Tutorial: Motor-Based Treatment Strategies for /r/ Distortions
| Autor: | Elaine R. Hitchcock, Nina R. Benway, Megan C. Leece, Tara McAllister, Jonathan L. Preston |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Linguistics and Language
medicine.medical_specialty Best practice medicine.medical_treatment Tutorials Speech Therapy Speech Sound Disorder Language and Linguistics Group psychotherapy 030507 speech-language pathology & audiology 03 medical and health sciences Speech and Hearing Physical medicine and rehabilitation Speech Production Measurement Tongue Phonetics Generalization (learning) medicine Humans Speech 0501 psychology and cognitive sciences Child Exercise Sensory cue Language Psychomotor learning 05 social sciences American English Cues 0305 other medical science Psychology Motor learning 050104 developmental & child psychology |
| Zdroj: | Lang Speech Hear Serv Sch |
| ISSN: | 1558-9129 0161-1461 |
| Popis: | PurposeThis tutorial summarizes current best practices in treating American English /r/ distortions in children with residual speech errors.MethodTo 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.ResultsAlthough 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.ConclusionTreatment 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 Materialhttps://doi.org/10.23641/asha.12771329 |
| Databáze: | OpenAIRE |
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