My question concerns a six year old girl who has velar fronting for /k/ and /g/ and a frontal lisp on /s/ and /z/. I am a student beginning to work on my own cases and am having some trouble with this case.
First of all you are correct in working on this child's articulation skills. It is unusual that velar fronting is an issue for a 6 yr. old. It is necessary to keep the tip of the tongue down and the back of the tongue up. You may try a flavored tongue depressor and a dum-dum sucker. If the 'er' sound is correct you may try the 'ger', which may help to lift the tongue. It is difficult to address this without seeing the child. When working on a lisp, stabilization of the jaw is very important. A good prompt would be "Keep your teeth together in correct occlusion." Perhaps a facilitation context such as /st/ words. I would not address the tongue placement, unless the production is distorted. Model, model, model and use a mirror. Show the child correct and incorrect. I hope this helps.
Sandra Uhl was a professor at Miami University of Ohio for 32 years where she specialized in articulation and phonological disorders and orofacial myofunctional disorders. She supervised students in their clinical practicum and also had a private practice for many years.
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(This is the 2nd course in a 4-part series, SSD in Children with Cleft Palate and/or VPD.) This course will focus on special considerations needed during the first three years of life for the child born with cleft lip-palate and/or velopharyngeal dysfunction. Emphasis will be placed on referral to and collaboration with a child’s cleft palate-craniofacial team. Principles and techniques will be illustrated for use during the first three years of life.
(This is the 3rd course in a 4-part series, SSD in Children with Cleft Palate and/or VPD.) This course will focus on speech therapy techniques for the child with articulation disorder related to cleft palate or velopharyngeal dysfunction. Practical therapy techniques that can be adapted for children aged 2 through the teen years are included.
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This course is part of the 2014 Nancy McKinley Lecture Series. Evidence-based information will inform this discussion of the critical developmental link between metaphonology and literacy. Developmental considerations will inform a description of key parameters of phonological awareness instruction, effective strategies for young learners, and examples of instructional sequences for advancing the metaphonological abilities of preschool children.