Cueing--Looking for more info please! (M)

[Guest guest]

Hello,

The recent thread that I started about Moving Across Syllables has

got me curious about methods used by others. (I was a bit intrigued

by the kickboxing comment!) But I was just wondering if others would

share specific ways that they cue threir children. And are you

cueing the whole word, sort of like using a manual sign for the

word? Or just the beginning or problem area of the word?

Thank you for any helpful replies!

Becky & Jaylon River (27 months)

[Guest guest]

Hi Becky,

I got this info from another apraxia group I belong to, that cueing is like

taking baby steps. Cueing is saying the beginning of each word and saying it

repeatedly. My son's SLP uses pictures with the words. I use manual signs

together with kickboxing/karate cueing, if I may put it that way.

Below is an excerpt from my archive may help:

Children with childhood apraxia of speech cannot easily execute and/or

coordinate oral-motor movements to combine the consonants and vowels necessary

to form words. Asking children to imitate whole words would be setting them up

for failure. Just like any other task that is difficult to master, the task of

speaking can be broken down into a more simplified one, in this case word

approximations.

By examining how children first learn to speak, we can observe that many of the

early vocabulary begins with word approximations such as, “baw” for “ball,” or

“bah” for bottle, or even “wawa” for “water.” Children with CAS who have

performed little babbling or “practice” as infants, may not be able to change

what they hear and understand, into the motor act of speaking those words. By

simply offering children with CAS the opportunity to attempt word approximations

using the consonants and vowels already in their repertoire, successful attempts

at words are achieved, reinforced, and rewarded by the listener’s comprehension,

and thus their response to the child’s needs and desires. Through shaping,

cueing, and fading techniques, children with CAS can gradually move into whole

words, phrases and sentences.

Beyond the “workout” of practicing consonant-vowel patterns in real words is the

important aspect of functional communication. As soon as the child has any type

of an approximation for a word, it should be encouraged and reinforced by the

appropriate response of the listener (i.e., giving the child juice for

attempting “doos” or “oos” for “juice”). In this approach, however, we do not

necessarily wait for the child to use an approximation independently, though

that is certainly the optimal goal. We actually assist them with imitation,

cues, prompts or any possible way to help them make their best word

approximation attempt. We also help to script the children directly into two or

three-word combinations almost immediately, even if every word is only

approximated, such as in “I want …..,” being scripted as “Ah wah ……”

Every word can be reduced to its “shell” (this concept of word shells was

introduced to me by Ms. Carole Goff, M.A., CCC/SLP). For instance, the word

“bottle,” can be broken down like this:

bottle

bah-do

bah-o

bah-bah

bah

By R. Kaufman, , M.A., CCC/SLP is the Director of the Kaufman Children’s

Center for Speech, Language, Sensory-Motor and Learning Potential, Inc. (KCC),

zoinks_42642 <rdhughes@...> wrote:

Hello,

The recent thread that I started about Moving Across Syllables has

got me curious about methods used by others. (I was a bit intrigued

by the kickboxing comment!) But I was just wondering if others would

share specific ways that they cue threir children. And are you

cueing the whole word, sort of like using a manual sign for the

word? Or just the beginning or problem area of the word?

Thank you for any helpful replies!

Becky & Jaylon River (27 months)

[Guest guest]

Hi Ben and Jola!

Mikel who is the co founder of Speechville and who built the

CHERAB website is the co founder of Apraxia Kids who built that

website too and hosted it with her own families monies for about 7

years -is that the other group? Some of my original posts there

before there was here.

/message/35522

We go into cueing in chapter 5 of The Late Talker book.

I never looked at 's technique

http://www.cherab.org/information/speechlanguage/advisorykaufman.html

as " cueing " before - but I guess just like with reading

http://www.csufresno.edu/scs/reads/cueing.html as I'll show below -

cueing can mean a variety of things in regards to therapy for

apraxic and other children with motor planning disorders, and other

impairments of speech.

Under speech therapy methods for example there is the Touch- and

Gestural-Cueing Approach (One method of touch cueing is known as

PROMPT, an acronym for " Prompts for Restructuring Oral Muscular

Phonetic Targets. " http://www.promptinstitute.com/treatmentexp.html -

some SLPs who are not trained in PROMPT however have created their

own touch cue methods. " Bashir, A., Grahamjones, F., & Bostwick, R.

(1984). A touch-cue method of therapy for developmental verbal

apraxia. Seminars in Speech and Language, 5(2), 127-128. " )

Another type of curing would be gestural cueing. Some SLPs have

adapted gestural cueing techniques, using hand signals near their

mouths to give additional cues to the child. Phonemic cueing

http://www.vard.org/jour/02/39/4/richards.html ACT stands

for " adapted cueing technique' and L. White

wrote " Determining the Effectiveness of the Adapted Cueing Technique

in the Treatment of Developmental Apraxia of Speech: A Single

Subject Experimental Design. " "

http://www.emich.edu/coe/monday/mr180.html

and there can even be " Rhythmic Speech Cueing "

http://www.metromusictherapy.com/neuro.html

phonological cueing treatment and semantic cueing

http://www.health.utah.edu/cmdis/Faculty/Wambaugh/Wambaugh.htm

multi-modal cueing system

http://www.vard.org/va/02/htm/rrds_feb_2002_confhuang1.htm etc.

And speaking of cueing ...

Our " kids " do grow up. It just seemed like yesterday that Tanner

was only three. Tanner is now 8, doing really well in school and

socially -he's talking -but he is still apraxic. What about those

in our group that " grew up " with apraxia? Like twenty something

Dolan -who is now working on her PhD here in Florida for

special ed -she's still apraxic -she grew up with apraxia. She's

overcome it -but like many impairment -it's not yet cureable.

I figured out the problem with the verbal impaired is that there are

no PR people who have shared the obvious with those who don't see

the forest through the trees to the naked emperor (yet)

Why would anyone who truly cares -come up with so many names for the

same speech impairment that Jane who has a " dyspraxic " child doesn't

realize that Joe who has a teenager who grew up with apraxia -who

found out from someone that it's called now by some " Childhood

apraxia of speech " both have children that have the same impairment

of speech -no matter what you call it? But again -why call it

something that sets up our children for adding insult to injury -

when they grow up as they do -literally and figurally?

Some of you may have to wait a few years to see what I'm saying

(there is a 30 fold rise and growing after all -so more new members

each day)

When you ask someone why they wear glasses they say " because I'm

visually impaired " not " I have childhood hyperopia of vision in my right eye

and childhood myopic of vision

vision in my left with a bit of childhood Astigmatism of vision in both "

And if the question is " Why can't he hear me? " Can you imagine

instead of the answer being " because he is hearing impaired' " His

cochlea is not working correctly because the tiny hair cells are

damaged or destroyed "

Why can't they just call it " apraxia " -or if you want to be specific

as to what type of apraxia -verbal apraxia, oral apraxia, global

apraxia. Better yet -why can't we join all since they overlap anyway under one

umbrella unless we need to be more specific - just say verbal disabled or speech

impaired.

Thank you very much!

=====

[Guest guest]

We do some cues for letters or sounds. Josh has particular trouble with " f " and

some other sounds so we made up some cues for them - for " f " we touch our bottom

lip (it started out with pushing the bottom lip in so that the upper lip would

cover it - Josh has dysarthria, oral apraxia, and hypotonia so didn't have the

muscle tone to move the lip just with those muscles - the physical act of moving

the lower lip in helps get the " f " sound out and helps build those muscles - now

we just touch the lip as a cue for the movement and sound and muscle use). His

SLP is using the same cues and she also taught us others for some of the other

sounds/letters Josh has problems with. Don't know if anyone else uses/used the

turtles (I think that was Super Duper as well) - when Josh was younger his SLP

used those where the movements were quite large to get across the sounds

necessary (I particularly remember the vowel sounds) and then the movements

became smaller and less noticable. Don't know if

that helps.

Sherry

zoinks_42642 <rdhughes@...> wrote:

Hello,

The recent thread that I started about Moving Across Syllables has

got me curious about methods used by others. (I was a bit intrigued

by the kickboxing comment!) But I was just wondering if others would

share specific ways that they cue threir children. And are you

cueing the whole word, sort of like using a manual sign for the

word? Or just the beginning or problem area of the word?

Thank you for any helpful replies!

Becky & Jaylon River (27 months)

[Guest guest]

Yes it is....apraxiakids.com....and thanks for letting me know. It is sure one

big family!

kiddietalk <kiddietalk@...> wrote:

Hi Ben and Jola!

Mikel who is the co founder of Speechville and who built the

CHERAB website is the co founder of Apraxia Kids who built that

website too and hosted it with her own families monies for about 7

years -is that the other group? Some of my original posts there

before there was here.

/message/35522

We go into cueing in chapter 5 of The Late Talker book.

I never looked at 's technique

http://www.cherab.org/information/speechlanguage/advisorykaufman.html

as " cueing " before - but I guess just like with reading

http://www.csufresno.edu/scs/reads/cueing.html as I'll show below -

cueing can mean a variety of things in regards to therapy for

apraxic and other children with motor planning disorders, and other

impairments of speech.

Under speech therapy methods for example there is the Touch- and

Gestural-Cueing Approach (One method of touch cueing is known as

PROMPT, an acronym for " Prompts for Restructuring Oral Muscular

Phonetic Targets. " http://www.promptinstitute.com/treatmentexp.html -

some SLPs who are not trained in PROMPT however have created their

own touch cue methods. " Bashir, A., Grahamjones, F., & Bostwick, R.

(1984). A touch-cue method of therapy for developmental verbal

apraxia. Seminars in Speech and Language, 5(2), 127-128. " )

Another type of curing would be gestural cueing. Some SLPs have

adapted gestural cueing techniques, using hand signals near their

mouths to give additional cues to the child. Phonemic cueing

http://www.vard.org/jour/02/39/4/richards.html ACT stands

for " adapted cueing technique' and L. White

wrote " Determining the Effectiveness of the Adapted Cueing Technique

in the Treatment of Developmental Apraxia of Speech: A Single

Subject Experimental Design. " "

http://www.emich.edu/coe/monday/mr180.html

and there can even be " Rhythmic Speech Cueing "

http://www.metromusictherapy.com/neuro.html

phonological cueing treatment and semantic cueing

http://www.health.utah.edu/cmdis/Faculty/Wambaugh/Wambaugh.htm

multi-modal cueing system

http://www.vard.org/va/02/htm/rrds_feb_2002_confhuang1.htm etc.

And speaking of cueing ...

Our " kids " do grow up. It just seemed like yesterday that Tanner

was only three. Tanner is now 8, doing really well in school and

socially -he's talking -but he is still apraxic. What about those

in our group that " grew up " with apraxia? Like twenty something

Dolan -who is now working on her PhD here in Florida for

special ed -she's still apraxic -she grew up with apraxia. She's

overcome it -but like many impairment -it's not yet cureable.

I figured out the problem with the verbal impaired is that there are

no PR people who have shared the obvious with those who don't see

the forest through the trees to the naked emperor (yet)

Why would anyone who truly cares -come up with so many names for the

same speech impairment that Jane who has a " dyspraxic " child doesn't

realize that Joe who has a teenager who grew up with apraxia -who

found out from someone that it's called now by some " Childhood

apraxia of speech " both have children that have the same impairment

of speech -no matter what you call it? But again -why call it

something that sets up our children for adding insult to injury -

when they grow up as they do -literally and figurally?

Some of you may have to wait a few years to see what I'm saying

(there is a 30 fold rise and growing after all -so more new members

each day)

When you ask someone why they wear glasses they say " because I'm

visually impaired " not " I have childhood hyperopia of vision in my right eye

and childhood myopic of vision

vision in my left with a bit of childhood Astigmatism of vision in both "

And if the question is " Why can't he hear me? " Can you imagine

instead of the answer being " because he is hearing impaired' " His

cochlea is not working correctly because the tiny hair cells are

damaged or destroyed "

Why can't they just call it " apraxia " -or if you want to be specific

as to what type of apraxia -verbal apraxia, oral apraxia, global

apraxia. Better yet -why can't we join all since they overlap anyway under one

umbrella unless we need to be more specific - just say verbal disabled or speech

impaired.

Thank you very much!

=========