What Evidence-Based, Oral Sensory-Motor Treatments are Effective for Speech Disorders?

NOTE:  This article has been reprinted with permission from Diane Bahr of Ages and Stage®, LLC and Robyn Merkel Walsh.   EVIDENCE-BASED PRACTICE (EBP) IN SPEECH-LANGUAGE PATHOLOGY Robyn Merkel-Walsh, MA, CCC-SLP & Diane Bahr, MS, CCC-SLP, CIMI According to the American Speech, Language, and Hearing Association (ASHA, 2005) “the term evidence-based practice [EBP] refers to… read more

Elizabeth Finds the Right Fit for Her

Something so unique about having a special needs child is that when most typical children are headed in one direction, you find yourself wondering if you should follow their lead, if it fits your child’s needs, or if you need to forge your own path, hope it fits your child’s needs and try to stand… read more

Ask a Therapist: TMJ Sensory Feedback for Calming

Hey Sara, Recently you had a parent open question meeting in Corpus Christi, TX. I was there with my 8 month old baby. You were talking to a woman who’s 5ish son with Down syndrome was repeatedly hitting his chin and you mentioned he was satisfying a feeling that was in his jaw by that… read more

Ask a Therapist: Optimal Bite and Structural Cross Bite

Hello Sara, I took your course in NYC Sept 2013. I have a question, if you don’t mind answering, I have a student with down’s syndrome who is 12 years old and up until now has not been motivated to work many aspects of speech and language.  This year she is more motivated and feel… read more

Great Job Dashiell!

When our son Dashiell was born in early 2004 with Down syndrome, we immediately began researching possible intervention and therapy options. We realized that in our talkative family, speech would be our priority. When we found an article by Sara Rosenfeld-Johnson about her oral-motor therapy, the connections between feeding and speech really made sense to… read more

Annabelle 13 Months Eating Food, Puffs, and Horn

At 13 months Belle has grown into having quite the personality. She finds it funny that we keep videoing her. She laughs and tries to follow the camera. We really have to keep up with her while feeding her pureed foods and puffs because she thinks this “camera thing” is quite the novelty.  While she… read more

Ask a Therapist: Nasal Emission of “sh”, “ch”, and “j”

Hi Sara I have a student who is turning four years old next month. I have been seeing her for several months for nasal emission on sh, ch and j. She never had any anatomical problems and has been seen by an ENT. Oddly, she produces s and z just fine in spontaneous speech. I’ve… read more

Ask a Therapist: Unsupervised Chewing

Hello, My patient was evaluated by you in June of 2014.  We are currently using the red chewy tube and yellow chewy tube in therapy and at home to improve jaw strength and stability.  However, the patient is now seeking ‘input’ orally- especially with chewing, now more than ever before.  How can we support this… read more

Ask a Therapist: Vocalic /r/

Hi Ms. Rosenfeld- Johnson, I took your oral placement technique course in New York a few weeks ago. I have a few clients who have difficult with the /r/ and tried out the robot technique. A lot of those same kids also have trouble producing the glottal fry — do you have any pointers for… read more