Yoga Poses Can Help Reduce Anxiety When Treating Articulation Disorders

From ABC Yoga Cards for KidsWhen treating articulation disorders I used to focus on explaining to the student how to produce the sound in an intellectual manner.

However, in my own personal experience, I feel that all students who are learning a physical task such as articulation, dance or yoga poses need to be out of the intellectual mode (out of their head) and into their body.

Yoga breathing such as inhale/exhale pose from the ABC Yoga Cards for Kids helps relax the students muscles and slows down the sometimes self defeating thoughts of “this is hard, I can’t do this.” Poses such as ocean breath coordinates breath with movement which helps stimulate the relaxation response or parasympathetic nervous system in the body so the student is relaxed and ready to learn the task at hand.

What is your experience with using relaxation techniques in speech and language therapy sessions?

Production of /r/

Did you see The Entire World of R in the June 27, 2011 cover story of Advance Magazine for Speech-Language Pathologists?

The authors Lila Carson, Susan Miller and Karen Noll from Valdosta State University in Valdosta, Georgia present some very useful information on how to use vowel drills to facilitate /r/ production.

We were very pleased that they used The Entire World of R Advanced Screening as their pre- and post-test assessment. The Entire World of R Advanced Screening looks at 32 different types of /r/, including vocalic /r/ and /r/ blends in multiple contexts and complexities. The assessment provides detailed information to determine present level of performance for an initial baseline. This information from the screening is invaluable in selecting intervention targets and monitoring the response to treatment. Data from the screening as the article displays is sufficiently rich enough to collect data for a research study. We feel this is the most comprehensive evaluation tool for /r/ and the authors apparently agreed.

What has been your experience with The Entire World of R Advanced Screening? How has it help you in your evaluation and treatment?

The Prestige of Pronunciation

I ran across this interesting article in Advance Magazine for Speech-Language Pathologists. It’s an interesting intersection between history, lingusistics, speech and the /r/ sound. Researchers from Baylor University used historical recordings to trend pronunciation of /r/ and peg such pronunciation to social status and education.

Students at Baylor University, in Waco, TX, haven’t been minding their P’s and Q’s lately; instead, they’ve been tending to R’s – and finding they crop up in Central Texas conversations much more than they did decades ago.

These days there are fewer “fathahs” and more “fathers,” fewer “whatevahs” and more “whatevers,” fewer “awn-ry” people and more “ornery” ones in the heart of Texas. Such changes are important because they provide clues to identity and socioeconomic status, said Jeannette Denton, PhD, coordinator of the Language and Linguistics Program at Baylor.
The shift seems to have begun in the 1930s, putting Central Texas a step ahead of such /r/-resistant strongholds as Boston and coastal South Carolina, although it has been creeping in there more frequently since the 1950s.

Ten linguistics students at Baylor investigated the change by listening to recordings of Central Texans ages 80-100.

“There’s a theory that if you sample the population across age groups and think of older age groups as fossils, you can see what the language was like when they were learning. You can see a change in progress, if there’s a change going on,” said Dr. Denton, who led the project. “Linguistics is part of who you are, who you identify with, your age, your socioeconomic status.”

Pronouncing /r/ is regarded as more prestigious than not doing so, “although I couldn’t tell you why,” Dr. Denton said.

The discovery by the undergraduate students in an American dialects course contradicts findings of a 1989 poll of about 1,000 Texans 18 and older. Using U.S. Census Bureau data, scholars contacted households by phone and spoke to the oldest and youngest members to listen for differences in pronunciation. The study indicated that /r/ did not begin to assert itself much until World War II. . . .

To read the complete article click here.

Correcting the R Sound: A Primer for Parents

Are you a parent looking for more information on the R sound? 

Are you an SLP that would like a concise reference handout for parents and teachers on the production of /r/, especially vocalic /r/? 

Here’s a link to a short article that I guest wrote for MommySpeechTherapy.com
that contains some of the basics that you might be interested in. 

Click on the link to view: Correcting the R Sound: A Primer for Parents

 

American SLP in England?

Does anyone know of an American SLP working in England?

How would you solve this problem?

“My husband and I, and both children, are American. However, we moved to England in 2006 and have been here ever since. Our kids have been in our local London neighborhood school for four years now. I suspect that something about the timing of our move affected my son’s speech and basically did away with his /r/ sounds! He was 3 1/2 years old when we arrived, and started right into what they call Nursery here, which is like Preschool. He is now in Year 3 (equivalent of Second Grade), has just turned 8, and of course has been surrounded every day by British sounding friends, classmates, and – most importantly – teachers as he has learned to read, write, and speak. Of the four of us, he has acquired the strongest British language tendencies even though my husband and I have kept our very midwestern American accents. interestingly, My daughter (10) has waffled and we consider her “bilingual” these days, able to switch back and forth between American and British English when she wants. I must say that the whole subject of language has fascinated us as we’ve experienced the differences and watched the children adapt.

My son’s basic lack of /r/s is not of any concern to staff at school as he is at the top of his class, very social, expressive, and easily understood. We are so used to excusing his speech as being a British accent that it was only last year that I realized I’d never heard him utter a real, true /r/ sound in his life (although his “accent” is immediately noticed and commented on by American friends and family when they hear him on the phone or in a video call). With the school’s lack of worry and speech services being what they are here (nonexistent), we would need to pay privately for any evaluation and therapy. Given the way /r/ is pronounced so differently here, I wouldn’t even feel sure that those strong American /r/s we’re after would result from such therapy. I am a music teacher myself, had a brief but positive speech therapy experience myself for a minor lisp when I was little, and feel quite confident that I could work patiently and consistently with my son at home if given the right tools and direction. However, I don’t want to take the risk of doing anything that might delay him even more.”

Suggestions?

The King’s Speech


We absolutely loved this movie. What a treat to view such an engaging story, especially one that highlights the importance of speech and the impact that professional speech-language pathologists can have on the lives of their clients. I saw this review recently by Tim Mackesey, CCC-SLP, BRSFD and though it spot on. With permission we share it here:

The King’s Speech is a must see movie. King George VI, with a severe stammer, was forced to make an abrupt ascension to the throne. It is a story of the king gaining fluency with the help of a speech therapist. With England going to war to stop Hitler, functional fluency was critical for radio announcements heard around the world.

The acting and star-studded cast is superb. Geoffrey Rush plays the speech therapist, Lionel Logue, and Colin Firth plays King George VI. The movie was up for 7 Golden Globes. Colin Firth won the Golden Globe for Best Actor in a drama! Oscar Awards will likely follow.

Once of the most revolutionary aspects of this movie is that it is the first major motion picture to portray stuttering (aka stammering) with honesty and compassion. Mel Tillis, in his autobiography Stutterin’ Boy, stated that when he did not stutter in Smoky and the Bandit, the director would yell “cut” and they would film until he stuttered; his stutter was the punch line. In A Fish Called Wanda Michael Palin- whose character stuttered- was tormented and mocked by Kevin Kline. Following the fallout from that movie Michael Palin started the Michael Palin Stammering Centre in London.

Stammering is the story

When interviewed about stammering Colin Firth had this to say: “”It’s one of the last legitimately pastiched disabilities,” Firth began. “You don’t really get away with poking fun at people who are in wheelchairs, you know, or who are blind. I’m not saying we have to be po-faced about tragedy or hardship, but it’s pretty rare, I think, that the issue’s been dealt with as an issue.” Not only does Firth learn to imitate a silent, choking speech block, King George VI had an articulation disorder. After listening to the original recording from BBC archives (http://www.bbc.co.uk/archive/ww2outbreak/7918.shtml) I sat in awe at Firth’s mastery of the two simultaneous speech impediments.

The inspiration for The King’s Speech

The screen writer for The King’s Speech, David Seidler, grew up with a severe stammer. He had to wait a very long time to tell this story.

As a child, Seidler had been evacuated to the United States before the Blitz. The voyage-in which a convoy ship had been sunk by a U-boat-traumatized Seidler. “I was quite a profound stutterer,” he says. He followed the war’s progress on the radio, listening to King George, who by then could manage his stammer. “I heard these wonderful, moving speeches, and had heard that he had been a terrible stutterer,” Seidler says. “If he could cure himself, it gave me hope.”

Seidler went on to overcome his stutter and become a screenwriter but never forgot about the king. He was particularly interested in how the king was treated by Logue, an Australian who earlier had counseled World War I soldiers suffering from shell shock, a version of what is now known as post-traumatic stress disorder. Logue, who was not a trained speech pathologist, would briefly surface in biographies-”Blips on the radar screen,” Seidler says-but details of his treatments remained secret. “The royal family does not like talking about the royal stutterer,” Seidler says. “It was swept under the carpet.”

In the mid-1970s, Seidler wrote the king’s widow, Queen Elizabeth, asking permission to tell the story. She wrote back saying that “The memory of these events are still too painful” and that she wouldn’t accede in her lifetime. “I thought, ‘How long am I going to have to wait? One or two years?’ She wasn’t that young,” Seidler says. But the Queen Mother famously lived until age 101, 28 years after Seidler had made his inquiry.

Was Lionel Logue unorthodox?

Lionel Logue helped King George IV become an effective communicator and leader. I have been asked my opinion of his techniques countless times. After seeing the movie many of my patients noted the use of “phrasing,” marking written text into smaller chunks, employed by Logue for George to read his famous war time address. Phrasing is a time tested, valuable tool that can generalize from oral reading to dialogue (James Earl Jones). Trauma from childhood stuttering, anticipatory anxiety, and specific phoneme phobia was accurately portrayed. George feared words starting with /p/, for example. Three items I do not recommend as an SLP are: 1) inserting the schwa vowel when anticipating a stuttering (i.e., “uhpeople”), 2) taking a deep breath before a stutter, 3) an SLP sending an anxious, stammering child to approach an adult without immediate supervision and close proximity.

Anyone who likes great film making will want to see this movie. I regret that one scene with profanity provoked the R-rating. Aware he does not stammer when he curses, George prances around uttering the f-word in a somewhat playful manner. I hope many adolescents and teens see this with parental supervision and discussion. King George VI’s transformation gave screenwriter David Seidler inspiration for a life time. This movie is an inspiration to anyone who stutters.

By Tim Mackesey, CCC-SLP, BRSFD
www.stuttering-specialist.comwww.fastfluency.com

/rl/

Ah, the tricky /rl/!

Research shows that the /rl/ combination is the most frequently misproduced sound, almost 3x more likely to be incorrect than /ear/ combinations. Why?

1. The /l/ in /rl/ is sometimes called the “dark” /l/, because its production occurs completely inside the mouth (thus no visual cues)
2. The /r/ and /l/ are both liquids or guide sounds, thus they are both complex and changing to descrivbe and produce.
3. The place of articulation for the sounds is in different parts of the mouth, so it’s necessary to make a rapid transition. The /r/ is in the middle to back part of the mouth and the /l/ is more toward the front.

How do you correct the /r/ combination?
First suggestion is to tackle other vocalic /r/ sounds first, save the /rl/ for last so that success is built up and possibly generalization might either correct it or at least soften the severity of it’s misproduction.
Second, be patient.
Third, break the sounds down to component phonemes. Since there are no words that begin with the dark /l/ phoneme, it is difficult to employ co-articulation with medial and final rl. So you’ll just have to work with what you have. You can divide up /ger/ + /l/ for girl. Break it down, go slow and build up to normal cadence.

What suggestions do you have?

Nonsense Words and Artic

Nonsense Words are a great tool in your kit to help break through poor phonological habits. Nonsense words are meaningless words (e.g. Gar, Har, Nar) that maintain useful phonologic patterns. Since, the nonsense words are novel to a student and are not frozen in a child’s lexical system; it forces the student to focus on the component sounds, perhaps resulting in a successful production which can be used as a facilitator for other contexts.
How to use nonsense words? Use nonsense words for proper names and places only. Don’t rename objects especially for language-disordered children. Kids love fantasy, so create fun and weird creatures and places that they live. Instruct your students to draw pictures of their new characters (that contain the target sound). Experiment with different combinations to see if the lexical combinations produce successful utterances. Have fun with it and create stories and games using just the nonsense words. When you think the child is ready transfer the successful productions to meaningful sounds.
Next time you are stuck, incorporate nonsense words and see what happens. Gar: Using nonsense words to help break phonological patterns

Palatal Height and /r/

We just had a couple of questions on palatal height (high arch and torus palatinus) affecting /r/ production. In my experience, there is not specific manner or place of articulation for /r/, so my emphasis has been on attaining a successful production of /r/ in some context. This is what The Entire World of R Advanced Screening and Screening Kit attempt to assist with. Obviously abnormalities in the oral cavity may distort sound production. Has anyone reading this had exerience with this issue? What techniques did you use to be successful?

“I Love The Entire World of R” Contest — Win $500

Congratulations to our contest winner: Pat Hooper.

The contest is now over, but we appreciate everyone’s participation.

So many people have shared such great stories about how The Entire World of R has helped them professionally and the impact it’s had on their students or own children.

We thought we’d do something fun and exiting–a Contest!


Answer the question, Why “I Love The Entire World of R”? Just post a video or Blog entry sharing your story. First place winner gets $500!

You can post your response here as a reply or reply to our video on YouTube. You can post your entry anywhere on the web, you’ll just need to tell us where your entry is so that we can locate it (use the entry form at www.sayitright.org/contest.php

Also you’ll need to include a hyperlink back to www.sayitright.org somewhere in your submission.

The contest ends the last day of 2009. So get going. Please share, we’re looking forward to hearing from you!

Complete contest rules and a submission form are available at www.sayitright.org/contest.php

I Love The Entire World of R Contest

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