Hi Sandra! It was great catching up with you last week! Glad to hear you are doing well. I have a client question for you. I recently picked up a six year old boy who has been in speech therapy for years for production of velars. He consistently fronts /k,g/ and is not stimulable for the sounds. He has a slight Class III malocclusion and a low and forward tongue resting position. He inconsistently rests with his lips closed throughout the day; he typically sleeps with his mouth open at night. Mom says he “sometimes” snores. He has an extremely hypersensitive gag reflex. His tonsils appear enlarged. He recently had a physical and his pediatrician stated that his tonsils appeared WNL. I am currently working on the basic lingual skill exercises and improving tongue-jaw dissociation. He is progressing with these. I introduced exercises to encourage tongue retraction; he is progressing through the SRJ straw drinking hierarchy. I am also having his gargle water (this is extremely difficult for him). Additional articulation errors noted include w/r. He doesn’t have a frontal lisp. Could his improper oral rest postures/enlarged tonsils/inconsistent mouth breathing completely inhibit his ability to produce /k,g/? Should I push for an ENT consult even though his pediatrician was not concerned with his tonsils? Thanks for your time and input!
Could improper oral rest posture and mouth breathing inhibit ability to produce /k,g/?
Tagged under: low and forward tongue resting position, mouth open at night, production of velars, slight class III malocclusion