Please forward this error screen to sharedip-16015361225. Recently I’ve heard of mothers who are telling other mothers that they’d better motor speech disorders pdf doing oral motor exercises at home with their kids and find SLPs who will do these with their kids to help their toddlers learn to speak more clearly.
I wanted to let you all in on apparently what some SLPs aren’t telling you. There’s a whole lot of research in the past few years that tell us that oral motor exercises DON’T work to help children learn to speak more clearly. In his ASHA presentation in November 2006, Dr. Logic, Theory and Evidence Against the Use of Non-Speech Oral Motor Exercises to Change Speech Sound Productions.
SLPs tell you to do including blowing, tongue push ups, pucker-smile, tongue wags, big smile, tongue to nose to chin, cheek puffing, blowing kisses, and tongue curling. DOES NOT INVOLVE him making a speech sound is not going to help him learn to talk. This means that all the blowing, sucking, tongue exercises, and lip games you’ve been doing will not do one bit of good when it comes to helping him produce clearer speech. Now I can’t say that I’m an SLP who has over-relied on this kind of stuff. I’m a talker, and I push functional communication whether it be with signs or words in play practically every minute of the time I provide direct treatment to a child. Johnny will perform 10-15 repetitions of oral motor exercises to improve strength and coordination for intelligible speech. I know lots of SLPs who do and who base their whole treatment plan around these kinds of goals and strategies for non-verbal children and for children who are struggling with speech intelligibility.
I’d like to say that I haven’t done lots of oral motor activities in sessions because it didn’t make sense to me clinically. But the truth is, it’s because I hadn’t found a way to make them fun enough to do on a consistent basis or for any length of time. Because of this, it never really felt right or worth pursuing for me, or especially for a kid. 2 or 3 year old to do these kinds of things for more than a minute or two? You might have an initial novel period where they sit with you and try to do it, but unless you make it super fun and whacky, I’ve found it wasn’t successful for very long. It’s usually pretty hard for them to do, and again, it’s usually pretty boring.
I have even recommended these kinds of things for kids without low muscle tone or who don’t have sensory issues that are negatively affecting feeding. Because it’s somehow ingrained in how we’ve been trained as SLPs. As a matter of fact, Dr. SLPs in America who were surveyed said they use non-speech oral motor exercises to change speech sound production. Results were the same for Canadian SLPs.
He cited other interesting statistics including the most frequently used exercises, the reported benefits, and the diagnoses of children when these kinds of exercises were used. His conclusion, again based on a number of studies, was that it’s not appropriate for any of them. Again, I don’t feel too badly on a personal level since I haven’t used them all that much, but I feel super sad about all of the therapists who have and mostly for the moms they’ve convinced to try to do it. If clinicians want speech to improve, they must work on speech, and not on things that LOOK like they are working on speech.
Phonetic placement cues that have been used in traditional speech therapy are NOT the same as non-speech oral motor exercises. This means you can and should still give your child verbal, visual, and tactile cues about placement of his tongue or lips to help him make a speech sound correctly. The difference here is that you’re actually working on SPEECH and not just a movement. Non-speech Oral Motor Exercises are a procedure and not a goal.
Rather the goal is to produce intelligible speech. Goals must have speech and language outcomes. That’s a big duh to me, but again, these never made much sense to me anyway. Speech is special and unlike other motor movements. He means that using these kinds of exercises to improve feeding do not necessarily correlate to the same movements needed for speech. Following the guidelines of evidence-based practice, evidence needs to guild treatment decisions.
PARENTS NEED TO BE INFORMED THAT NON-SPEECH ORAL MOTOR EXERCISES HAVE NOT BEEN SHOWN TO BE EFFECTIVE AND THEIR USE MUST BE CONSIDERED EXPERIMENTAL. I won’t be recommending or doing these in therapy anymore for kids whose focus is speech and language, and now not just because young children? In the spirit of fairness, here are? Oral Motor therapy does have its uses. While it is ineffective for improving speech production it is effective for treating many issues related to feeding. And that is an important distinction. If your child is drooling, or unable to move food around with his tongue and chew, Oral Motor Therapy can be very effective if provided by a competent therapist.