Tagged "bubble kit"


Success Story: Kamdyn & Vanessa

Posted by Admin TalkTools on

3 years ago I was seeing a little boy named Kamdyn who had just turned 2 a couple months prior, through our state’s early intervention program. I was presented with some general background info such as scores, goals of the family, and his limited verbal productions. Also, he had 18 documented ear infections! All signs pointed to your typical late talking boy who had to endure ear infection after ear infection. When he turned 3 he began seeing his local school district for therapy services. I said my goodbyes to this sweet little boy and wished him and his family luck on their journey ahead.

Fast forward 14 months later. I had immersed myself into motor speech and feeding therapy and had opened my own private practice. In May of 2016 I got an e-mail from Kamdyn’s mom, Ashley, who told me he was recently diagnosed with severe Childhood Apraxia of Speech (CAS). Childhood Apraxia of Speech?! I know CAS is very difficult to diagnose before 3 years of age but I was dumbfounded and to be honest, disappointed in my clinical skills for not having any inclination. I worked with this little boy every week for over a year and I never once thought CAS was on the radar. After all, he had 18 ear infections!

There was no time for beating myself up, only time to get Kam into therapy and see what we can do. I had never worked with a kiddo with a sole diagnosis of severe CAS but I knew with all of the trainings I had taken in the last year I could bring something to the table.

Kamdyn came to his initial evaluation reluctantly. This kid had been through assessment after assessment and now he had to do more speech testing. My speech evaluation was different from others he had done though. I examined his mouth and assessed motor responses of his tongue, jaw, and lips. I found asymmetry in his jaw strength and stability, poor lip rounding, and poor lip closure for his /m/, /p/, and/b/ sounds. In addition, I found that he had a high palate, a moderate tongue tie, and a reverse swallow. While Kamdyn had no history of feeding difficulty or being a picky eater, he was chewing and manipulating the food in his mouth in a very unorganized way.

We started the TalkTools Straw Hierarchy (straw #2), the chewy tube hierarchy, Bite Blocks (the ultimate jaw exercise!), the Horn Hierarchy, and bubble blowing. Gum chewing and use of the slow feed technique were addressed as well. We also began to target the reverse swallow.

I explained to his mom that while this looks much different than traditional speech therapy it was essential to for him to have a good oral motor foundation. If we didn’t get his jaw in a good and stable position, he would inevitably have much more difficulty moving his tongue and lips when he speaks. It’s no different than a pyramid of cheerleaders. Without the stable base (the strong cheerleaders planted firmly on the ground), the cheerleader on the top of the pyramid won’t be able to do stunts. The cheerleader on the top is our tongue, the huge muscle that can demonstrate the finest motor movements that can be a difference between Kamdyn calling himself “Tam” instead of “Kam”.

Because of Kamdyn’s CAS and reverse swallow, he wasn’t using his muscles in the optimal way we want for speech. That is where the weakness came in. It was mild, but it was there. During speech he was in a constant state of retraction because he had to clench is jaw so much to provide stability in order for his tongue to have more movement.

I saw Kamdyn 2 x a week between last May and August, in addition to his traditional speech therapy. Our sessions consisted of approximately 30 minutes of oral placement exercises and 15 minutes of speech drills. We did not do 30 minutes of all OPT exercises, then 15 minutes of speech as that is not an effective way to generalize motor patterns. What I did was chain each OPT exercises with a functional speech sound/drill. For example, Kamdyn had a great amount of difficulty rounding his lips so we used the following sequence to target the /o/ “oooo” and /w/ speech sounds: Sensory motor warm up with a Z-Vibe involving cheek activation, fish lip pops, straw drinking, then mass practice of lip rounding sounds in CV or CVCV formation. The key is linking the OPT exercises from sensory, to feeding, and finally to speech.

Within just 2 months, his family noticed a marked improvement in not only his speech, but his confidence while speaking. The first video posted is of Kamdyn during his evaluation, the second video just 2 months after introducing an OPT based program. The difference in his ability to move his lips, cheeks, and jaw is astonishing!

It is an honor to be a part of Kamdyn’s therapy team and be able to see firsthand that OPT is not just for children with feeding difficulties. Kamdyn is living proof that speech is motor and if you pair sensory, feeding, and speech the sky is the limit!

~ Vanessa Anderson-Smith

TalkTools | Vanessa Anderson-SmithVanessa Anderson-Smith is a Speech-Language Pathologist born and raised in South Dakota. She received her Bachelor’s Degree at Augustana University and Master’s Degree from The University of South Dakota. In 2013 she began Anderson-Smith Speech Therapy, LLC. Her practice focuses on assessment and treatment of motor-based speech and feeding disorders among children and adults. Vanessa lives in Canton, South Dakota with her extremely supportive husband, Ryan.


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Grace Kauk's Oral Placement Therapy work in Bulgaria

Posted by Deborah Grauzam on

Grace Kauk writes about her Oral Placement Therapy work in Bulgaria.

"I met Steve and Tanja Pankratz over email in February of 2015. Three weeks later, I was making plans to move to Bulgaria.

The Pankratz' are missionaries in Bulgaria through SEND International. Their 8-year-old son, Jaden, has Down Syndrome. When he was born, God began to show them how great the needs were among the Bulgarian special needs community, and over the years, special needs has become the focus of their work here. Along with some like-minded people, they created a new foundation, called Nova Stupke (meaning "New Steps") to be a platform for serving special needs individuals and their families. The work is in its infancy, but so far includes family summer camps, a home visitation program, a school assistance program, and a special needs day center. I came to Bulgaria primarily to be Jaden's teacher, but also to help with the larger ministry in any way I can. I arrived in November of 2015, and if God is willing, I will stay until summer of 2017.

As I prepared to travel, SMILE on Down syndrome, our local parent network, offered to help outfit me with supplies. As I thought about what tools I most wanted to bring with me for Jaden, OPT supplies were at the top of my list. My sister has Down syndrome, and while there are many therapies that helped her over years, the value of the interventions created by Sara Rosenfeld-Johnson simply cannot be overstated. I wanted that value for Jaden. I knew I could make my own flashcards and math manipulatives - but I didn't want to skimp on oral placement tools. I prayed. SMILE contacted TalkTools on my behalf. And we asked for a donation.

TalkTools helped me figure out what tools we would need for Jaden and sent an abundance of supplies not only for him, but enough for us to make OPT a significant part of what Nova Stupke offers families. One of the happiest moments of my life was opening that box!

TalkTools | Grace Kauk in Bulgaria

So now I have been here six months. I work with Jaden about 4 hours each day, and we are best friends. As part of my work with him, I am using the Jaw Grading Bite Blocks, the Horn and Straw Hierarchies, and the Bubble Blowing Hierarchy. Jaden is making progress in all of those. He has gone from being unable to blow a bubble to blowing them a distance of 3 feet. Recently, we saw a huge increase in Jaden's expressive language, especially his sentence length. OPT is not the only reason for that, but I know that the bubbles were an important piece for him.

In addition to my work with Jaden, I've had the privilege of introducing the tools to the Nova Stupke team-members and explaining when they are indicated and how they are used. Besides Jaden, there are currently two other children who are receiving some OPT. I have met dozens more who would benefit.

At my request, TalkTools included A Three-Part Treatment Plan for Oral Placement Therapy video-on-demand and some other training materials. I am especially grateful for that. When you are a parent or a layperson (like myself) trying to help a child without access to professional support, it means the world to have the chance to educate yourself. I personally refer to those materials over and over, and have encouraged other workers to do the same.

It is my hope that as we grow our program this summer and fall, we will be able to serve many more children with this therapy. I am so grateful to TalkTools for resourcing us."

Before Grace worked with Jaden, he had tongue placement issues, particularly when drinking and when saying /s/ and /z/. He is also hyperactive and has a quite short attention span. She is videotaping Jaden's siblings modeling the exercises correctly and with good behavior to help him see what is expected of him. Discrete video modeling is very effective for Jaden and he regularly gets four 15 minutes sessions of it daily.

Jaden's mom, Tanja, says: "Thank you for the privilege of being recipients of the TalkTools oral motor resources. We are extremely grateful for your generosity, not only to our son but to the children we are working with through our "New Steps" Foundation. As Grace mentioned, we are in the beginning stages but pray that we can help make a difference in these children's lives. The need is great and we have focused this last year on training our staff and experimenting with a variety of different services, including school assistance, Portage Early Intervention Program, and just recently were able to open a modular day center for special needs children. We are trying to assess where the greatest needs are and where to focus our efforts, which we will define this summer after evaluating these last 8 months. Grace graciously did a training seminar on TalkTools Therapy for our staff. It is now available for them to use and Grace has offered to consult them along the way. As our staff gets confident and comfortable in using these tools, they will be extremely helpful in their work with special needs children. Thank you from the bottom of our hearts."

TalkTools | Grace Kauk in Bulgaria   TalkTools | Grace Kauk in Bulgaria

Grace Kauk's trip is entirely funded by donations. The goal of her trip is to empower therapists and parents in Bulgaria to help children with special needs, and Jaden in particular. Because Bulgaria doesn't have good resources for special needs children, Jaden's various developmental needs are evaluated through video appointments with neurodevelopmentalists in the US. Grace is the "hands on the ground" responsible for implementing his therapy assignments. Grace says about Bulgaria: "Children with special needs are typically not admitted to schools. Families truly have little to no help figuring out their children's developmental needs. Special needs families who chose to raise rather than institutionalize their children have an uphill battle. If schools do not accept their special needs children, the family is in danger of impoverishment because of the child's needs. In order for them to be financially solvent, we anticipate setting up a sponsorship program for scholarships for the kids."

Nove Stupke also recently implemented a home visitation program to best answer Bulgaria families' needs. Portage trainers from Russia and England have trained Nova Stupke's staff. Portage is a highly family centered organization, in line with Bulgaria families' needs. Grace says: "We help the parents set developmental goals that will make life easier in their families. Sometimes it is surprising what the parents' priority is, and it may not be what the therapist would have chosen, but it is what matters to them. Then we guide them with what they can do to work toward those goals, and the family is accountable to do those activities."

Grace can be reached via comments below.

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Success Story | Terrance and Vanessa

Posted by Deborah Grauzam on

Who is ready to hear a therapy success story? Terrance was 26 months old when Vanessa first met him and was unable to drink from a straw. What Vanessa did with this little boy is amazing and truly inspiring. We are so glad TalkTools® was able to provide her with the tools and techniques she needed to assist this client!

TalkTools | Terrance

"I always had a passion within feeding and oral motor therapy and that journey lead me to TalkTools. After my first training, I was hooked. I watched inpatient and outpatient Physical Therapists and Occupational Therapists use equipment and weights to strengthen patients before going into functional activities … Why hadn’t SLPs been doing this?! Needless to say, TalkTools was my missing link in therapy and I quickly took more courses to better understand Oral Placement Therapy.

In April of 2015 I had a phone call from a distraught mother and I heard words I hear often from the families of prospective patients: “He doesn’t eat”, “I am so worried”, “He hates to eat”, “He is still on his bottle.” Then I heard something worse than what typically comes from the other end of the phone, “I was told he will never chew or eat food properly.” I explained that there must be something that can be done and that I was confident that with the training from TalkTools I had, I could make some sort of a difference. Maybe I couldn’t get him to eat what his siblings were eating at the dinner table but I thought we could get somewhere. Challenge accepted!

Terrance and his family lived 2 hours away from my practice but I happened to be treating patients a little closer to them and we met half way. For an hour and a half I was able to sit down with Terrance and his family and conduct a full Oral Placement Therapy assessment. I expected to see a boy who had no oral motor skills and I anticipated we could struggle through the assessment. Well, Terrance surprised me (the first of many times)! In front of me sat a little boy with a sparkling personality who had a great foundation of skills, he just had to figure out how to use them to eat!

TalkTools | Terrance & Vanessa

The little boy who “would never chew or eat properly” was able to fully compress both the yellow and red Chewy Tubes multiple times and he learned how to drink from the Honey Bear within minutes. Food wasn’t fun for him yet but I knew that we would get there. I explained to his parents that while the end goal was of course to eat and enjoy food, we had to prepare his sensory-motor system for it first. We were able to use the Pre-Feeding Chewing Hierarchy to teach the task of chewing without the overwhelming sensory input of food. Every chewing exercise began with a Chewy Tube and ended with food, even if he spit it out. Everything we did was fun and play-based, yet still pushed his limits. The best thing was he was so distracted by having fun, he soon began putting food in his mouth himself.

I put together a TalkTools program plan and gave his family homework each week. In May, we were fortunate that TalkTools® Instructor Renee Roy-Hill was in the area and created an in-depth Oral Placement Therapy plan for him. His family was very dedicated to working on homework I assigned them each week as well as following his program plan.

Six months later, Terrance has worked his way up to Straw #3, Horn #1, Bubble Blowing Hierarchy Step #4, just to name a few. He no longer requires a bottle for the source of his main nutrition or for hydration; instead he uses a straw. The biggest accomplishment is that Terrance is eating everything his family is eating! Casseroles, sandwiches, fresh fruit … He loves it all. There is no doubt in my mind that this would not have been achieved with any other program or training besides TalkTools. Terrance and his family travel 2 hours for our weekly therapy visits and continue to work very hard at home on his speech and feeding.

TalkTools | Vanessa

I am so blessed that TalkTools has come into my life. The skill set it has given me in invaluable to not only my practice but also the lives of the families I work with!" 

Vanessa and Terrance are now working on jaw stability, lip rounding, and tongue retraction among other things.

Vanessa Anderson-Smith is a Speech-Language Pathologist born and raised in South Dakota. She received her Bachelor’s Degree at Augustana University and Master’s Degree from The University of South Dakota. In 2013 she began Anderson-Smith Speech Therapy, LLC. Her practice focuses on assessment and treatment of motor-based speech and feeding disorders among children and adults. Vanessa lives in Canton, South Dakota with her extremely supportive husband, Ryan.

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Knightly's First Word!

Posted by Deborah Grauzam on

Moments like this are exactly why we LOVE what we do!

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