Question
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.
Answer
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.
Sandra Uhl, M.A.
Related Courses
1https://www.speechpathology.com/slp-ceus/course/treatment-approach-considerations-for-school-9472Treatment Approach Considerations for School-Aged Children with Speech Sound DisordersThis course will address the theoretical underpinnings and research base related to differential diagnosis and treatment of articulation and phonological deficits in children with speech sound disorders. Special considerations for how to tailor evaluation and intervention to meet the needs of school-age children will be discussed.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlySpeechPathology.comwww.speechpathology.comTreatment Approach Considerations for School-Aged Children with Speech Sound DisordersThis course will address the theoretical underpinnings and research base related to differential diagnosis and treatment of articulation and phonological deficits in children with speech sound disorders. Special considerations for how to tailor evaluation and intervention to meet the needs of school-age children will be discussed.9472OnlinePT60M
This course will address the theoretical underpinnings and research base related to differential diagnosis and treatment of articulation and phonological deficits in children with speech sound disorders. Special considerations for how to tailor evaluation and intervention to meet the needs of school-age children will be discussed.
2https://www.speechpathology.com/slp-ceus/course/back-to-basics-down-syndrome-8975Back to Basics: Down SyndromeThis course serves as a primer on Down syndrome for practicing speech-language pathologists. The basics of the syndrome and common speech, language, voice, and fluency issues are addressed. Effective treatment strategies for improving communication across the lifespan are discussed.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlySpeechPathology.comwww.speechpathology.comBack to Basics: Down SyndromeThis course serves as a primer on Down syndrome for practicing speech-language pathologists. The basics of the syndrome and common speech, language, voice, and fluency issues are addressed. Effective treatment strategies for improving communication across the lifespan are discussed.8975OnlinePT60M
This course serves as a primer on Down syndrome for practicing speech-language pathologists. The basics of the syndrome and common speech, language, voice, and fluency issues are addressed. Effective treatment strategies for improving communication across the lifespan are discussed.
3https://www.speechpathology.com/slp-ceus/course/20q-dynamics-school-based-speech-1000220Q: Dynamics of School-Based Speech and Language Therapy VariablesThis course reviews dynamics of speech and language therapy variables such as session frequency, intervention intensity, and dosage, and how these are impacted by different service delivery models. It discusses how therapy outcomes are related to therapy quality, IEP goals, and SLP-level variables such as job satisfaction and caseload size.textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlySpeechPathology.comwww.speechpathology.com20Q: Dynamics of School-Based Speech and Language Therapy VariablesThis course reviews dynamics of speech and language therapy variables such as session frequency, intervention intensity, and dosage, and how these are impacted by different service delivery models. It discusses how therapy outcomes are related to therapy quality, IEP goals, and SLP-level variables such as job satisfaction and caseload size.10002OnlinePT60M
This course reviews dynamics of speech and language therapy variables such as session frequency, intervention intensity, and dosage, and how these are impacted by different service delivery models. It discusses how therapy outcomes are related to therapy quality, IEP goals, and SLP-level variables such as job satisfaction and caseload size.
4https://www.speechpathology.com/slp-ceus/course/sleuthing-for-s-and-r-9237Sleuthing for /s/ and /r/: Facilitating Strategies for Residual Sound ErrorsThis course will discuss the rationale and strategies for teaching production of /s/ and /r/ for upper elementary school-age children and older. Errors on these two sounds are considered residual when production continues to be inaccurate beyond the developmental age of acquisition.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlySpeechPathology.comwww.speechpathology.comSleuthing for /s/ and /r/: Facilitating Strategies for Residual Sound ErrorsThis course will discuss the rationale and strategies for teaching production of /s/ and /r/ for upper elementary school-age children and older. Errors on these two sounds are considered residual when production continues to be inaccurate beyond the developmental age of acquisition.9237OnlinePT120M
This course will discuss the rationale and strategies for teaching production of /s/ and /r/ for upper elementary school-age children and older. Errors on these two sounds are considered residual when production continues to be inaccurate beyond the developmental age of acquisition.
5https://www.speechpathology.com/slp-ceus/course/20q-continuum-approach-for-sorting-1000820Q: A Continuum Approach for Sorting Out Processing DisordersThere is a good deal of confusion among audiologists and speech-language pathologists when a diagnosis of “processing disorder” is introduced. This course presents a continuum model to differentiate processing disorders into acoustic, phonemic, or linguistic aspects so that assessment and treatment can become more focused and effective. The roles of audiologists and SLPs in relation to processing disorders are described, and compensatory strategies for differing aspects of processing are presented.textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlySpeechPathology.comwww.speechpathology.com20Q: A Continuum Approach for Sorting Out Processing DisordersThere is a good deal of confusion among audiologists and speech-language pathologists when a diagnosis of “processing disorder” is introduced. This course presents a continuum model to differentiate processing disorders into acoustic, phonemic, or linguistic aspects so that assessment and treatment can become more focused and effective. The roles of audiologists and SLPs in relation to processing disorders are described, and compensatory strategies for differing aspects of processing are presented.10008OnlinePT60M
There is a good deal of confusion among audiologists and speech-language pathologists when a diagnosis of “processing disorder” is introduced. This course presents a continuum model to differentiate processing disorders into acoustic, phonemic, or linguistic aspects so that assessment and treatment can become more focused and effective. The roles of audiologists and SLPs in relation to processing disorders are described, and compensatory strategies for differing aspects of processing are presented.