Ask A Therapist: Trouble Blowing

Hello. I recently purchased the parent kit to use with my son, Patrick. Patrick is 4 years old, has autism and low muscle tone, and is not yet speaking. I would like to begin the program with him as soon as possible, but he does not understand how to blow yet. I have begun to work on this by modeling and using bubbles, and will ask his school to focus on this goal. Do I need to wait until he can blow a horn to start or can I begin with just the straws and bite tubes?

Also, Patrick constantly pulls straws out of cups while drinking. Do you have any suggestions for this? I thought about buying more lip blocks to put under the cup lid so that he won’t be able to remove it.

Thanks!

Hello and Happy New Year!

Thanks for your questions regarding our parent kit.

You can start with straws and bite tubes before blowing tasks—absolutely. In fact, by working on jaw–lip–tongue dissociation you are targeting the necessary skills to move toward phonation tasks.

I’d consult with PT/OT to help with blowing. This is often a sign of apraxia but also can be an issue with core strength and rib cage expansion. Start with bubbles Step A of the hierarchy—this is when you pop the bubbles on the lips. It’s great to do this with your child lying prone (on the tummy), pushing up on the hands for core stability.

Finally, I often put a rubber band under the lid on the straw, wrapped tightly 5 or 6 times, so the straw can’t be pulled out.

Thanks for your interest in TalkTools!

Robyn Merkel Walsh, MA, CCC-SLP

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