Month: March 2006

What Does Oral Motor Therapy Have to Do With Speech?

By Pam Marshalla

Q: Most oral motor exercises are not identical to the movements required for speech. No English speech sounds involve tongue wagging, whistling, tongue clicks, tongue curls, etc. So what do oral motor exercises have to do with speech? In 2007, I reviewed 73 textbooks, clinical guides, and conference proceedings in the areas of articulation, phonology, motor speech, feeding, dysphagia, orofacial myology, and oral motor. These books spanned the years 1912-2007. I was studying the history of jaw, lip, and tongue…

R and Vowels

By Pam Marshalla

Q: I am having some trouble with a few /r/ students. I read parts of Successful R Therapy. One student has a pretty good initial /r/ and /ar/ words, but cannot do any other vowel+/r/. For example, /er/ comes out /ar/. The student does not appear to hear the difference in himself, but can hear it when I produce it differently. Is there any guidance you would be able to give me? If your client can do ANY R correctly…

Apraxia and Stubbornness

By Pam Marshalla

Q: My preschool client with apparent childhood apraxia is not willing to participate and often walks away from or gets annoyed with therapy plans and procedures. What should I do? He sounds like most of the kids on my caseload. Childhood apraxia comes with its pure stubbornness at times. But I don’t think that “behavior” itself is always the issue. There is a reason for the stubborn behavior. What I usually see with preschool kids like this is that they…