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Tag: HORN HIERARCHY

Ask a Therapist: Dystonic Cerebral Palsy Extension Patterns and Jaw Weakness

Hi there, I have just assessed an absolutely delightful little four-year-old boy with a diagnosis of Dystonic Cerebral Palsy. All four limbs are affected but the weakness is more apparent on the right side. My assessment has shown significant jaw weakness and instability—he begins to jaw jut and slide after three seconds of attempting a […]

Ask a Therapist: Horn Hierarchy – Should Clients Puff Their Cheeks?

Hi Sara, I took your three-day introductory course years ago and one video course with Renee a couple of years ago.  There is a basic tenant to horn therapy that I cannot find in my notes, and I’m hoping you can clear this up for me.  When a child is blowing on a horn, is it correct […]

Ask A Therapist: Tongue Placement

Hi, I am hoping you can offer a suggestion. I am an SLP and see a 2 YO child who began sucking on his tongue and had a forward tongue posture before I started seeing him. Once I started working with him I had the family switch to straws only and eliminated the sippy cup. […]

Horns, Whistles, Bite Blocks and Straws by Pam Marshalla

This excellent article by Pam Marshalla, MA, CCC-SLP is posted on the Oral Motor Institute site and discusses how some tools and methods have been categorized as “nonspeach oral motor exercises” (NSOME) but these same tools and methods were used by Van Riper and other pioneers of articulation therapy. Click here to Read PLEASE READ!

Ask A Therapist: “Fixing” During Horn Hierarchy Exercises

I use the horn hierarchy and really love the results. One of my clients, a young girl, tenses her muscles – shoulder, stomach, facial, etc, to blow and make the appropriate sound for appropriate duration. How do I stop this compensation? The client is “fixing” – using a compensatory pattern that lets the SLP know the client […]