Stage IV: Labial-Facial Control Therapy Ideas

Checking back to your System Analysis Observation and Motor Speech Hierarchy (SAO/MSH) to determine your first priority. I find I get more "bang for my buck" working at Stage IV/Labial-Facial control. I can work in syllable PROMPTs to help support jaw at mid-line in addition to building appropriate bi-labial contact/rounding/retraction.

Farm Washing Activity

My students love to give toys a bath. I start with whatever is motivating to them! 

Have the characters jump in "mud" (use play-doh or something sensory)

Clean them off with a spray bottle, small brush and towel

Turbo-Dry them in a salad spinner and send them home

PROMPT lexicon: oh no, mud, moo, baa, pig, peep, do two, wash it, go home

Digital version available here. Full YouTube demonstration here.

Rock Gems

Because learning rocks, use this fun activity with or without the Learning Resources Gemstones Game during speech or occupational therapy! (Use plastic eggs if you don't have the Gemstones).

PROMPT lexicon: open, same, match, put it in, shut it, I do, you do, need it, don't need it

Grab the activity here on TPT

Toca Kitchen 2

Toca Kitchen 2 is an engaging iPad app where students can create different meals for characters.

Follow directions

Describe

Create sentences

PROMPT lexicon: eat it, he/she, mmm, ah, uh oh, oh no, ya/yes, no, gone, cut it up, can I cut it, make it, done, pot, pan, cook

Check out the app companion and the BOOMCARDS here

Toca Tea Party

Set the table, choose your favorite cookies and cakes, serve tea and you're good to go! Simply eat and drink with your finger. With Toca Tea party, you can play together with your kids in a way that stimulates their imagination.

Follow Directions

Sequence

Vocabulary

Request/comment

PROMPT lexicon: uh oh/oh no, need, more, tea, hot, do you need more? Eat it, need it, put it on

Zingo

If you're on this page you must be a Speech Language Pathologist, and therefore own a Zingo! of some kind...

Use this FREEBIE to:

Build Sentences

Describe pictures

PROMPT lexicon: put it in, push it, he/him, she/her, give, need it, don't need it, go

Stage III: Mandibular Control Therapy Ideas

Check back to your System Analysis Observation and Motor Speech Hierarchy (SAO/MSH) to determine your first priority. Jaw is known for being the root of all evil, even with our /r/ students. If it's sliding there is no solid foundation for those lingual movements. If it's opened too wide the tongue isn't able to make contact appropriately.

We should also be thinking how these activities can grow with the student and move up the hierarchy without having to teach a whole new activity. Predictable routine is necessary to limit resource allocation and allow the student to focus on motor movements rather than cognitive linguistic concepts.

Card Games

For older students cards can be a great means to work on mandibular with a more age appropriate activity. "Pick a card" is an easy phrase to incorporate into any of these favorites.

Uno

Blink

Sleeping Queens

Go Nuts for Donuts

Chomp!

Flinging Frogs

I created this FREE LESSON for my PROMPT technique practicum. This lesson plan contains lexicon for: mandibular control: establishing lower jaw boundary at height four and maintaining midline during excursion. This lesson plan includes: phonemes/lexicon/phrases, game set up and explanations.

Words/Phrases: put, on, me hop, top, pad, he, in, “Put in”, “Put on”, “Oh-no”, “He hop”, “On Pad”, “On top”, “He hop on”, “One, two, hop”

Hit the Hat

This was originally a game geared towards Occupational Therapy. The hammers have suctions cups and the hats are different shapes, patterns with blue or red borders. Roll the three dice and be the first player to locate the correct hat. 

Word/Phrases: hat, hit, did, it, hit the hat, I did it

Pop up Anything

Pop Up Pirate, Pop the Pig, Jumping Jack Rabbit...anything that can go "POP". I'll spare you the "how to play" and get right to the goodies:

Pop the Pig:

Phonatory control: ah, mmm

Mandibular control: not, pop, hat, top

Labial-Facial control: eat, do, two, feed/fed, him, push

Lingual control: it, in did, head

Sequenced movements: hamburger

Pop Up Pirate:

Phonatory control: ah for in, mmm for more

Mandibular control: pop, up, not, oh-man, put in, top, ah/out, Ned

Labial-Facial control: pop, up, man, top, Pete

Unfair Game

The unfair game is a simple game. Points are awarded on the back of the card, positive and negative. This activity can be paired with a nerf popper, listening room activity, bowling or used alone.

Check out the pre-made cards I made found here on TPT.