Tag: Intelligibility

Jargon and Intelligibility

By Pam Marshalla

Q: I am working with a 7-year-old in first grade. He has received services since 3-years of age privately and at school. He is making very slow progress in speech, and is having great difficulty comprehending and completing first grade work. His speech is characterized mostly by jargon with a few intelligible words, so some meaning may be derived. He is able to produce two-syllable words but falls apart with more complexity. He occasionally produces three-word intelligible utterances such as…

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The Essence of Therapy With Little Kids

By Pam Marshalla

Q: Our son is three and was non-verbal. Our SLP seems really good at helping him learn to talk. But he is very hard to understand. What can we do? The essence of speech therapy for little children is to learn about words and sounds. We need to focus on both when working with young children. Many of today’s younger therapists put all their focus on building vocabulary, and they spend very little time focused on the actual production of…

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Frequency of OMT

By Pam Marshalla

Q: I have a five-year-old child with cerebral palsy, developmental delay, severe apraxic and dysarthria. Jaw control is limited, she drools, and the tongue retracts when feeding. I am told by her speech reports she needs oral motor work 3 times to 5 times a day. Might you have any suggestions on what I could do? She is in school speech three times per week for 30-minutes and she does see a PROMPT therapist. My experience has taught me that…

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Vowels, Diphthongs, Choppiness, Low Intelligibility

By Pam Marshalla

Q: My twin clients have been in therapy for a long time and now can produce all the consonants except /r/ and /s/ in clusters. However, vowels sounds are still inconsistent and their speech is choppy and “staccato-like.” Intelligibility is low. First, kids learn vowels best in isolation, not embedded in the middle of words. Second, choppy and staccato-like rhythm pattern usually is related to diphthongs that are not fully developed. Listen carefully to the diphthongs. You can use the…

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Big Picture Thinking for Cerebellar Disorder and Cerebral Palsy

By Pam Marshalla

Q: My granddaughter, Stephanie, is 4-1/2 years old and diagnosed with apraxia. She was born with the cerebellum not fully developed and is classified as having cerebral palsy. Her speech is non-existent, although I can get her to make a variety of sounds in different pitches. In class she seems not to be attending at all. The SLP reported that until Stephanie can let her touch her face and put a spatula on her tongue, she can do little. She…

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