![]() Rehearse production of first target sounds in CV and VC combinations a number of times. Variation Level 1: C1V1C1V+ (+ indicates variation of sounds in that position in a series) : (e.g. Create CVCV nonwords on all the levels of variation Open the SML software and capture the first set of target sounds. In severe apraxia of speech, select only 2 consonants and 3 vowels as the first target set. Gradually add more sounds to the target set. Part of SML’s protocol includes the use of “rounded vowels” which are distinct in some English dialects (including South African English) but are distinct not in many other English dialects.Īlways start treatment with a set of the easiest sounds (Cs and Vs with the greatest ease of production) and then in stages across time (see Treatment steps below). Of note: the author of this approach is based in South Africa. Select the first set of target sounds consisting of 3 or 4 consonants that are not phonetically close, and 3 or more vowels.Rate ease of production of vowels (V), consonants (C), diphthongs and clusters (CC) on a scale of 1-4.Īn exact rating is not always possible, A sound can be noted as a 1 – 2, or 2 – 3, or 3 – 4.The SML Approach has 12 steps, broken down into Preparation, Pre-Treatment, then Treatment.Īlong with the steps of treatment, there are also stages of treatment. How to Do The Speech Motor Learning Approach Both delayed and immediate feedback resulted in similar gains in motor learning for apraxia of speech.While delayed feedback is when you pause before giving the feedback. Immediate feedback is when you give feedback right after the patient does the movement.Provide Immediate and/or Delayed Feedback.Reduced feedback helps patients self-monitor.Or maybe every 5 movements (50% or 20% of trials). Instead, you reduce your feedback to every other movement. ![]() Reduced feedback is when you don’t give feedback every single time the patient tries a movement. ![]()
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