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by Harriett Hoeprich, Speech/Language Specialist 1995
The following are only a brief beginning list of possible books to enhance articulation skills. One reason that reading can be a helpful way of enhancing articulation is by "bombarding" the child with many opportunities to hear the correct pronunciation of the targeted sound. When you know your child has worked on a certain sound in therapy, it can also be another way to practice new skills. When you talk about the book with your child, the sound should come up naturally because of the topic or words in the book. You can use a "closure" technique to elicit certain words, if you feel fairly confident that your child can produce the sound. (For example: "Caps for sale! Fifty cents a ____." letting your child fill in the blank.) Or you could have the child "read" part of the book with you, if it's a story he is very familiar with. Very repetitive stories are also helpful in eliciting phrases--such as "Polar Bear, Polar Bear, what do you hear?"
Remember to use a very natural, low-key approach. Drilling under pressure will probably result in the child disliking the activity and possibly the whole idea of reading and speaking, which is certainly not your goal! Remember that even if your child is "only" listening, she is still gaining the auditory bombardment of the sound and opportunities to hear the correct pronunciation in a controlled setting, not to mention all the other benefits of spending time with you and reading.
K SOUND THE VERY HUNGRY CATERPILLAR by Eric Carle CROSS COUNTRY CAT by Mary Calhoun CAPS FOR SALE by Esphyr Slobodkina CATS AND CANARY by Michael Foreman CAN I KEEP HIM by Steven Kellogg CORDUROY by Don Freeman MILLIONS OF CATS by Wanda Gag
D SOUND A DARK, DARK TALE by Ruth Brown HAVE YOU SEEN MY DUCKLING? by Nancy Tafuri MAKE WAY FOR DUCKLINGS by Robert McCloskey
P SOUND EACH PEACH, PEAR, PLUM by Janet and Allen Ahlberg HAROLD AND THE PURPLE CRAYON by Crockett Johnson PAT THE BUNNY by Dorothy Kunhardt THE PIG'S WEDDING by Helen Heine POPPY THE PANDA by Dick Gackenbach
F SOUND FAMILY by Helen Oxenbury FEELINGS by Aliki FINDERS KEEPERS by Will and Nicholas Mordvinoff A FARMER'S ALPHABET by Mary Axariun THE FOOT BOOK by Dr. Seuss THE FOOLISH FROG by Pete and Charles Seeger FIVE LITTLE FOXES AND THE SNOW by Tony Johnston ONE FISH, TWO FISH, RED FISH, BLUE FISH by Dr. Seuss FIX-IT by David McPhail GONE FISHING by Earlene Long THE LITTLE FUR FAMILY by Margaret Wise Brown
M SOUND MOON MAN by Tomi Ungerer MAMA DON'T ALLOW by Thatchur Hurd MADELINE by Ludwig Bemelmans MARY HAD A LITTLE LAMB by Mary Josepha Hale MAX'S FIRST WORD by Rosemary Wells MITCHELL IS MOVING by Marjorie Weinman Sharmat
G SOUND GOOD MORNING, CHICK by Mirra Ginsburg GOOD-BYE HOUSE by Frank Asch GONE FISHING by Earlene Long GOODNIGHT MOON by Margaret Wise Brown I GO WITH MY FAMILY TO GRANDMA'S by Riki Levinson
H SOUND THE VERY HUNGRY CATERPILLAR by Eric Carle THE THREE LITTLE PIGS by many different authors HAPPY BIRTHDAY, MOON by Frank Asch HAROLD AND THE PURPLE CRAYON by Crockett Johnson HIPPOS GO BERSERK by Sandra Boynton HOLES AND PEEKS by Ann Jonas HOW DO I PUT IT ON? by Shrego Watanabe HUSH LITTLE BABY by Jeanette Winter
B SOUND I AM A BUNNY by Ole Risom HUSH LITTLE BABY by Jeanette Winter PAT THE BUNNY by Dorothy Kunhardt THE RUNAWAY BUNNY by Margaret Wise Brown
L SOUND I KNOW AN OLD LADY by Nadine Bernard Wescott I LOVE MY BABY SISTER by Elaine Edelman A LION FOR LEWIS by Rosemary Wells THE LITTLE DUCK by Judy Dunn THE LITTLE PUPPY, THE LITTLE LAMB, THE LITTLE KITTEN, ETC... by Judy Dunn THE LADY AND THE SPIDER by Faith McNulty THE LITTLE FUR FAMILY by Margaret Wise Brown LYLE, LYLE, CROCODILE by Bernard Waber
SH SOUND HUSH LITTLE BABY by Jeanette Winter ONE FISH, TWO FISH, RED FISH, BLUE FISH by Dr. Seuss SHEEP IN A JEEP by Nancy Shaw SHEEP IN A SHOP by Nancy Shaw SHHHH! by Suzy Kline SHHHHH...BANG by Margaret Wise Brown SHINE, SUN! by Carol Greene
TH SOUND THE THANK YOU BOOK, by Francoise Seignobuse THINGS I HATE by Harriett Wittels THE LITTLE ENGINE THAT COULD by Wally Piper AND TO THINK THAT I SAW IT ON MULBERRY STREET by Dr. Seuss TEETH by Michael Ricketts THANK YOU by Edith Flack Ackley THUNDERSTORM by Mary Szilagyi THUMP AND PLUNK by Janice May Udry THE THINKING BOOK by Sandol Stoddard THE THINKING PLACE by Barbara Joosse THIS AND THAT AND THUS AND SO by Evaline Nuss THIDWICK, THE BIG-HEARTED MOOSE by Dr. Seuss THREE BY THE SEA by Edward Marshall
R SOUND ROSIE'S WALK by Pat Hutchins ROTTEN RALPH by Jack Gantos LITTLE RED RIDING HOOD by the Brothers Grimm
S SOUND SWIMMY by Leo Lionni BROWN BEAR, BROWN BEAR by Bill Martin SEE AND SAY by Antonio Frasconi THE SEAL MOTHER by Mordicai Berestein SEARCH FOR SAM by Neil Morris SEEN ANY CATS? by Frank Modell SEEDS by Terry Jennings
T SOUND THE TEENY-TINY WOMAN by Paul Galdone TEN, NINE, EIGHT by Molly Bang TOUCH! TOUCH! by Riki Levinson TEENY TINY by Jill Bennett TASTING by Richard Allington TAN TAN'S HAT by Kazuo Iwamura TICKLE TICKLE by Helen Oxenbury TIGER CAT by Slawomir Wolski TIC, TAC AND TOE by Bruno Munari
FINAL CONSONANTS LOUIS THE FISH by Arthur Yorinks THE LITTLE DUCK by Judy Dunn MOON MAN by Tomi Ungerer PERFECT THE PIG by Susan Jeschke THE CAT IN THE HAT by Dr. Seuss ONE FISH, TWO FISH, RED FISH, BLUE FISH by Dr. Seuss CROSS COUNTRY CAT by Mary Calhoun CAN I KEEP HIM? by Steven Kellogg A DARK, DARK TALE by Ruth Brown THE FOOT BOOK by Dr. Seuss GOODNIGHT MOON by Margaret Wise Brown HAPPY BIRTHDAY MOON by Frank Asch OLD MACDONALD HAD A FARM Several versions available HOP ON POP by Dr. Seuss TEETH by Michael Ricketts TIC, TAC, AND TOE by Bruno Munari You will probably come up with many more of your own favorites!
Harriett Hoeprich, M.S., CCC 1995
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Take a very "low-key" approach, especially if you are someone who does not see the child every day. Start the interaction by noticing something the child is doing in play. Begin to "play" beside him, making your toy do something silly or interesting. Talk about what you are doing and talk about what the child is doing during the play or other activity. Do not directly correct the child's speech or language during interactions. If you can understand all or part of what is said, say something back which includes the incorrectly pronounced words, but use correct pronunciation. Avoid asking the child questions. Children who are hesitant to talk will often "clam up" when asked direct questions. Make comments about the activity, situation, or play to help keep the interaction going. Be patient! Your child will be working on developing his speech and will need the patience of others while he is doing so. Harriett Hoeprich, 1998 |
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by Harriett Hoeprich Boulder Valley School District
When your child has difficulty coming up with a word and is very frustrated, gently suggest a possible word if it seems appropriate. At most other times, however, it is better to "guide" the child to thinking of the word. Develop your child's skills of categorization and association of words. These can then be helpful "cues" for "finding" a word. As adults, we do this all of the time. For example, we might start to describe the thing we are thinking of and then the word "pops" into our mind. As adults, we tend to use letter associations quite a bit to remember words or names, but younger children can rely on categories (it's a good, animal, etc.) and associations (it goes with a ...). After the child remembers a word, model that word in the next few sentences you say. This reinforces the word. You might even make some statements that are categories, associations, or--when the child is older--letter associations. For example, say your child can't think of "cow" and then does (either with your help or on his own). You might ten say something that fits the situation, like: "Oh, yes--cows do give milk. You're right about that. A cow is a farm animal. Cows live on farms and give milk.") Help develop stronger vocabulary skills in general by modeling a wide variety of words yourself. Do so often enough so the child hears frequent repetition of the word. Connect vocabulary to real experiences whenever you can. Make sure the child gets adequate rest and good nutrition. You may notice that you have more difficulty remembering words when you are tired, sick, stressed, or hungry. This is true for children, too. |
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by Mary Anne Tanner, MSW Boulder Valley School District
ALWAYS REMEMBER THAT YOU, AS A PARENT, ARE AN EXTREMELY IMPORTANT PART OF THE STAFFING TEAM. Come prepared to the staffing by writing down questions you have and information you want to share ahead of time. If the staffing is a review staffing or annual review, look over the goals and objectives on the last IEP before the staffing. Before the staffing, consider what is important to you that your child learns during the next year. Share this information at the staffing. Bring a friend or relative to the staffing if this will help you to feel more comfortable. View the staffing time as an opportunity for you, as your child's parents, and your child's teaching staff to work together to construct a plan that will help your child to be a successful learner. Listen, learn from others, and teach others.At the beginning of the staffing, find out how much time everyone has for the meeting. This will help you and the other participants to pace themselves appropriately. Ask questions as they arise in your mind at the staffing. Take notes during the staffing if this will help you to remember things you want to remember. If you do not agree with a goal, placement, services or anything else that is being proposed for your child's education, tell the rest of the staffing team. A large amount of information is shared at a staffing. Ask for another meeting if you feel overwhelmed and need time to think things over. At the end of the staffing, summarize your understanding of the outcome of the meeting. Give constructive feedback to school staff regarding the staffing process. Both positive and negative feedback is appreciated if it is done in a constructive manner. Similar to other professions, school professionals have many constraints and responsibilities pulling at them in addition to their desire to do what is best for the children. They are in many staffings throughout a year and sometimes these staffings occur consecutively. Sometimes we don't do as well as we would like to make the process comfortable for you as parents. Sometimes we do a good job. Please tell us when we do either. Ask for suggestions about how to support the IEP goals and objectives at home. Arrange with the teacher and other professionals ways that you can stay in touch throughout the year through notes, phone calls, parent/teacher conferences, etc. Visit the classroom at least once throughout the year. Volunteer at school and/or in the classroom. articipate in activities at home to reinforce the goals and objectives on the IEP. |
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by Laurel Haack, OTR Boulder Valley School District
For children to be able to learn or control their behavior, the nervous system must be in the proper state--one of equilibrium on a continuum somewhere between clam and alert. Equilibrium is our normal state, but the nervous system is always ready to respond to changes in the environment. For example, when we hear a car horn, we are alerted and can respond to any possible threat. Similarly, activities like reading a book can help calm us. A nervous system that is not functioning properly may alert and arouse to the wrong cues or may fail to alert at all. When children do not respond to the task at hand, determine if they need intervention through calming or alerting activities. Monitor responses to see what interventions are most effective, as all of these ideas may not work well for all children. Alerting Activities (For the child who is lethargic and shows a decreased activity level) Allow a midmorning healthy snack. Use bright lighting, increase air circulation with fans or by opening windows. Move and speak quickly and briskly. Play loud, fast-paced music. Encourage the child to swing as fast as he can while playing outside. Encourage the child to slide as many times as she can while playing outside. Allow the child to splash cool water on his face and neck, take a cool bath or play in a swimming pool when it is hot. Encourage the child to bring a water bottle filled with ice water and sip from it. Ask the child to run an errand for you in the house, requiring him to get up, walk or run, go up and down stairs and bring something back to you. Allow the child to sit on a ball chair, playground ball or hoppity hop while watching TV. Allow the child to chew gum or suck on hard candies. Allow the child to jump on a mini tramp. Take the child to a park or fast food restaurant to play. Have the child play outside on a cool day for a short time. Take the child on your errands that involve motor vehicle traffic and large stimulating stores. Calming Activities (For the child who is hyperaroused or shows an increased activity level) Use low-level lighting. Encourage the child to listen to quiet music. Use a soft voice and slow down your movements and speech. Place a heavy hand on the child's shoulder or use a big bear hug to settle her down. Allow the child to slowly rock or swing in a rocking chair, suspended hammock chair or hanging net. Build a hideout in the child's bedroom from a card table and blanket. Provide a hidden corner made with pillows or a large carpeted box as a quiet getaway. Let the child wrap up in a blanket or a sleeping bag and lie down while reading or looking at books. Encourage the child to make a tent over himself with a blanket while looking at a book. Make a "calming sandwich" by having the child lie between two beanbag chairs or large pillows. Encourage the child to sit on a vibrating pillow. Give the child a warm bath followed by reading a story. When the child is ready for bed, turn out the lights and play a flashlight game on the wall. Follow each other's flashlights, find an object, etc. Have a lighted fish tank in the child's room. The filter system provides slight white noise and watching the fish swim is relaxing, particularly at night time. Avoid taking the child on errands involving driving in a lot of traffic or to large stimulating stores. Give the child a baby powder or nonfragrant lotion massage.
All of these activities require guidelines and rules for use in the home. Make your expectations clear with children before trying them out. As a precaution, discuss using specific activities with the child's therapist. |
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by Laurel Haack, M.S., OTR Boulder Valley School District What is sensory processing? The process by which the brain registers, organizes and interprets information from our sensory systems (movement, touch, sight, sound, smell and taste). The terms sensory integration and sensory processing are often used interchangeably. Faulty sensory processing can result in sensorimotor delays.
What is sensory integration? The process by which the brain registers, organizes and interprets information from our sensory system: touch movement sound sight smell taste
It is living, coping with daily incoming sensory input, organizing and correctly interpreting it (making sense of it) and using it wisely. What is sensory modulation? It is the ability of the nervous system to continually and accurately register sensory information and modify or alter a person's perception of it, prior to responding.
Adequate modulation implies that there is a continuous interchange between the child's ability to habituate to the sensory input and/or adapt to the sensitivity level of the input. Therefore, if the child's nervous system is modulating sensory input successfully, it will be ready t to respond to any type of sensory information in the environment and respond appropriately.
Adequate modulation can also be referred to as the "just right state," in which the nervous system achieves equilibrium somewhere on the continuum between calm and alert. It is the state that is appropriate for the given activity. What causes a sensory modulation problem? At this time there are no exact answers to this question. Sometimes these problems are seen in children with other medical disorders, such as autism, fragile X syndrome and attention deficit disorder. However, is this a disorder of its own? The Children's Hospital in Denver is currently involved in a comprehensive research project to help answer or address some of these issues. What type of problems can occur with poor sensory processing or poor sensory modulation? Often, the nervous systems of children with sensory processing problems may not modulate sensory information properly and may alert and arouse to the wrong cues or may fail to alert at all.
When the arousal level is too low (hyporesponsivity, dormancy, failure to orient, high neuronal threshold level), the child may react less readily or more slowly to stimuli, affecting performance, learning and attending skills. When the arousal level is too high (hyper, overorienting, defensive, low neuronal threshold level), performance can also decline. For example, if the fire alarm rings, a student will hear the sound, register what it is and what it means and then respond to it appropriately by following the school rules of lining up with the class and going outside. If they over react to the sensory input (hyperresponsivity), they may not pay attention to the alarm, again, resulting in not following the rules.
When a child spends excessive time at one end of the continuum or the other, or shifts from one extreme to the other, a sensory modulation problem may exist. Therefore, a child may shift from one end to the other without ever being in the midrange or within what is considered the normal range.
Poor sensory modulation can occur within any of the sensory systems: tactile, motor (proprioceptive and vestibular), auditory, visual, smell or taste. It is felt that if a child's modulation can be altered to the "just right state," their performance can improve.
What is the relationship between sensory integration issues and behavior? Children with sensorimotor disorders can easily become stressed and often develop negative attitudes toward school.
Learning is frequently a struggle rather than a positive experience for the child. Some children with sensory integrative disorders may function at their maximum potential after several years of therapy and become subject to the frustration and teasing from others as they try to keep up with peers physically, socially and academically.\\Dealing with the frustration, and possible stress, may be too much for the child to handle, resulting in socially inappropriate responses, poor coping strategies and low self-esteem.\\To increase the child's chance for success, environmental adaptations and firm classroom rules and consequences can provide the external structure needed to assist the child in developing internal organization (something children with sensory processing problems often do not have) and behavioral control. |
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Laurel Haack MS OTR Boulder Valley Public Schools
Throughout the course of a day, our nervous system takes in and must respond appropriately to a wide variety and amount of sensory information. The brain helps register the type of sensory information coming in, filters out what is not necessary to pay attention to and organizes and interprets the most important input so we can respond accordingly. It is generally assumed that everyone has the ability to attend to all the important sensory input, filter out what is unimportant, interpret the input accurately and respond appropriately. This process is called modulation and is necessary to insure that a child (or adult) is able and ready to learn and control behavior. The modulation must be continual, throughout the day and does not occur easily or automatically in some children (or adults). Therefore, it is important to analyze what part of the process is breaking down and what can be done to help improve the modulation. For example, when we hear a smoke alarm, we are alerted to the auditory input and can respond appropriately to any danger. Likewise, we become calm when we read a book, watch TV or go to bed. However, if our nervous system does not process the sensory information accurately, it may alert and arouse to the wrong cues (attending to the activities of other children in the classroom, rather than completing your own work), it may become over aroused (to a TV commercial) or may fail to alert at all (by ignoring a teacher’s announcement that it is cleanup time). Our nervous system may also have difficulty calming down after a stressful or unexpected event.
Since everyone’s nervous system is unique and responds in different ways, each person may modulate sensory input very differently. Some children have a need for intense visual, auditory, movement or oral input. Examples would include: having toys or books all over and not being distracted by them, enjoying a loud radio, TV, or stereo while playing or doing homework, enjoying riding a bike up and down curbs rather than on a flat sidewalk, jumping off of playground equipment and chewing on clothes, toys or straws. While other children cannot handle that amount of input and may avoid it or limit their participation because of it. It is important to understand and be aware of what a child’s needs are, because if an adult tries to engage them in an activity without the appropriate level of modulation, they may not be able to respond well to the task. When the arousal level of a child is too low, the child may react less readily or more slowly to the input, affecting performance, learning and attending. If the arousal level is too high, performance can also decline. The trick is trying to keep the child at the "just right" level for learning, without shifting or staying at a too high or too low level; in other words, modulating their responses appropriately to the demands of the task.
There are certain types of sensory activities that can have an influence on modulation, resulting in more appropriate behavioral responses from the child. Deep pressure input, heavy work, rhythmic movements in a linear motion, vibration and oral motor activities can be organizing and also calming to the nervous system. These activities must be available and repeated throughout the day to help maintain an optimal level of modulation, particularly during transitional times, in stimulating environments and when the child is having difficulty maintaining attention. As children learn and grow, this process can become one of self-regulation, in which the child attempts to cognitively attain, maintain and change his/her arousal level appropriately for a task or situation. These activities are commonly referred to as a "sensory diet," which is generally designed by an occupational therapist for an individual child. The child’s response to the activities is monitored and changes are made as needed. Examples of the activities follows. Deep Pressure Input This involves any kind of firm input through the muscles, joints and skin. It is generally organizing, and unlike other forms of sensory input, rarely overloads the nervous system. Therefore, it is an excellent strategy to use to alert or calm down the body and helps develop body awareness at the same time. Wilbarger Protcol using brushing and joint compression (must be demonstrated by a therapist) Rubbing lotion on the body with firm strokes Using weighted blankets, weighted vests or wrist/ankle weights Utilizing a "pillow corner" in which the child can nestle, wrestle and cuddle in Wearing leggings, tights, or spandex, also ace wrapping the arms, legs and trunk Receiving firm hugs Rolling a large ball over the child with careful pressure when lying down Creating a small space with pillows or a barrel and climbing into it Heavy Work This involves any type of activity that provides active pressure into the muscles through pushing, pulling, lifting and carrying. It is also useful in assisting development of body awareness and muscular strength. House work involving vacuuming, carrying groceries, carrying laundry, using a wheelbarrow or pushing the lawn mower Carrying and wearing a backpack filled with books or toys Pulling a wagon with another child in it Pushing the grocery cart Assisting in moving furniture, stacking chairs, scrubbing tables Push-ups or pushing against a chair seat, desk, table or wall Climbing stairs, using a stair master, pedaling a stationary or outdoor bike Playing with play dough or therapy putty Kneading bread, stirring baking mixes, using a rolling pin Jumping on the floor, mini-tramp or mattress Using playground equipment involving climbing and crawling Climbing up the slide portion of a slide, pulling self up with a rope Use of hand fidgets Using a "worry stone" that feels good to hold and rub on Attaching rubbing tubing to the backpack strap to pull on as needed Movement Movement that is slow, rhythmic and done in a linear motion is generally calming. Fast and more variable motion is generally alerting. Movement can also help improve muscular strength and balance. Riding a bicycle, roller blading and skiing Aerobics Playing on a trapeze Swinging and playing on other types of playground equipment Jumping jacks, running in place and stretching Using a rocking chair Utilizing recess time well Using hand fidgets Doing classroom errands Jumping on a mini tramp Vibration and Music Vibration and music can be stimulating to a child (depending on the type), but also can help to "center" or focus a child, as well as providing a calming effect. Electric or battery operated tooth brush Using a vibrating pillow Playing with a variety of vibrators Some musical instruments, especially electric or mouth blown can create vibration (harmonica, drums, etc.) Use music to help identify transitions and cleanup time Sing about activities as they are occurring in short, rhythmic phrases Teach concepts musically and with rhythm Listen to relaxation music and environmental sounds
Oral Motor This provides "heavy work" input to the mouth that can help organize and calm the nervous system. Chewing gum, fruit leather, licorice, gummy bears Chewing on rubber tubing Using straws for thick drinks Using blow toys Playing games by blowing cotton balls across the table Sucking on popsicles Eating frozen grapes or frozen fruit Tooth brushing Sucking on hard candy Eating a crunchy snack such as pretzels or carrots
Haack ‘99 |
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