Lets Say Sounds Level 2 Robyn MerkelWalsh MA

Let’s Say Sounds: Level 2 Robyn Merkel-Walsh MA, CCC-SLP/COM® Robyn Merkel-Walsh 040820 1

Information and Directions Robyn Merkel-Walsh 040820 2

Robyn Merkel-Walsh MA, CCC-SLP/COM® This Power. Point was created for use by students of the Ridgefield Board of Education and the office of Robyn Merkel-Walsh in response to COVOD-19 pandemic. I welcome the use of this activity for otherapists and parents to use, but it may not be reduplicated or distributed without permission. Some slides are inserted with copyright to Talk. Tools®. Please stay safe and well ! Robyn Merkel-Walsh 040820 3

This activity is to practice early developing sounds as follows: Lingual Alveolar “tongue up sounds” /l/, /s/, /z/ Dental “hissing sounds” /f/, /v/, /θ/ (th unvoiced) & /ð/ (th voiced) Palatal “static sounds” /r/, /ʃ/ (sh), /tʃ/ (ch), /ʒ/ (as in television) , /dʒ/ (j) Robyn Merkel-Walsh 040820 4

The sections will give clues on: Oral placement & phonetic cues Auditory cues Isolated practice of sounds Word lists and photos Robyn Merkel-Walsh 040820 5

Directions 1. Only do the sounds that apply to your child. 2. Have your clean tools handy as well as a mirror. 3. Have a dump bucket or plastic bag ready to discard dirty tools. 4. Write notes as you go to send to me for feedback and data. Robyn Merkel-Walsh 040820 6

Traditional Model In general when we teach children sounds we follow this pattern: • listen • discriminate Auditory Robyn Merkel-Walsh 040820 Produce • Learn placement • practice • Increase complexity • carryover Carryover 7

Why doesn’t this always work ? Robyn Merkel-Walsh 040820 8

Some children need auditory cues………. Vacuum sound (z) Popping sounds (p ) Roaring sound (r) Hissing sound (s) Ticking sound (t) Some ideas from : Caroline Bowen www. speechlanguage-therapy. com 9 Robyn Merkel-Walsh 040820

Some children need phonetic placement cues……. Smile and say…. . (ee) Pop your lips (p) Teeth together (sh) Tongue to the spot (s) Pop your tongue (d) Some ideas from : Caroline Bowen www. speech-language-therapy. com Robyn Merkel-Walsh 040820 10

Oral Placement cues and tools help kids feel speech ! Robyn Merkel-Walsh 040820 11

Focus Techniques for this activity: • • • Talk. Tools® Oral Placement TO Speech Van Riper’s Phonetic Placement Kaufman Praxis Level 2 Moving Across Syllables Prompts for Restructuring Oral Muscular Phonetic Targets (PROMPT) • Say it Right series Robyn Merkel-Walsh 040820 12

Parent and Caregiver Directions Email questions to: Bergen students: rwalsh@ridgefieldschools. com Office clients: robynslp 95@aol. com Robyn Merkel-Walsh 040820 13

TIPS! Only do the sounds that apply to your child. Have your tools handy as well as a mirror. Your speech binder/book will tell you what tools your child uses and how many times they are currently on (ex. Horn #1, 13 x). Have a dump bucket or plastic bag ready to discard dirty tools. Write notes as you go to send to the child’s SLP. Robyn Merkel-Walsh 040820 14

Note : do not use vibration tools with children under the age of 1 or who have seizure disorders X Robyn Merkel-Walsh 040820 X 15

Tool Care: o The tools cannot be placed in the dishwasher. You must hand wash the tools with a germicide. Pure Green 24 is best and can be purchased at Amazon or Talk. Tools. Spray the tools and allow ten minutes then wash with hot soapy water EXCLUDING battery operated tools. o Battery operated tools (Sensi® and Zvibe ) can be wiped down with rubbing alcohol (70% ethanol) and then wiped with a damp paper towel. o All tools must be left out to dry completely before being placed in a CLEAN bag. If the tools are placed in wet bag, mold will form and we will have to discard the tools. Robyn Merkel-Walsh 040820 16

Dental : Hissing Sounds /f/, /v/, /θ/, /ð/ Robyn Merkel-Walsh 040820 17

Dentals: Technical Info (just as an FYI) “Middle 8” f/v (Shriberg, • 1993) “Late 8” θ/ð (Shriberg, 1993) Placement cues are visible f Jaw high Lips parted Tongue Retracted v high parted Retracted manner Oral/continua nt Jaw Lips Tongue manner θ high parted protruded Oral/continuant ð high parted protruded Oral/continuant Often the issue is midline airflow Robyn Merkel-Walsh 040820 18

/f/ Biting lower lip Robyn Merkel-Walsh 040820 19

/f/: auditory cue- cat hiss phonetic cue- bite lower lip Robyn Merkel-Walsh 040820 20

Tactile Cues (lower lip must roll inward with slight jaw drop) o Oral Placement Techniques Focus on midline airflow o Phonetic Placement Use a cheerio to model the placement Horns 1, 2, 3, 4, 5, 8, Robyn Merkel-Walsh 040820 21

OPT : cue lower lip in and direct whispered air Robyn Merkel-Walsh 040820 22

Saying /f/ o Bite your lip o Whisper air o Say /f/ Robyn Merkel-Walsh 040820 23

From Choosing Words Wisely…. . Sa y /f/ wo rds Robyn Merkel-Walsh 040820 • • fun five off few fake foot four 24

Some pictures for help fun foot five off four fake Robyn Merkel-Walsh 040820 25

/v/ biting lower lip with voice on Robyn Merkel-Walsh 040820 26

/v/: auditory cue- “vroom” sound phonetic cue- bite lower lip and turn on voice Robyn Merkel-Walsh 040820 27

Saying /v/ o Bite your lip o vibration and air o Say /v/ Robyn Merkel-Walsh 040820 28

Tactile Cues (lower lip must roll inward with slight jaw drop, voice) o Oral Placement Techniques Focus on midline airflow o Phonetic Placement Use a cheerio to model the placement and turn voice on Horns 1, 2, 3, 4, 5, 8, Robyn Merkel-Walsh 040820 29

OPT : cue lower lip in and direct vibration and air with the voice Robyn Merkel-Walsh 040820 30

From Choosing Words Wisely…. . Sa y /v / wo rds Robyn Merkel-Walsh 040820 • • vet vroom oven even View Over van 31

Some pictures for help oven vet view even over Van Robyn Merkel-Walsh 040820 vroom 32

/th/ Biting tongue sounds Robyn Merkel-Walsh 040820 33

TH unvoiced: Auditory cue “hissing cat sound” Placement cue: stick out tongue now gently bite it Robyn Merkel-Walsh 040820 34

TH voiced: Auditory cue “noisy bug” Placement cue: stick out tongue now gently bite it, turn on voice Robyn Merkel-Walsh 040820 35

Tip o Use a speech tool like a Zvibe as a cue to stick the tongue out o A lollipop or straw also can help Robyn Merkel-Walsh 040820 36

TH words Robyn Merkel-Walsh 040820 37

TH words Robyn Merkel-Walsh 040820 38

Lingual Alveolars: Tongue Tickle Sounds /l/, /s/, /z/ Robyn Merkel-Walsh 040820 39

Alveolars • /l/, /s/ and /z/ are “Late 8” (Shriberg, 1993). • Placement cues should be “easy” because the oral placements are very visual; however tongue tip elevation can be impacted by a variety of etiologies. Jaw Lips Tongue manner l Medium Open Retracted-Tongue tip elevation Oral/Continuant s High Open Retracted-Tongue tip elevation/depression Oral/Continuant z High Open Retracted-Tongue tip elevation/depression Oral/Continuant 40 Robyn Merkel-Walsh, MA, CCC-SLP/COM

/l/ Tongue up sound Robyn Merkel-Walsh 040820 41

/l/: auditory cue- singing /lala/ sound phonetic cue- open mouth, tongue back and up Robyn Merkel-Walsh 040820 42

/l/: auditory cue- lullaby sound “lala” Elmo song “lalala” phonetic cue- tongue up to the spot Robyn Merkel-Walsh 040820 43

This is where the tongue tip must go…. . Robyn Merkel-Walsh 040820 44

Placement Cues for Alveolars Back the car up into the garage Robyn Merkel-Walsh 040820 45

e h t e s i ! a d R oo h Robyn Merkel-Walsh 040820 46

Oral Placement Activities: seated position, feet on floor , head and neck straight, no biting on tool, parent holds tool Horn + Bubbles + Straw Side to Side Tongue tip up 10 x 25 x 10 x Robyn Merkel-Walsh 040820 47

Saying /l/ o Tongue to spot o Use Sensi® or Zvibe with fine tip to tickle the spot, a myo band , marshmallow fluff or peanut butter can also be placed on the spot o Say /l/ and continue lllllll (continuous) and then llllllllla La la la Robyn Merkel-Walsh 040820 48

From Choosing Words Wisely…. . Sa y /l/ wo rds Robyn Merkel-Walsh 040820 • • Lee A lot Lou Lap Light Line Lid loony 49

Some pictures for help Lee A lot Lou lap lid light Robyn Merkel-Walsh 040820 line loony 50

/s/ Hissing snake sound Robyn Merkel-Walsh 040820 51

/s/: auditory cue- hissing sound phonetic cue- tongue up to the spot , close your teeth , smile and air out the middle S Robyn Merkel-Walsh 040820 52

This is where the tongue tip must go…. . Robyn Merkel-Walsh 040820 53

Placement Cues for Alveolars Back the car up into the garage Robyn Merkel-Walsh 040820 54

e h t e s i ! a d R oo h Robyn Merkel-Walsh 040820 55

Oral Placement Activities: seated position, feet on floor , head and neck straight, no biting on tool, parent holds tool Horn + Straw + Bubbles Side to Side Tongue tip up 10 x 25 x 10 x Robyn Merkel-Walsh 040820 56

Tongue Pops: Tip up, press up and release. 57 Robyn Merkel-Walsh 040820

Saying /s/ o Use Sensi® or Zvibe with fine tip to tickle the spot, or use an edible o Close teeth in natural bite (no jaw pushing forward) o Say /t/ 10 x quickly and then add ass t-t-t-t-t-tssssss repeat and then say /s/ alone like a snake Robyn Merkel-Walsh 040820 58

/z/ The Buzzing Sound Robyn Merkel-Walsh 040820 59

Same sound voice off voice on ! Robyn Merkel-Walsh 040820 60

/z/: auditory cue- buzzing sound phonetic cue- tongue up to the spot , close your teeth , smile and air out the middle and turn on your voice zzzzzz Robyn Merkel-Walsh 040820 61

Oral Placement Activities: seated position, feet on floor , head and neck straight, no biting on tool, parent holds tool Horn + Bubbles + Straw Side to Side Tongue tip up 10 x 25 x 10 x Robyn Merkel-Walsh 040820 62

Saying /z/ o Tongue to spot o Use Sensi® or Zvibe with fine tip to tickle the spot and touch the throat o Say /z/ and buzz like a bee zzzz Robyn Merkel-Walsh 040820 63

From Choosing Words Wisely…. . Sa y /z / wo rds Robyn Merkel-Walsh 040820 • • Zoo Zen Zues Zoom Easy Bees Zap Zack 64

Some pictures for help zoo zen bees Robyn Merkel-Walsh 040820 Zues Zack 65

Palatal : Tongue Blade Sounds /l/, /s/, /z/ Robyn Merkel-Walsh 040820 66

Palatals • “Middle 8” /t∫ / (ch) and /dʒ/ (j) , (Shriberg, 1993) • “Late 8” /ʒ/ (voiced j) , /r/, /∫/ (sh)(Shriberg, 1993) • Placement cues are not clear and visible • Need the “feel” of speech as described by Sara Rosenfeld- Johnson • The lip tension is often forgotten in general placement cues Robyn Merkel-Walsh, MA, CCC-SLP/COM 67

/r/ The Roaring Sound Robyn Merkel-Walsh 040820 68

/r/ has many steps …… the position of the jaw and teeth matter The lips matter The tongue matters The vowel it is paired with matters Robyn Merkel-Walsh 040820 69

Use Bite Blocks to strengthen jaw 70 Robyn Merkel-Walsh, MA, CCC-SLP/COM

Placement Cues-Lips Teeth closed Lips push forward Robyn Merkel-Walsh, MA, CCC-SLP/COM 71

Placement Cues Tongue • 1. Bowl Tongue 2. Retract Tongue 3. Lift Tongue 72 Robyn Merkel-Walsh, MA, CCC-SLP/COM

Bowl ROUNDED TIP Robyn Merkel-Walsh, MA, CCC-SLP/COM 73

Retract • Use tools that increase resistance lips protruded and tongue retracted • Horns numbers 1 -7 and 9 -12 assist with r/ ɚ /ɝ • Horns numbers 3, 6, 9, 10, 11 and 12 assist with ∫, t∫, dз Robyn Merkel-Walsh, MA, CCC-SLP/COM 74

Lift the Tongue Blade 75 Robyn Merkel-Walsh, MA, CCC-SLP/COM

auditory cue- roaring /r/ placement cues: lips push forward , tongue goes back Robyn Merkel-Walsh 040820 76

From Choosing Words Wisely…. . Sa wo y /r/ rds Palatals • • • Row Read Ear Rip Root orange Run Rake ride 77 Robyn Merkel-Walsh, MA, CCC-SLP/COM

Some pictures for help row rip read orange ear rake ride run root Robyn Merkel-Walsh 040820 78

Robyn Merkel-Walsh 040820 79

Additional Cues All sounds Robyn Merkel-Walsh 040820 80

Breaking down and blending (Successive approximation by Kaufman Praxis) If the child cannot say the consonant and vowel together (key) Say consonant alone Say vowel alone s ee Say consonant alone again s ee Say vowel alone again K-ey less spaced apart Say word whole word Robyn Merkel-Walsh 040820 see 81

Backwards Chaining If the child cannot say the consonant and vowel together Say end of word first repeat ee Say consonant in beginning ssss repeat see Say mmm-om (ahm) Robyn Merkel-Walsh 040820 Say mom 82

https: //talktools. com/pages/publications https: //pammarshalla. com/wp-content/uploads/2019/10/Marshalla. References-2019. pdf http: //www. oralmotorinstitute. org/ https: //www. speech-language-therapy. com/ http: //www. kidspeech. com/the-kaufman-speech-to-language-protocol/ Robyn Merkel-Walsh 040820 83

QUESTIONS? Bergen Blvd. Students: rwalsh@Ridgefieldschools. com Office Patients: robynslp 95@aol. com Robyn Merkel-Walsh 040820 84