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

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!

Listening Language

Dingle Dangle: Listening and Language! I love this app it is so adorable and silly. There are two different activities: players can listen to instructions (in noise!) or build their own scarecrow.

This app was created by the Royal Institute for Deaf and Blind Children (RIDBC) by listening and spoken language specialists.

I love to pair this app with the story "The Little Old Lady Who Was Not Afraid of Anything". I use this with a lot of my students.

We color and cut out the pieces and make puppets. They have to listen to the sounds of the pieces and make their puppet do the actions

Shoes say "clomp clomp"
Pants say "wiggle wiggle"
Shirt says "shake shake shake"
Hat says "nod"
Gloves say "clap"
Pumpkin says "boo!"


       

PROMPT:
Phonatory Control: "ah" for on, "mm" for more
Labial-facial control: boo, shake, oh no!
Lingual control/sequenced: clomp, wiggle, clap, nod

LANGUAGE: sequencing, following directions, recall story, describing

      And the mouse went ::click click::

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.

It looked like just another mundane post...but it wasn't another mundane post!

This is a great and simple activity for identifying simple objects (some doozies in it "Great Horned Owl", "Angel"). After you read the book you can make your own spilt milk clouds!

Squeeze paint in the middle of the page (*I added sparkles for something special*), fold the page in half, press down and open.

I looked like a sheep....but it wasn't a sheep!

PROMPT:

*Use a carrier phrase "It looked like a ______, but was it?!" the child can respond "No"

Language:

Sequence, answer simple "WH" questions

Don't Let this post get by....

Mo Willems has done it, time and time again! Author and illustrator of the "Don't let the Pigeon Drive the Bus" (caldecott honor) and many others.

I love this interactive book.  My kids love to yell "NO!" when the pigeon asks to drive the bus.  My strong willed preschoolers occasionally are swayed when the pigeon offers them $5 bucks...but are easily redirected when reminded, "The bus driver said, don't let the pigeon drive the bus!" They then enthusiastically yell, "NO!"

**Hello labial-facial control!**

Best yet, there's an app for that! "Don't let the pigeon run this app".  This allows the user to create their very own pigeon story! The "chick" makes up a different story every use, "little pigeon" allows the user to choose different items from a field of three and "big pigeon" allows the user to answer questions using their own words/voice!  The author Mo Willems even teaches you to draw the pigeon in a step-by-step!

PROMPT:
Labial-Facial control: no, mo

Language:
Answer "Wh" questions, simple sequence

Don't let this book and app pass you by!

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: Toca Boca Tea Party app

I was able to work with wonderful mentors who helped me complete my PROMPT technique self-study project! I wanted to share an activity, as it's difficult as a new PROMPT trained clinician to find inspiration and ideas for PROMPT technique therapy!

Use the Toca Boca Tea Party app:

Stage:	V. Lingual Control (with labial-facial mapping)
Plane:	Anterior/Horizontal
PROMPT Types:	Parameter, surface, complex, syllable some mapping
Phonemes:	/t/, /d/, /n/
Words:	On, tap, set/put, tea, eat, need, me, one, oops, more
Phrases:	“Need tea”, “Need one”, “Oh-no”, "put out"
Materials:	iPad with Toca Boca Tea Party app
Procedure:	·      Turn on the iPad.  Prompt child to say “on” ·      Locate app.  Clinician takes turn to model “tap”.  Clinician prompts child to say “tap” to enter game. ·      Set the table.  Clinician prompts child to say “set” or "put/put out".  Clinician and child take turns to set a total of 3 plate(s)/cup(s)/dessert(s). ·      PARTY! Clinician and child participate in a tea party where they sip drinks, eat food and sometimes spill their tea. ·      Clean up.  After tea party is finished, Clinician and child will take turns loading the sink.  Clinician will prompt the 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.
Variation:	Use a real toy tea set

Good Luck! I hope this helps you in your own PROMPT journey!

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)