Month: September 2010

Learning “Or” – Final /r/

By Shanti McGinley

Q: I have a child who can successfully produce R in all positions except in the post-vocalic position following O, as in “four,” “pour,” “door,” or “or.” Any advice you have would be great. If the client produces a truly great R in all other ways except the sequence following O, then this is a matter of helping him maintain a good-sounding O and then transitioning successfully to the final R he already can do. Here’s how I would do…

Feeding Therapy Techniques

By Shanti McGinley

Q: I am seeing a 4-year-old boy with cerebral palsy. He is pocketing food and liquids on his weaker right side. Choking occurs at home, although we have not seen it at school. What can I do to help? I have had no dysphagia training at all. A feeding problem in a child with cerebral palsy can be a serious issue because the child is in danger of aspiration. I do not give out this type of advice as a…