: A three-year-old male with the diagnoses of a) multiple articulation disorder with no lip rounding and reduced tongue mobility and b) poor chewing skills is being treated.

- Early Intervention Down Syndrome: An eight-month-old female with the diagnosis of Down Syndrome is being treated.

Videos are of various lengths. Videos of 2 hours get you 0.20 CEUs, videos of 2.5 hours get you 0.25 CEUs, and videos of 3 hours get you 0.30 CEUs. Price ranges vary from $55.00 to $75.00.

The other innovative thing is that previews are available for free and let you have a glimpse of what you will learn.

Enjoy!

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Come & Visit with Us at the 2015 ASHA Convention - BOOTH 417

Posted by Deborah Grauzam on

ASHA-Convention-2015_750

The annual American Speech and Hearing Association (ASHA) Convention is just around the corner and we are as excited as ever here at TalkTools. The 2015 convention will be in Denver, Colorado, November 12, 13, and 14. We will be there in full force with our tools, techniques, & training all be represented by our expert staff.

TalkTools is scheduled for two presentations and will be hosting a booth in the exhibit hall where you can order at a huge discount and be entered to win several prizes. Our goal this year is to celebrate successes in therapy, be sure you stop by our booth, #417, to share your stories!

We will have all of our signature items on-hand, like the Horn and Straw Hierarchies, the famous Honey Bear, and our Jaw Grading Bite Blocks. These items have become household names in the fields of oral placement, oral motor, sensory, and feeding therapy supplies. These tools, and others, are also why TalkTools® has been an industry leader for over 30 years and is now a worldwide resource for therapy tools, techniques, and training.

When you order our tools while at the convention, you will receive a 20% discount on all items! We will also be providing FREE SHIPPING for anyone who places their order at the booth during the convention. Beyond our array of products on display we will be providing attendees several opportunities to WIN fabulous prizes.

Win this Kit at #ASHA15

Every visitor to our booth #417 can enter to WIN an Introduction to Oral Placement Therapy Kit ($195 value) and a GoPro Hero+ LCD ($299 value). All you have to do is stop by the booth and have your badge scanned by one of our many associates.

Additionally, we will be providing attendees the opportunity to a WIN $500 Visa gift card! As part of our efforts to celebrate successful therapy we want to hear your success stories. When you provide a one to two minute video testimonial at our booth, you will be automatically entered to win.

You can also take a photo with our six foot celebrity Honey Bear and have a chance to be featured our Facebook page! Use hashtag #iamthehoneybear.

Get your Picture taken with the 6 foot bear at #asha15

Another reason to stop by our booth is to visit with one of our amazing Speech Language Pathologists! Several of our expert presenters will be on hand throughout the convention to answer your therapy questions and to discuss our Continuing Education opportunities.

TalkTools® offers professional therapists opportunities to learn and train in innovative and solution based therapy techniques. Over 2,000 Speech Language Pathologists attend one of our live workshops every year and many more take advantage of one of our self-study programs. Those interested in advancing their knowledge are invited to participate in the TalkTools® Level Training Program.

Don’t miss an opportunity to see TalkTools founder, Sara Rosenfeld-Johnson, present at this year’s convention. Sara will be presenting on two different topics, the first on Thursday and the second, a poster presentation, will be on Saturday.

~ Thursday, November 12 at 1:30 PM Sara will present on the Effects of Limited or Excessive Jaw Mobility During Conversational Speech (Session Number 1080). 

~ Saturday, November 14 at 12:30 PM Sara will present on Oral Placement Therapy (OPT) vs. Non-Speech Oral Motor Exercises (NSOME): Understanding the Debate (Session Number 9333, Poster Board 602). This presentation was co-authored by Robyn Merkel-Walsh

We hope to see you in Denver!






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Horn #10 and other Horn Hierarchy Updates

Posted by Deborah Grauzam on

Hi Therapists and Parents, I just wanted to let everyone know that we have made a change to the TalkTools Horn Hierarchy.  After much consideration we determined that the hierarchy can be improved upon. We will no longer be using the “magic ball pipe” as the #10 horn; instead we will be re-introducing an old favorite among therapist and clients alike, the Airplane horn (If you attended one of our early lectures this horn is very familiar). In an effort to maintain the integrity of the hierarchy and the effectiveness of the therapy, we concluded that making this change will benefit all involved and will produce positive results when used as described in the enclosed instructions. In addition, you may have noticed that we have improved on the quality of Horn #1, Horn #3, Horn #6 and Horn #8 this summer.  Our goal is to provide you and your clients with the best tools and we wish you continued success.

Sara Rosenfeld-Johnson

horn#10_a

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