Children with motor planning disorders need to build the muscle memory for new sounds so that they can combine them creatively into words and utterances. When a person learns a new skill, such as playing the piano; at first the person has to think about how his fingers are moving, however, after practicing the piece of music many times he does not have to think about how his fingers are moving. It is important to engage the child in repetitive, frequent practice of the target words. We use the principles of motor learning to guide the way we structure practice and the kind of feedback we use.
- PROMPT: Is an acronym for PROMPTS for Restructuring Oral Muscular Phonetic Targets, is a multidimensional approach to speech production disorders has come to embrace not only the well-known physical-sensory aspects of motor performance, but also its cognitive-linguistic and social-emotional aspects. (Promptinstitute.com)
This method focuses on use of specific tactile cues to the face and neck to provide information regarding place and manner of articulation. It gives the child information on how to integrate the movements of the tongue, lips, and jaw, to create speech sounds and blend them together into words.
- Dynamic Temporal and Tactile Cueing (DTTC): The program is a temporal hierarchy that is structured to slowly lengthen the amount of time between the clinician’s production and the child’s production of the word. Initially, the child will be cued to say the word simultaneously with the clinician and eventually be able to say the word as an answer to a question (Developed by Dr Edythe Strand).
- Nancy Kaufman approach: The program is designed to “Teach children to combine consonants and vowels to form words while controlling for speech motor coordination difficulty. Includes the syllable shapes children need to master to become effective vocal/verbal communicators.” (Northernspeechservices.com).
Dina has taken Dr Strand’s online training on the Diagnosis and Treatment of Dynamic Temporal and Tactile Cueing (DTTC). She is also PROMPT trained. She has taken:
- Introduction to PROMPT: Technique
- Bridging PROMPT technique to intervention
- PROMPT technique practicum project