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- Melissa
- Stockholm
- Teletherapy in Texas
Waco
Texas
76705
United States - Presence Learning
Waco
Texas
76705
United States
Treatment is based on the Principles of Motor learning. Treatment should target establishing increasingly complex sequenced articulatory movements, rather than individual phonemes. Repetitive practice of target utterances is implemented such as the "Rule of 3" in order to acquire consistent and accurate productions of speech movement sequences. I try to uses phonemes within the child's repertoire when teaching a new word shape and I use a established word shape when teaching a new phoneme. It is important to select utterances that are functional, and I try to choose target vocabulary that represent different parts of speech to increase opportunities for early phrase and sentence productions. It is important to provide auditory, visual, tactile/kinesthetic and cognitive cues when establishing accurate productions, but I then start to fade the cues to get more opportunities for target utterances to be produced spontaneously. I incorporate and recognize the importance of using a slower rate of speech at first to help the child's accuracy of movement patterns. I also try to work on prosody early on and throughout the therapy treatment along with literacy ( rhyming, use of repetitive phrase big books and songs) components through out the sessions. I am getting better to making sure that I provide very specific feedback to the client during treatment.
The parents have a observation room in which they can observe their child's treatment. The parents also receive regular updates regarding their child's treatment progress. Parent training is also provided in which we provide ideas on homework practice activities and materials along with training on the cues that the child receives in their treatment sessions. We also inform the parents about the Apraxia Kids website and the resources that are available for them in regards to CAS.
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