Today is World Down Syndrome Day!

Today is World Down Syndrome’s Day. Why March 21st? Because individuals with Down Syndrome have an extra copy of the 21st chromosome. According to DownSyndrome.com “the most common form of Down Syndrome is known as Trisomy 21.”

Did you know?

  • Down Syndrome is NOT hereditary in most cases.
  • For every 800 babies, 1 is born with Down Syndrome.
  • Down Syndrome can occur in all races.
  • Many pregnant woman can undergo testing to discover if their child will have Down Syndrome in their first trimester.

Although most people with Down Syndrome will have some form of intellectual disability, speech therapists and other health professionals (OT, PT) can assist in helping a child reach developmental milestones.

On this day, let’s celebrate all of the wonderful people who have, support and embrace Down Syndrome! Spread the knowledge!

*Information from http://downsyndrome.com/. Please visit for more information about Down Syndrome!

 

Way beyond lisps!

As in many social situations, I am often asked what I do for a living. I can’t even begin to tell you the number of times I hear “oh so you fix lisps?” as a response. I often times laugh this off and try to explain as best I can that there are an array of communication disorders that I treat throughout the day. People are often shocked by the extent of a Speech Pathologist’s work. “You do FEEDING?” or “You work with STROKE victims?” Once in awhile, I will come across individuals who empathize with my line of work and will add how a family member or friend is seeing a speech pathologist for one reason or another. I started to think, “how can I get the word out there about what we as SLP’s really do?” I guess that this blog and the help of fellow SLP’s can be a good way to start! Let’s begin with a list of just some of the things that SLP’s do on a daily basis:

  • Work environments include: hospitals, schools, clinics, private practices, home based therapy, organizations, agencies, colleges and universities, nursing-care facilities, state and federal government agencies, rehabilitation centers, research laboratories.
  • Bedside Assessment of Swallowing
  • Establishing safe diets for clients with oral-motor weakness
  • Feeding Therapy
  • Articulation Therapy
  • Voice therapy
  • Fluency treatment (stuttering)
  • A variety of formal and informal evaluations/assessments to determine language impairment.
  • Hearing screenings
  • Treating individuals with cleft-lips and palates
  • Accent Modification
  • Decreasing speech impediments (lisps).
  • Work as a part of an interdisciplinary team with other health professionals to diagnose and treat (occupational therapists, physical therapists, doctors, nurses, psychologists)
  • Treatment in a variety of communication disorders and medical conditions including but not limited to: auditory processing disorder, comprehension deficits, hearing impairments, oral-motor disorders, myofunctional disorders, phonological processing disorders, Autism, Down Syndrome, Cerebral Palsy, Apraxia, Aphasia, ALS (Lou Gherigs Disease), Dysarthria, Dysphagia, Traumatic Brain Injury, AAC (Augmentative and Alternative Communication), Huntington’s Disease, Laryngeal or Oral Cancer, Dementia, Stroke, Tracheotomy patients, ADHD, Selective Mutism.

I am hoping that by sharing this information, people can better understand the work of a speech pathologist as well as the settings that they work in. The next time you are asked at a party, “what do you do for a living?” I hope you take that opportunity to spread the importance of speech pathology and how this treatment can change many peoples’ lives.

Pragmatics

You may often hear speech pathologists and teachers discussing a child’s “pragmatic skills.” “Pragmatics” is a word that simply means the use of language in social contexts. An example of this can be seen through a variety of things that we do during effective communication. Examples are as follows:

1. Greeting: One important aspect of pragmatics is appropriately greeting individuals.

2. Eye contact: Maintaining appropriate eye contact during conversational speech is a very important skill so that the talker knows you are listening.

3. Facial expressions: The ability to use appropriate facial expressions as storiesor conversations change.

4. Posture: Demonstrating appropriate body posture (not hunched over) when talking or listening.

5. Nodding: The ability to nod or demonstrate understanding of what is being said.

 6. Intonation: The ability to change your tone or intonation appropriately to match the mood of the conversation.

7. Request clarification: Another important aspect of having effective communication is requesting clarification when something is not understood.

8. Topic: Another pragmatic skill involves maintaining the topic of conversation. Some children will hear a word or part of the sentence and then go off topic to discuss something else. It is important to bring them back to the original topic.

There are several other pragmatic skills such as politeness markers, giving explanations and appropriate imitation. Above is a list of some of the ones that I look closely for. If you suspect that a child has a Pragmatic Language Disorder, contact a speech pathologist. One standardized test that can be given is called the Test of Pragmatic Language-2 (TOPL-2). This is a norm-referenced test that provides important information and assists in program planning. Remember that strong pragmatic skills are important to achieve effective communication!

How can I boost my child’s vocabulary?

Many parent’s don’t realize how simple it is to increase their child’s vocabulary. Sure, reading books and going over flashcards are some ways of doing this, but there are things you can do on a daily basis that are much simpler. The great part about these activities is that your child won’t even realize that he/she is learning!

1. The Grocery Store: Many may not realize it, but the grocery store is a wonderful place for a child to learn an abundance of fruits, vegetables and other items. Have your child assist you in picking out these items. For example, “Johnny, can you please get me two mangoes.” By doing this, your child not only has to correctly identify the mangoes, but also has to follow directions to bring you back the appropriate number. One thing to remember during this process is that mistakes are OK! This is an opportunity for your child to learn new items. “Johnny, those are pineapples. I asked for the mangoes.”  You can also use this activity to reinforce what a child already knows.  “Wow Johnny, great job, you found the broccoli just like I asked!” The grocery store, with an array of fruits and vegetables is also a great place to work on colors. “Johnny, which ones are the RED peppers?” or “Can you find the purple eggplant?”

2. A trip to the Zoo or Farm: If you are lucky enough to have a zoo or farm nearby, these places can be a wonderful way to increase your child’s vocabulary of animals.
Not only can the child hear about all of the different animals, but they visualize the kinds of environments they live in. They can also hear the corresponding sounds that animals make. These places are great learning experiences for children who are “visual learners.” On your way home, make sure to ask lots of questions such as, “Johnny, which animal did you feed today?” or “Johnny, which animal was your favorite?” This will help reinforce everything learned that day.

3. A trip to the beach:The beach is a great place to take
children to increase their vocabulary.With a variety of textures (sand, water), objects (birds, seaweed, seashells), species (crabs, oysters, muscles) it is a great place to introduce children to new items. The fact that children can safely touch some of these objects also makes the beach a great place to learn.

There are tons of other places that children can increase their vocabulary (ex. movies, library, convenience store). The most important part of all these trips are how you involve your child. Make sure to ask lots of questions throughout the trip and have your child assist you. The “wrap up” afterward is just as important to solidify information learned!

SLP’s role in counseling

When you hear “Speech Pathologist”, you don’t necessarily think of a counselor, but in fact, we do more counseling than one would think. I remember the day in graduate school when my professor made the announcement that we would be discussing “counseling” for the day. My first thought was “I didn’t sign up to be a school psychologist?” By the end of the lecture, I understood just how important this role is in our industry. Not having any children of my own, my professor stressed the importance of language development in a child. How expectations for a child could be taken away so quickly. A mother or father’s dreams for their child, their hopes and thoughts of their future could potentially be changed with a diagnosis of a language impairment or other language disorder. This leads back to our role in counseling. It is our job to not only be empathetic, but also to help parents better understand what their child needs. When a child receives a diagnosis, I often give parents or caregivers a lot of resources so that they can get accurate information. I often encourage them to stay away from the internet as there is a lot of false and negative information that could be harmful. I like to dedicate a session, or at least part of a session, allowing the parents or caregivers to ask questions and to voice their concerns. I also like to plot my course of action for therapy. This hopefully allows them to feel more in control and fully understand the steps ahead. I often have to remind parents that progress may be slow and speech therapy is not always a “quick fix.” I stress the importance of generalization and give them things they can do at home to help speed progress in therapy. If you are a Speech Pathologist, make sure you are doing everything you can to counsel the parents during this process and to be their guide when needed. If you are a parent, make sure to refer to your Speech Pathologist with all of your concerns and questions. The more you know, the better you can help your child progress while making sure they are receiving all of the assistance they need and deserve.

Books for children with disabilities

Last week I was at a client’s home when I stumbled upon a book that sparked my interest. The book entitled Rolling Along with Goldilocks and the Three Bears is “the familiar folktale with a special-needs twist.” What I love about this book is that it has all the details of the actual story but the baby bear has special needs and uses a wheelchair. Instead of him having a “small chair,” he uses a special chair with a tray. Baby bear also discusses how he goes to physical therapy to help him “get stronger.” This made me curious to see what other books might be available for special needs children. A few minutes on Amazon.com revealed just how many there were out there! I figured I would share what I’ve found so you can read with your child or use in therapy!

Susan Laughs by Jeanne Willis: A great book that describes all that Susan does. The reader doesn’t find out till the end that Susan uses a wheelchair.

Special People, Special Needs by Arlene Maguire: A rhyming book that describes children with all different kinds of disabilities. Winner of IParenting Media Award.

Don’t Call Me Special: A First look at Disability by Pat Thomas: Young children can find out about various disabilities written by a psychotherapist and counselor.

Rolling Along, The Story of Tyler and His Wheelchair by Jamee Riggio Heelan: An inspiring story of a young boy Taylor who has cerebal palsey while his twin brother Tyler does not. This book explains how Tyler uses his wheelchair to do many things including playing basketball with his brother.

You can check out all of these books on Amazon.com! They have many more but thought I would share some of my favorites! Have a book you love to use? Share it with us at Speechbop.com on Facebook or tweet us at Speechbop!

Eliciting the /r/ sound- taking the pain out of therapy!

The /r/ sound is one of the most difficult to teach in therapy. Several of my children struggle to produce the /r/ sound appropriately. Because of this, I wanted to see what other speech pathologists were doing during their treatment. I found out some new and interesting techniques that I am definitely going to try with my clients!

-Auditory Bombardment- One technique, called auditory bombardment, involves the child listening to a repetitive and intense list of words including the targeted sound (in this case, the /r/). This evidence based procedure is supposed to assist children in their rate of sound development.
-Imitation- This technique may seem obvious (“I keep modeling a good /r/ but they just aren’t appropriately imitating). Another option would be to have the child imitate certain animal sounds that are fun to make and may ease the child’s pressure of trying to model the sound appropriately. Some good animals to imitate are tigers (roarrrrrr), dogs (ruff, ruff), or birds (chirp, chirp).
-Incorporate mirrors- Although the /r/ sound is hard to see with a mirror, I always like to incorporate them into my therapy sessions to increase awareness of mouth, tongue and lip movements.
-Jaw movement- I often ask my clients to produce the /L/ sound. While they are doing this, I then model how to gently pull their jaws down until the /r/ sound is eventually reached.

There are plenty of other techniques to produce the /r/ sound, but these are the 3 that I find the most useful. Have any other techniques you want to share? Tweet us at Speechbop! We would love to hear your feedback!

Is your child getting the accommodations they deserve?

With state testing starting this week in Connecticut, my coworkers have been running around making sure that all the students in our school are receiving the accommodations they are entitled too. This got me thinking, “how many parents are unaware of their child’s testing accommodations?” Children with IEP’s are often given testing accommodations (ex: extended time, alternate setting, reader, bubbler). These accommodations give these children the opportunity to perform at their best. For example, if a child performs better when given extra time, their IEP may mandate that they have extended time to take all standardized tests. If you are a parent, and know that your child has testing accommodations, it wouldn’t hurt to contact their teacher just to ensure that those accommodations are being met. As a parent, its important to advocate for your child. Did your child become eligible for special education services? Make sure to ask if your child would benefit from testing accommodations. It could make a big difference in how your child performs and these test results could affect future placement in your child’s education!

Elements to consider when treating stuttering

I recently came across a poll taken from the ASHA Leader. I am always looking for new and meaningful ways to treat, so I thought I would compile and share some treatment ideas for stuttering written by myself and fellow speech pathologists. I have used several of these techniques that have proven to be successful with my clients. Listed below are just some of those techniques. Please keep in mind that not all of these strategies may be appropriate with all clients.

  • Easy onset
  • Light articulatory taps
  • Breathing exercises
  • Pacing boards/pacing strategies (i.e. only speaking as fast as you can write).
  • Light finger tapping on each syllable
  • Counseling
  • Listing celebrities that stutter (often  builds confidence and awareness)
  • Going over statistical information (“you are not alone!”)
  • Having them overcome fear by using the phone or ordering in a restaurant
  • Maintaining eye contact to desensitize “fear”

Want to add a technique that you use? Contact me or tweet us at @speechbop

How Can I Become an SLP?

Many jobs as a Speech Pathologist require a masters degree. Every state has different licensing requirements in order to work as a certified Speech Pathologist. Graduate schools MUST be accredited by the national organization for speech pathologists called ASHA (American-Speech-Language-Hearing Association).

Click here to find accredited schools near you as well as important contact information!

How can I learn more?

If you are a student graduating high school or college and are going into the field of Speech-language Pathology, I highly recommend you join NSSHLA (National Student Speech Langauge Hearing Association). Not only does it provide useful information throughout your undergraduate/graduate career, but being a member also saves you money on your future memberships fees to ASHA.  Become a member now!