This advice-column-style blog for SLPs was authored by Pam Marshalla from 2006 to 2015, the archives of which can be explored here. Use the extensive keywords list found in the right-hand column (on mobile: at the bottom of the page) to browse specific topics, or use the search feature to locate specific words or phrases throughout the entire blog.
Q: My two-year-old client with Down syndrome has dysphasia and the classic forward tongue posture. Which of your books will guide me to work on oral-motor skills so I can strengthen the oral structure for swallowing and speech?
Therapy is rarely about “strengthening” oral movements. Therapy for developing expressive speech in a toddler with Down syndrome usually includes the following:
- Activities to encourage a wide variety of oral movement through feeding and oral play activities.
- Activities to get the jaw to move up-and-down to encourage the CV.
- Activities for increasing breath support for speech to encourage syllable prolongation and sequencing.
- Activities for developing better oral awareness and discrimination.
- Activities for stabilizing the tongue at the back lateral margins so that it stays inside the mouth.
These are subjects that I currently teach in my seminars, and some of this is in my classic book called Oral-Motor Techniques in Articulation and Phonological Therapy.
My next book called The Marshalla Guide (webpage coming later) will have chapters about each of these topics.
I know Sara Rosenfeld John has new DVD seminar on Down Syndrome that you might want to check out.