Little girl who got her tonsils out unable to say “H”

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?

T.

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.

Sandra

Starting a new private practice and looking for a good oral mechanism exam checklist

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 […]


 

Metal rake type appliance being bent over by tongue

I’ve got her oral habits “fixed” for during the daytime. However, the nighttime is creating a pretty big problem and I’ve racked my brain…


 

Frenum Question- R: Techniques and Interventions to Correct /r/

Sometimes a frenum is not short but is still restrictive because of the attachment location on the tongue or onto the lower alveolar ridge.


 

Decreased Lingual Movement

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.


 

How many exercises?

Do you really see the patient two times a week, does once a week work? Is half hour enough time?


 

I have a really bad problem of sucking on my tongue

Now that I am older I realize that a lot of my nieces and nephews and cousin are doing the same thing too


 

I’m new at orofacial myology. How can I improve?

Posted by | Jun 30, 2014 | Tags: ,
No Comments

All of us have to evaluate from several perspectives


 

Adult tongue sucker

Posted by | Jun 15, 2014 | Tags:
No Comments

There is no easy help for an adult (or child) tongue sucker. That’s where psychology has to be incorporated. As with all noxious oral habits, you want to work first on Awareness…


 
adenoids alveolar phonemes ankyloglossia ASHA certified orofacial myologists decision to quit Dr. Robert Mason drooling freeway space frenectomy habituation hyoid bone IAOM incisive papilla lack of expressive language lingual frenum lip licking habit lip strength lisp lower alveolar ridge malignant sleep apnea myofunctional therapy Myo Manual narrow palate open bite oral motor orofacial myofunctional disorders orofacial myology orofacial myology treatment palatal expander post frenectomy quick tongue tie assessment restricted lingual frenum sleep apnea speech language pathologist sucking habits suctioning thumb thumb sucking TMJ tongue exercises tongue thrust tongue tie tongue to spot unplugging the thumb