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- Ruehle - Kumar
- 1322 W. Amberwood Drive
- Wren Speech Services LLC
My treatment approach is individualized to the child’s current level of speech motor control with the goal to maximize their functional communication skills. I use a comprehensive, multisensory approach grounded in Principles of Motor Learning. My treatments include a variety of methods such as Dynamic Temporal and Tactile Cueing (DTTC), PROMPT, and Kaufman successive approximation to name a few. Speech targets are selected with the child’s current consonant and vowel sound repertoire, syllable shape complexity, intelligibility, interest and motivation. In addition to working on speech sounds, I address prosody early on in therapy. Treatment involves lots of practice, which is critical for motor learning. I ensure that parents, family and caregivers are involved in the process. This includes providing information about CAS, about the child’s therapy and ways to extend practice into the child’s life. Therapy is conducted in a fun and motivating manner with appropriate structure to facilitate learning.
I attended Apraxia Kids Boot Camp and I am involved with the Arizona Apraxia Support Group. I have been a Team Leader and a Co-Coordinator for the Phoenix Walk for Apraxia. I have attended and presented at the Apraxia Kids National Conference. I have presented on CAS to speech-language pathologists in the Phoenix area.
Family involvement is important in a child’s progress. Parents provide valuable input as to their child’s communication skills, needs and learning style. I encourage parents to be a part of treatment sessions as often as they are able and provide various levels of coaching to help parents extend therapy into their daily lives. A session may involve parents observing, then taking a turn or actively participating with coaching, or perhaps a combination. I communicate about what I am doing and why during sessions. Therapy is designed to be developmentally appropriate and functional for the child’s communicative growth. If one or both parents are unable to be present, I will follow-up with email or phone call and I can provide representational videos of what the child learned.
I have used the following AAC for children with CAS:-gestures and sign language--to help the child to communicate wants, needs and to cue the child to produce a target word verbally-core vocabulary books--to help support child's vocabulary development, spontaneous non-verbal communication and to help make communication more meaningful to the child-picture communication pages (using Boardmaker pictures)--these are tailored to the child's needs-iPad apps (e.g., ProLoQuo, My Choice Board)-Single and multiple message communicators (e.g., Big Mack)