Treatment of /R/ Errors

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Evidence Based Treatment of Residual /R/ Errors
Dr. Jonathan Preston, CCC-SLP

The most common residual speech error in American English is “R” /ɹ/. Using examples of recent articulatory imaging techniques, this presentation reviewed the core elements needed to produce /ɹ/ and the variation among speakers. The main elements of /ɹ/ production were then used to emphasize common cueing strategies to elicit /ɹ/ from children who are not yet stimulable. Practice strategies were described, including early treatment emphasis on principles of acquisition, later emphasis on principles of motor learning, and Speech Motor Chaining as a bridge between acquisition and learning. Emerging treatment approaches were be discussed.

ASHA: 0.2 ASHA CEU, Advanced Level

CA SLPAHB: 2 hrs

CMH: 2 hr

Dr. Jonathan Preston, CCC-SLP is a speech-language pathologist who has been working with children with speech sound disorders for 20 years. He received his PhD from Syracuse University and completed postdoctoral training at Haskins Laboratories, an affiliate of Yale University.  He is currently an Associate Professor in the Communication Sciences and Disorders Department at Syracuse University. His research focuses on neurolinguistically-motivated and evidence-based treatments for speech sound disorders. He is currently involved in multiple federally funded clinical trials to study different treatment approaches and different service delivery models for children with persisting speech sound errors, as well as childhood apraxia of speech.  Dr. Preston has been Principal Investigator and Co-Investigator of several NIH-funded and foundation-supported research grants. He is co-author on over 50 peer-reviewed publications in the area of childhood speech and language disorders.

  1.  Describe 5 articulatory elements of correct /ɹ/ production, and at least one cueing strategy for each
  2. Describe 5 principles of acquisition and give an example of how to implement them in /ɹ/ therapy
  3. Describe 5 principles of motor learning and give an example of how to implement them in /ɹ/ therapy

This course must be watched in its entirety. In order to receive the CMH or the CEU certificate, a quiz is required to be completed with 80% success.

Financial— Dr. Preston received a speaking fee from the Lavi Institute/Power Up Conference

Nonfinancial— No relevant nonfinancial relationship exists.

5 mins – Disclosures, Introduction
25 mins – Review of current research
50 mins – Objectives
Describe 5 articulatory elements of correct /ɹ/ production, and at least one cueing strategy for each
Describe 5 principles of acquisition and give an example of how to implement them in /ɹ/ therapy
Describe 5 principles of motor learning and give an example of how to implement them in /ɹ/ therapy
30 mins – Results and Recommendations
10 mins – Q&A

Course 0149, Treatment of /R/

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