I have a little girl who got her tonsils out and has returned to me (5yrs) doing therapy with her but noticed that she is not able to say “H”. She has good parents and staff at home that speak properly so it is not that she has learnt to say ” ome” for “Home” etc. I just on the spot made up a couple of exercises for this patient.
1. I have her breathe into a little mirror to make condensation on it as she says “hahahahahahahaha”
2. I have her pretend to do karate and punch her arms out and go ‘huh’ as karate people do!
Any more ideas?
Hi! Good thinking. Since we want a nice “flow” of conversation, it will help to embed that “h” sound within words and phrases rather than just saying it at the beginning. Otherwise, you might get a pause, such as this: Huh ouse (house) or Huh appy (for happy), etc. You can do these as soon as you are sure that she CAN make the H sound in isolation and consistently.
Some suggested ones might be:
A happy boy. (but she has to co-articulate and blend the words so it is really aaaaaaaaaaahappee boy
My doggie has a toy. (my doggieeeeehazzatoy)
I hope I’m not confusing you! let me know.
I am starting a new private practice and I’m looking for a good oral mechanism exam checklist. Do you have one or know of a place that would have one? Thanks, S Hi S, Congratulations on starting up a practice. Being that I have focused on orofacial myology for so many years, my eval is […]
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Sometimes a frenum is not short but is still restrictive because of the attachment location on the tongue or onto the lower alveolar ridge.
He presents with decreased lingual movement but does not have an obvious anterior tongue tie. He is unable to stick out his tongue without it resting on his teeth and he cannot click his tongue without moving also moving his jaw. I am really at a loss for how to help him.
Would you use your digit sucking elimination program with a client to eliminate the noxious habit of lip licking?
He substitutes lingua alveolar sounds for these three (s/f, z/v, l/w). I worked with him for 45 minutes and during the entire session, he chronically licked his lips (predominantly his lower lip). His tongue was deeply scalloped when he was asked to protrude it and he had an abnormal rest posture (since all he was doing was licking his lips! ) He was not able to pucker/move the upper lip at all and the lower lip barely moved. He had a very long philtrum.
Do you really see the patient two times a week, does once a week work? Is half hour enough time?
Now that I am older I realize that a lot of my nieces and nephews and cousin are doing the same thing too
All of us have to evaluate from several perspectives
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