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.

The Doctor is in...

Anyone else celebrating Dr. Seuss' birthday?! I love incorporating real world items into our therapy sessions. The students love making a mess, so in honor of the great Dr. Seuss we make "oobleck". We learn about Dr. Seuss and read a short biography, I read a truncated version of "Bartholomew and the Oobleck" by Dr. Seuss (the original takes over 30 minutes for me to get through!?) and then I present them with the science experiment.

Oobleck is a 'non-newtonian fluid'. Viscosity is the rate at which something pours. Water pours quickly and honey or syrup pours slowly. These liquids have a constant viscosity, it will never change. Oobleck pours both quick AND slow!?

When made correctly Oobleck can be molded into a ball and have properties like a solid, and when released will "melt" in your hand like a liquid.

Oobleck is a 2:1 ratio

2 cups cornstartch

1 cup water

TIPS:
*I love to find youtube videos to help the students see what should happen, before starting.
*Use disposable bowls and spoons for easy clean up.
*Buy the rolls of plastic tablecloths to work on, then just throw everything out.
*If the oobleck is too hard add water, and if it is too wet add more corn starch!
*If the oobleck spills over and out, let it dry it will turn into powder and you can easily vacuum/sweep it up!


PROMPT: *I created a short "Bartholomew and the Oobleck" on my SMARTboard, I can change the words/phrases/sentences to achieve my various targets!

LANGUAGE: scientific method, following directions/steps, math fractions

PRAGMATICS: sharing items, turn taking for measuring, following rules

Oo the messes you will make!

Peek-a-Boo I'm back

Using visuals I can use this for a great listening activity.; for auditory-visual therapy. The animal hiding behind the door makes a sound and the door shakes so it's a good visual for the hearing impaired! Animals include the usual farm friends: horse, cow, sheep, chicken... and some funny new friends: owl, rabbit, llama! From a closed set I show the pictures of the animals and have the child guess which animal they hear in the barn.



I love the Melissa & Doug matching game and pair a simple barn toy to finish our FARM-tastic session.



LANGUAGE: follow directions, prepositions, matching

PROMPT:

Mandibular control: baa
Labial-Facial: boo, moo, peep, woof, meow, baa, me, push
Lingual: one, two

Old McDonald has nothing on me!

"Poppers"

Choose from a variety of animals: cow, horse, pig, fish, alien, squirrel, moose! Push the ball in and aim it at the target *Children need constant supervision...don't let them pop it in their face.

We laugh, we cry, we do a little math! Very fun and entertaining.







PROMPT:
phonatory control: ah, ha, ha-ha, mmm (for more)
mandibular control: up, on, pop
labial-facial control: up, pop, on, moo (is the name of our cow), oh-no, push
lingual control: on, top, in

Language:
-Follow directions to aim at different targets
-Follow directions to pick a special colored ball/animal

Pragmatics:
-Turn taking
-Don't point it at people/yourself!

Don't be a party pooper in speech...play with some "Poppers"

Toca BOOca

Toca Boo is a new and a great game for the Halloween season.

The little girl Bonnie dresses as a ghost to scare her family members! Travel through the big, dark house to find: mom, grandpa, little sister, big brother and the twins.

Hide behind items for a big scare! But don't get caught in the light. Find some snacks for even sillier scares!





PROMPT:
Phonatory control/Mandibular control: ah, ha, ma.mama, pa/papa, pop
Labial-facial control: boo, eat, ew, mom, toot, baby, me
Lingual control: eat, toot

Scare on, Bonnie.

Hungry for Summer!

Here's a few activities that keep my clients compliant and engaged throughout the entire session! Read the book, make some art and of course play on the iPad!

READ THE BOOK:
I've been on a "Hungry Caterpillar" kick!  First I read the story to my clients and tell them they will read the story.  All my Pre-Schoolers tell me, "But I can't read!" I assure them they can!  Then using felt pieces I made (A.C. Moore sells iron on paper! I just scan and iron onto white felt) my clients "read" the story.  It's great to see how proud they are when they finish and I get to tell them they read the story!

*Leave a comment with your e-mail address and I can send you a copy of the pieces so you don't have to scan!*

ART PROJECT:
A fun companion activity we do after is we make our own symmetrical butterflies.  Using scented dot markers (Wal-mart!) we make dots and designs and fold our paper in half to make symmetrical designs.  The kids think it's neat, I love the dot markers cause they don't make a mess and we get to explore some sensory integration with smell!

*Remember those great markers your elementary art teacher let you use! Check out all their products*

INCORPORATE THE BELOVED iPAD:
I was able to grab this app during a free app sensational sale (Check it out)! I have my kids follow directions and practice counting!

ARTICULATION
need, dot, more, me, same, mmmm, one, two

Mandibular control: dot, need
Labial-Facial control: more, me, same, mmmm
Lingual control: one, two

LANGUAGE

sequence; first/next/then/last, labeling (food items), counting, answering/asking "WH?", predicting ("What do you think yellow will smell like?"), follow directions

Smell ya later!

Make your own bubbles

Sunny days are ahead. My clients and I have been enjoying the weather during our sessions.  One of my new favorite activities is making bubbles.  That's right 4 easy steps to mixing up your very own bubble solution. I have included the recipe below, however I just estimate and add soap/glycerin until the solution is making bubbles that last.

1 gallon of water

2/3 cup of Dawn or Joy dishwashing liquid (Joy works better)

3 to 4 table spoons of glycerin (available at drugstores)

stir

*ta-da!* 

(recipe courtesy of Newsday 7/27/11)

PROMPT: labial-facial, mandibular, lingual control

pop, more, oh-no, gone, wand

LANGUAGE: sequence (cut out pictures above to make cards), WH? questions, requests, action words (stir/mix, pop, run, reach)

PRAGMATICS: turn-taking

Have a towel handy, things can get messy! 

(But not dirty, cause it's soap!)

Self-Study PROMPT Project: Flinging Frogs

Are you trolling the internet trying to find examples of PROMPT technique therapy? Trying to figure out how to plan and implement all the great new things you've learned through a PROMPT technique workshop?! Look no further. I want to share my PROMPT self-study activity and plan with the world.

This is my FAVORITE activity.  I work on these goals with a variety of clients, and everyone loves this game! (Bought it at Target for less than $5).

Check it out, see what you think! Let me know! If you like this one, try my Tea Party activity too!

Stage:	III. Mandibular control (with anterior lingual and labial-facial control mapping)
Plane:	Vertical
PROMPT Types:	Parameter, surface, some mapping
Words:	Put, on, me hop, top, pad, he, in
Phrases:	“Put in”, “Put on”, “Oh-no”, “He hop”, “On Pad”, “On top”, “He hop on”, “One, two, hop”
Materials:	“Big Little Game” Flinging Frogs
Procedure:	·      Set up pool and lily pads.  Prompt child to say “put on”.  ·      Repeat until lily pad tower is complete. ·      Divide Frogs.  Prompt child to say “me”.  Take turns choosing frogs. ·      Make frogs hop. Prompt child to say phrases depending on where frogs land.  Alternating turns. ·      Clean up materials.  Prompt child to say “put in”.
Turn Taking:	Clinician and child will take turns for the entire activity.  Clinician will model words/phrases during her turn. *Please note video edited to allow for maximum PROMPT technique viewing
Variation:	Use similar game “Flying Frogs” or “Pop-up Pirate”; target words change from “hop” to “pop”.

GOOD LUCK! KEEP PROMPT-ing!

APP-Y HOUR: Bubbles

Bubbles (.99 cents)

Totally worth the money. I have used this app for EVERYTHING! I use this app with children who are unfamiliar with the iPad.  I have had a lot of success with teaching skills used, such as drag/tap with the appropriate pressure.

Reinforcement (earn the game)

**Teach pre-iPad skills (drag and tap with the appropriate amount of force/pressure)

Articulation: (labial facial control, mandibular control, lingual control)

         -"Pop" 

         -"More" 

         -"oh-no", "uh-oh"

        -"Me"

Language:

         -Turn taking (You make bubbles, I make bubbles)

         -Requests (More bubbles please!)

         -WH?

Pop-on friends.

APP-Y HOUR: Miny Moe car

Miny Moe Car ($1.99 at iTunes)

Hello world (wide web)! It's a beautiful day here on sunny Long Island.  I feel inspired to tell you all about a favorite app of mine.

Miny Moe car is a simple app that has (7) mini games.  You can drive, race, wash, fill-up with gas, fix a window or tire and change a headlight.  My preK boys enjoy it all.

I've been lacking in the "gross factor" having only a couple of apps that incorporate this element. Fear not fellow followers-Miny Moe delivers! That's right, bird poop is present in a couple of the mini games (washing/driving).

I target articulation and language through this app.

PROMPT lexicon:
Moe, ew, oh-no, poo/poop, tap, go, ah, pop, ha, ah, whoa, put, pay

Language:
WH?, expansion/extension opportunities, follow simple directions

APP-Y HOUR: Fuzzy Friend Leonard

Fuzzy Friend LITE/.99cents

I saw this on Pinterest and thought, "Sure let me try it.  Maybe my 3 year olds will use it for a couple of minutes."

All my boys 3-4 years old LOVE THIS APP.  I had to buy the rest of his activities.  Leonard is a silly monster that plays with a pinwheel, balloons, bubbles, eats a sandwich, drinks soda and takes the occasional nap.


This interactive app allows the user to blow the pinwheel, pop the balloon/bubbles, tickle Leonard and wake him up.  Leonard repeats what you say back and takes a nibble at your finger if you try to poke him.  The boys love to pop the balloon and scare him.

Articulation/PROMPT:
pop, oh-no, ha-ha, eat, Shhhhhh, nap, wheeeee

Language:
WH?, Follow directions

Totally worth .99 cents!

APP-Y HOUR: Bamba ice-cream/burger

 BAMBA: Ice-Cream (FREE)

Pick your flavors: vanilla, chocolate even robot and rainbow! Pick toppings: sprinkles, gummy bears, zombie?! Create all the different ice-creams you want. Baskets of ice-cream. Ice-cream on waffles! Don't eat too fast, you'll get a brain freeze!

 BAMBA: Burger (FREE)

Create your own fast food creation.  Burger. Soda. Fries. Put whatever you want on your burger.  Cheese, ketchup, toilet paper. Fill your soda up, make french fries, pay and eat it up! You even get a fun kids prize.


These are both simple food making apps. My kids love them for the silly factor (Vanilla ice-cream with unicorn on top, don't mind if I do).  Another one of my favorite triple threats: Articulation, language, pragmatics.

Articulation/PROMPT:
Stage 3 Mandibular: top, hot
Stage 4 Labial Facial: mmmm, yum, more, me, tap, pay, eat, cup, bun
Stage 5 Lingual: hot, top, tap, paid, eat/ate, cone, cut, bun
Stage 6 Sequenced: eat it up, pay now

Language: sequence, follow directions, WH?, yes/no questions (expressive/receptive)

Pragmatics: Sharing, asking appropriate questions, "What would you like on yours?"

APP-Y HOUR: Monster at the end of this book & Another monster at the end of this book

Monster at the End of this book $4.99
Another Monster at the End of this book $4.99

Bought the first "Monster at the End of the Book".  HAD TO HAVE the sequel.  My students love this interactive book.  Following Grover and watching him do silly things to stop you from turning pages makes everyone smile.

Help knock down walls. Take off paper clips, remove glue and untie knots to turn the page and forge ahead to the end of the book!

Another triple threat: articulation, language, pragmatics.

Articulation: Various opportunities to work on a variety of sounds.  Some that I target are: anterior linguals, labial-facial control, mandibular control. (knot, no, oh-no, AH!, mommy, go)

Language: WH?, following directions, sequencing

Pragmatics: Users are forced to wait to touch the screen and patience is required (some of the pages are slow to re-load, and slow according to impatient 3 & 4 year olds).  This is a great book to talk about feelings too! Grover is scared to go to the end, and other feelings are mentioned (happy, embarrassed).

So check under your bed, grab your favorite blanket and join Grover and Elmo for a fun adventure!

APPY-Y HOUR: Toca Boca Doctor

Toca Boca Doctor:$1.99

Best part about this app; there is a LITE version.  Try it out and when you love it splurge and buy it!

I use this app with my 3 year olds (mainly boys).  They can't get enough of it.  It's great for speech and occupational therapy.  There are various games that you play and help fix a patient.  Bloody nose. Shots. Cuts/Scrapes. Lice. Indigestion. Broken bones. Splinters.

Yes this game has a gross factor component.  But it makes me laugh (side effect of hanging out with preschoolers all day).  Be prepared to hear some rude body noises (burps & farts) and see some cartoonish blood.

This is a versatile app. It's a triple threat: articulation, language pragmatics.

Articulation/PROMPT lexicon for mandibular control, labial-facial control and anterior lingual control:

boo-boo, oh-no, out, put, on, ow/owie, tap, man, head, eat, feed, need

Language:
WH? (What happened? What do we need to do? What color band-aide? Who do you ask for help when you're hurt?)
Expressive: "I need help" (the mazes are a little tricky for the younger kids, great way to request assistance!)
Receptive: Make matches, find the same shape during puzzle activities

Pragmatics:
"Excuse me" (good for providing a script! Everyone makes silly sounds, just have manners and say "excuse me" when you do)
Social Story pairing for going to the doctor/dentist.

"SOUND OFF"

Our bodies sound off all the time.

What noises we can make!

It happens when we're fast asleep,

or when we're wide awake.

Hands clap and slap, and fingers snap.

We cough and sneeze and snore.

Our hungry stomach growl for food,

then rumble for some more.

Our feet tap and our bones go pop.

Our lips smack and they slurp.

But most unusual of all

is when our bottoms burp!

Susan D. Anderson

(From Miles of Smiles 

edited by Bruce Lansky

illustrated by stephen carpenter)