| Autor: |
Preston JL; Department of Communication Sciences & Disorders, Syracuse University, NY., Benway NR; Department of Communication Sciences & Disorders, Syracuse University, NY., Leece MC; Department of Communication Sciences & Disorders, Syracuse University, NY., Hitchcock ER; Department of Communication Sciences and Disorders, Montclair State University, NJ., McAllister T; Department of Communicative Sciences and Disorders, New York University, NY. |
| Jazyk: |
angličtina |
| Zdroj: |
Language, speech, and hearing services in schools [Lang Speech Hear Serv Sch] 2020 Oct 02; Vol. 51 (4), pp. 966-980. Date of Electronic Publication: 2020 Aug 12. |
| DOI: |
10.1044/2020_LSHSS-20-00012 |
| Abstrakt: |
Purpose This tutorial summarizes current best practices in treating American English /r/ distortions in children with residual speech errors. Method To enhance the effectiveness of clinicians' cueing and feedback, the phonetics of /r/ production is reviewed. Principles of acquisition, which can inform how to practice /r/ in the early stages of therapy, are explained. Elements of therapy that lack scientific support are also mentioned. Results Although there is significant variability in /r/ production, the common articulatory requirements include an oral constriction, a pharyngeal constriction, tongue body lowering, lateral bracing, and slight lip rounding. Examples of phonetic cues and shaping strategies are provided to help clinicians elicit these movements to evoke correct /r/ productions. Principles of acquisition (e.g., blocked practice, frequent knowledge of performance feedback) are reviewed to help clinicians structure the earliest stages of treatment to establish /r/. Examples of approaches that currently lack scientific support include nonspeech oral motor exercises, tactile cues along the mylohyoid muscle, and heterogeneous groupings in group therapy. Conclusion Treatment strategies informed by phonetic science and motor learning theory can be implemented by all clinicians to enhance acquisition of /r/ for children with residual errors. Supplemental Material https://doi.org/10.23641/asha.12771329. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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