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- O'Neill Sheline
- 3145 W. Clark Rd. Suite 106
- Probility Pediatric Rehabilitation
My approach is to work on speech movements with many repetitions and intensive practice. Using the child's sound and syllable inventory (of what he/she already can say), I begin expanding those sound combinations with limited sets of syllables or words at a time before moving to an expanded set. I start with a limited set of target syllables and/or words that vary slightly from his/her existing syllables and words. For example if the child can say "go", "ma", "he" and "da" and most vowels, we might try 5-10 words of the same length or slightly longer with different sound combinations (e.g. "mama" "dada" "goo" "do" "me" "moo" "hi" "hey", etc.). With younger children, we work with pictures and in play, but it is always important to get many repetitions in therapy and in home practice. At first we work in imitation where the child copy's an adult's words and sounds with visual ("watch my mouth") and tactile (hands-on) cueing, while doing our best to reduce the help that we give as quickly as possible while the child is still making successful productions. We want to build the motor memory of the child with contextual practice of correct productions.
I make personal relationships with my clients and their families to support them in home practice and adjusting to the diagnosis.
Parents need to see and hear the cues given to help the child make accurate productions, so they can continue with home practice.
I frequently use sign language with children with limited verbal vocabulary to increase their communicative opportunities. I have used Language Acquisition through Motor Planning (LAMP) and other high-tech AAC applications and systems to promote language growth and intelligibility in children with CAS.