When my son, Noah, was 2 years old, his speech therapist suspected he might have apraxia of speech. Noah had no intelligible language, almost no approximations and very poor oral motor skills. He did not have the motor coordination necessary to blow a bubble or produce any sound on a horn. He had weakened muscles […]
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 […]