Tagged "Chewy Tubes"


Success Story: Noah grows up with Apraxia

Posted by Admin TalkTools on

When my son, Noah, was 2 years old, his speech therapist suspected he might have apraxia of speech. Noah had no intelligible language, almost no approximations and very poor oral motor skills. He did not have the motor coordination necessary to blow a bubble or produce any sound on a horn. He had weakened muscles throughout his mouth. His therapist gave us a horn (horn #1 from the TalkTools horn hierarchy) and told us to practice with Noah every day. She also referred us to TalkTools to purchase the rest of the horn hierarchy and the chewy tube set. We practiced horn #1 every single day for three months before Noah was able to produce his first sound. The amount of pride we felt at this tangible accomplishment was indescribable! After master horn #1, he quickly mastered the others in less than a year. He found great success with the horn hierarchy. Some were harder than others (specifically horn #7), but he worked so hard to master each of them. He loved the different noises the horns made- especially the train and airplane! Each horn taught him specific ways to move his mouth to produce noises and increased his oral motor coordination. We are still using chewy tubes- he still struggles with his left side.

TalkTools | horn kit TalkTools | bite tube set TalkTools | apraxia shapes TalkTools | apraxia tubes

After we graduated from the horn hierarchy, his speech therapist began using the bilabial shapes and tactile tubes to help teach him perfect his sounds. He is a very visual and tactile learner, so having these physical prompts really helped him find success. The bilabial shapes actually helped teach him his second and third words when he was 3 - "momma" and "more."  Noah is now 4.5. He is still affected by his apraxia every day. But now, he has so many words. He has sentences! He is able to communicate his needs and wants. We are so grateful to TalkTools for creating these amazing products so kids like Noah can find their words. Thank you so much!

-Mary

Noah's family is active in the Tampa Bay area and is busy every year fundraising for Apraxia Walks benefiting CASANA (Childhood Apraxia of Speech Association of North America).


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Success Story | Lily and Vanessa

Posted by Deborah Grauzam on

Lily, 3 years 4 months old, Unilateral Cleft Lip and Palate

image2When I saw that my former supervisor from my job during college and graduate school was adopting another special needs child from China, I was glued to their journey (the family had adopted a boy with cleft lip/palate from China previously). I watched from my computer screen as the Shields family adopted another child with a cleft lip and palate. That little girl was Lily (pictured on the left). And oh my, I have learned so much from her!

She had many medical complexities, surgeries, and hospital stays in her first year home. I continued to follow her story and literally thought: “I need to find a way to work with this girl because I know I can help!” How was I going to help? Using my OPT skill set of course! I knew in my heart that using Oral Placement Therapy and a motor-based speech and feeding program would get her where we wanted her speech the most efficiently.

Finally, the time came for me to see Lily for therapy. She was 2 years 6 months when we started. She was communicating wants and needs by pointing, grunting, and whining. She had a g-tube but was able to eat orally, just not enough. I looked at her repertoire of speech sounds and we started at the beginning with /p/, /b/, /m/. She wasn’t getting adequate lip closure needed for consonant-vowel productions (such as “moo, bye, pa”). The first thing I did was create a sensory warm-up plan for her to bring increased awareness to her muscles in her mouth. I used a toothette and various exercises from Lori Overland’s “Feeding Therapy: A Sensory-Motor Approach” course, as well as exercises Monica Purdy taught in “A Three-Part Treatment Plan for Oral Placement Therapy” course that I took.

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Next we started the Straw Hierarchy to help with lip closure, lip rounding and protrusion. I explained to her family that while this does not look like “traditional” speech therapy, it will help her to get the motor plan of lip closure so we can generalize it to speech. In addition, we began the Bite Tube Hierarchy due to jaw weakness and asymmetry, as well as the Horn Hierarchy to build up her abdominal grading.

Lily’s family was beyond committed to the program I designed and the whole family got involved. Every week I tweaked her program plan as she moved up through the hierarchies. Each session we started with her sensory-motor warm up, followed by her OPT and feeding exercises, a small snack, and ended with mass production of speech sounds.

Her endurance during eating still needs improvement but it has come quite far since the start of therapy. Due to her improving health and no recent hospitalizations, she is off of her tube feeding! The little girl that was struggling with one syllable word productions is now speaking in 3-4 word sentences consistently. Currently Lily is on Straw #5, Horn #6, Bite Block #3 (step one), and 4 pennies on a tongue depressor. Next, I plan on introducing the Button Pull Program and working through the hierarchies since it has been so successful for her already.

What I love about the TalkTools program is how diverse it is. I can adapt techniques to work with a variety of populations whether it is Cleft Lip and Palate, developmental delay, Apraxia of Speech, and countless other diagnoses. I am so thankful to have OPT in my “speech therapy tool box”!

Vanessa~ Vanessa Anderson-Smith

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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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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