Rationale
What is the ultimate goal of slowing speaking rate?
The ultimate goal for controlling speaking rate is to have the client slow down his or her stuttering so that he or she can engage proprioceptive as well as have tactile awareness to modify and move through the stuttering moment.
What is Turtle Talk?
The concept of speaking at a slower rate.
What are two analogies used for understanding fast versus slow speech?
1. Vehicles
2. School zone
3. Rabbit speech or turtle speech
4. Stoplight
5. Tigger vs Eeyore.
What is light contact?
Good Job!
How would you introduce speaking at a slower rate to a child?
You could use visual, verbal or tactile cues.
Rate of control is a very effective____
motoric strategy for reducing or inhibiting disfluencies.
What is the rubber band method? Why would you use it?
Give the child a rubber band to stretch out slowly when speaking. Slow movement is important when learning the basics of articulating and maintaining a comfortable rate.
Why should we help our client understand the difference between rapid rate and slow rate?
With a fast rate of speech, the child will underarticulate and chop up his or her words; in a slow rate of speech, he or she will overarticulate and smoothly pronounce words with ease.
You touch your speech articulators together very gently when producing an initial sound of a word or sentence. Then, you.....
move into the next sound using smooth movement and easy voice.
Should a parent provide models of slow speech as well?
Yes, it is important as clinically, parents’ speech rate may influence their children’s disfluencies. As a part of treatment, adults who stutter, children who stutter and/or parents of children who stutter are often asked to slow down their speech (Conture & Melnick, 1999; Guitar, 2006).
What does a reduce speaking rate help enhance physically that is necessary for the production of fluent speech?
It enhances the spacing and timing of respiratory, phonatory, and articulatory movements necessary for the production of fluent speech.
What is the rainbow speech activity?
Draw a picture of a rainbow and have the child prolong a word as he or she traces the shape with his finger until he or she gets to the end of the rainbow.
How many phrases are there to help children discriminate between hard and light contacts?
Three
Light contact is particularly effective when used to produce___
consonants at word initial position
What is one of the teaching strategies for light contact?
-light contact at the phoneme level
-teach contrasts between soft vs hard contact
-voluntary stretching of sounds
People who stutter often produce____ with hard articulatory contacts
consonants
How would you use visual cues in therapy for controlled speech?
Visual cues are helpful to remind the child to produce slow and fast speaking rate.
For example as the clinician bring two fingers together when the child is producing a faster rate and spread them apart during slower speech.
Other cues, such as touching the child’s arm, holding up a start/stop sign, or ringing a bell can be used to cue the child.
Name two of the different phrases to help a child discriminate between hard and light contact.
Regular fluent way
Hard stuttering way
Easy stuttering way
What are some of the word-initial position consonants?
b, p, d, t, g, k, f, voiceless th, s, sh, and ch
What is voluntary stretching of sounds when using the light contact strategy?
Lengthening initial sound, they are naturally produced slowly and with "soft" articulation; this method works as a good starting point for teaching light contact.
Teaching the client to produce "__, __" articulatory movements is helpful in reducing articulatory tension to avoid stuttering and reducing tension in the middle of a stutter.
soft, loose
Assist in desensitization to time pressure.
The feeling of time pressure is____?
Explain.
is the enemy of slower speech rates, particularly during a stuttering moment.
Whenever possible, identify activities that allow the child to feel and confront time pressure. Reinforce this by making sure that he understands time pressure as a feeling of impatience, which may include a fear that other people will criticize him for being too slow.
How would you demonstrate the difference between hard vs soft contacts?
Auditory discrimination exercises
Build kinesthetic awareness
Model with another clinician
Use visual, hands-on props to increase understanding
What tools can you use to teach kids light contact?
visual props, mirror, and tongue depressor
Name some strategies used for light contact.
Cancellations: Immediately after the stuttering moment, the child should repeat the word with a light articulatory contact.
Stuttering Behaviors: The clinician can demonstrate several stuttering behaviors and then demonstrate how to manipulate or change the.
Have the child produce easy stutters on cue. When the clinician provides a tactile cue, the child should insert an easy stutter.