Posts Tagged ‘oral motor training’

Motor Approach in Speech Therapy

Monday, March 23rd, 2009

Speech therapy procedure uses a traditional approach or motor approach. It is structure-based and involves various drills. These drills includes  stimulus presentation to test the accuracy of the patient’s response to the stimulus .

Auditory training. This is one aspect of the motor approach and the proponent is Charles Van Riper. Auditory training uses pictures and games as motivational events or events; this are the stimuli. Activities are more about speech sound discrimination to achieve awareness and detection of sound. 

Oral motor structures.  This is used when muscle weakness or spasticity is shown in the oral motor assessment . It is a fun activity for children and uses mirrors for visual feedback. The patient can see himself as he tries to produce the sounds/words.

Phonetic placement. Another procedure developed by Van Riper  which provides clients with verbal descriptions or instructions regarding articulatory position and movements for target sound. It is usually used accompanied by  visual, auditory, tactile and kinesthetic cues.

Modified sensory motor approach. Weiner’s modified sensory motor approach makes use of a word in which the target sound is correct in the final position and is paired with a word in which the same sound is in error in the initial position. The child/patient must produce the  words without a pause to facilitate assimilation of the incorrectly produced sound.

Syllabication. This procedure uses the syllable-by-syllable production of words. The goal of this procedure is to address weak syllable deletion or the deletion of the syllable in a word which is the least stressed.

Chaining. This is a closely related to syllabication where the child/patient is first asked to say the whole word. If he produces a syllable incorrectly, the therapist instructs the patient to look at his lips was he produces the word syllable by syllable with the patient following him after every syllable. This the child/patient does until he produces the word the same way as the therapist did.