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.

Phonatory Control

Building phonatory control in students is an important foundation. Students learn that "voice is power" through simple lexicons:

/AH/ for "on", "want" (turning the voice on)

/M/ for "more" or "me"

/H/ volitional voicing

Activities that have a high success rate for my students and building volitional voicing include:

Belefun

Belefun is Elefun's Younger Sister. Turn the game on and watch the butterflies come out. Feed the butterflies to Belefun for continual fun.

Lexicon: /ah/ for "on", "want", "out", "in", /mmm/ feeding, "more", "me"

Scarves

Scarves are a great way to add movement to your session during music during music or interactive book. Have students wave them left to right, make waves, squish the scarf, move it fast and slow. 

Students can track the scarf to incorporate head tipping/turning into the session to activate their vestibular systems.

Read the beloved story "Going on a Bear Hunt" by Michael Rosen and follow directions using scarves or cloth like items. Great for engaging pre-school

Grab my FREEBIE to incorporate scarves functionally into a story activity to promote focus and attention during academic tasks.

Students will:

-Cross midline

-Track items with head tips/tilts

-Track items with eyes to decrease eye fatigue due to screen time

-Recall the sequence of events

-Follow directions

Spin it Again

Put gears on a pole and watch them spin down. Pull the pole from the base and watch the gears spin off to the ground. Flip blue base to choose a wobbly or sturdy bottom. 

Can be used for simple motor phoneme warm-up. 

PROMPT Lexicon: ah/on, up, go, me

Tunnel

Tunnels can be motivating and regulating at the same time. Students can: 

-Crawl through to retrieve desired items from inside

-Stand and wear it like a pop up hamper

-Roll balls through to have a pass

Yoga Ball

"What happens at the hips, affects the lips" the great PROMPT instructor Tracey Kellner.

When working with non/low verbal kids I try to get them moving as much as possible. Consult with the OT/PT and see what they do with the student. 

-Bounce on a ball

-Roll over the ball (on belly/on back)

-Scooter

-Swing

-Gentle spinning (pick them up or in a chair)

-Crawling through a tunnel

-Animal walks

Appy Hour

Toca Boo

The power is out at Bonnie's house due to a terrible storm. Help her move through the house and scare her family! Explore different rooms, turn sinks and lights on and off to build suspense and even stop to snack on plums, spicy pepper and soda to fuel your fun!

-Map skills

-Following directions

-WH questions

-Oral motor practice (pa/pop, ma/mom/mama, boo, pop up, toot, go, baby, down, in, behind, under, Bonnie, sisters, brother, grandma, grandpa)

*Check out the print companion and Boomcard companion I made for this game*

Toca Kitchen 2

Cook up some fun in your speech sessions with this app. Help feed the hungry customers by preparing different foods. 

-Following Directions

-Make sentences

-Pronouns

-Commenting Like/Dislike

-Oral Motor words/phrases to use (ah/mmm, uh-oh, ya/yes, no, hot, pot, pan, not, can, eat, gone, make, done, eat it, can cut it, can eat it)

*My students enjoy using the hard print items and Boomcard companions I made for this app*

Pet Doctor

Take care of all the pets in the office, feed them and put them to bed.

-Discuss cause/effect

-Identify body parts/injuries/doctor equipment

-Commenting

-Oral Motor practice (oh no/uh oh, boo-boo, go home, eat it, put it on)

Pair the app with a simple matching activity (I found this one years ago at the Target dollar spot) or Henning Lohlein's "All Better Book". 

I incorporate additional fine motor skill work by playing "save the animals", where they are trapped in rubber bands. 

-Take the rubber bands off

-Clean the animals with a spray bottle

-Place tape or real band-aides on the injury

Toca Doctor

Help the patient with all their injuries.

-Cause/Effect

-Inferencing (How did they get hurt?)

-Body parts/labeling

-Health/Wellness

-Oral Motor practice (boo boo, uh-oh, put it on, take it out, help, all done)

Toca Store

Open the store and choose the items you want to sell. Students can take turns being the cashier and the customer.

Describe categories & functions of items

Expand vocabulary

Social communication/turn taking

Oral Motor practice (I want, I choose, put it in, need it)

*Pair with companion boomcard activity for additional support/practice*

Zoombinis

Use logic, analyze data, spot patterns and hone problem-solving skills with 12 perilous puzzles and four levels of difficulty. Great for upper elementary, middle school and high school students. 

-Intro video (wh questions, story comprehension)

-Problem solving

-Teamwork

-Identify details

-Follow directions

-Express ideas 

*For iPad only, you won't be able to find it if you search on your phone*

Sweet, Sweet Certification

I have made the leap from "Trained" to "Bridged" to "crazy"...I mean "Certified"! Totally worth it. I have been certified since Fall of 2015 and I am still learning. Things are much more "second nature" now and I feel way more confident in the lexicon and overall practice of PROMPT. The certification process was stressful and tedious, but I learned a lot in 4 months.

Advice:
*Work with a mentor.
*Be organized; schedule, highlighters, post-it notes.
*Prepare for the unexpected; children get sick-things come up. Leave yourself extra time to get things done.
*Clear space on your computer and recording devices.
*Learn how to work "google drive" prior to the process.
*Have multiple cameras taping for the inevitable "out of space" or "random" stop.
*Use your resources.
*Be confident. You're going to make mistakes, but this is always a learning process-not meant to be perfect.
*Don't be afraid to make these mistakes.
*ABR. Always Be Recording. ALWAYS!
(The client won't want to stick their face into the camera every second and you are bound to tape something magical. Like when mine accidentally poked me in the eye, and then 3 months later, in a different video, poked me in the eye...with his toe. $10,000? America's Funniest Video? Of course I'm going to split it with the kid! <----it's in writing now.)

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: 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!

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!