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Monday, May 9, 2011

ELICITING SOUNDS /f/

Good Monday Morning to You! I hope you have a big cup of coffee or other caffeinated beverage to jump-start your day! Today we are going to talk about the /f/ sound. This is a relatively easy sound to teach and most therapists have few problems with getting correct production, so this entry should be fairly short.

TIP #1 “Bite Your Bottom Lip and Blow”

I find that to be standard instruction for telling a child what to do in order to produce the

/f/ sound. However, most kids will bite their lip and block the air and it will escape laterally in most all instances. So to get them to understand that you want the air to flow over the lip and under the teeth to produce friction for that fricative, simply begin that instruction with the word lightly. “Lightly bite your bottom lip and blow.” To get the air to come straight out the center place the tip of your index finger vertically at the center of the child’s mouth and tell them to blow on your finger. That helps cue where the center of their mouth is for them.

TIP#2 Cheerios or Fruit Loops

Once again you have caught me with my hand in a box of cereal! Yes, you can use either of these cereals to teach correct placement for /f/ as taught by Sara Rosenfeld-Johnson in her Talk Tools. This exercise will get across the idea of jaw-lip dissociation and oral segmentation better and quicker than anything else you can do, in my humble opinion. As you have heard me say several times previously in my blogs, I truly think the biggest barrier to kids learning their speech sounds has to do with them not understanding what is it exactly that we are wanting them to do. Non-oral motor speech exercises are very effective at helping them understand. It promotes oral awareness by assisting them in their understanding and identification of the parts of the mouth. It also promotes oral differentiation and teaches oral segmentation by performing acts that they can understand. Thank you Sara Rosenfeld-Johnson!

Mrs. Johnson’s procedure basically says you place a single piece of cereal in the middle of the bottom lip and have the child move it into their mouth by using only their upper teeth. (Dissociation and segmentation) You do this 25 times. Then you have them pretend to remove the cereal 50 times. At that point they should completely understand about the lip and teeth connection and what you mean by “Lightly bite your bottom lip and blow.” Now you can introduce /f/.

TIP #3 “Mad Cat” and “Fire Hose” Visual-Verbal Labels

As SLPs working with kids we like to be cutesy and perky, so we label the phonemes with cute little visual-verbal prompts, don’t we? Leah and I like the visual-verbal prompts of Mad Cat or Fire Hose for the /f/ sound. Either one works well but it does not hurt to make sure that the child is saying “fffffffff” and not “er-rare” for his interpretation of a Mad Cat. “Mad Cat” was first introduced to me in the Big Book of Sounds many, many years ago.

Catherine Chamberlain and Robin Strode introduced the “Fire Hose” visual-verbal prompt for /f/ in their Easy Does It for Apraxia and Motor Planning Program. I love it because it gives you a longer fricative than the short burst you get with the Mad Cat because they are pretending to spray water from a fire hose to put out a fire. Depending on what I am wanting from the child I will sometimes us both. Remember to do what works for you and that kid in front of you.

Tip #4 Hold Finger Under Bottom Lip

A simple visual cue to use to remind the child to use a correct /f/ sound is to place your index finger horizontally under your bottom lip. (Needless to say you will pair it with the sound as you are teaching the sound for it to become a visual cue they will recognize.) When they are drilling in words that simple cue can help them learn to self-monitor and self correct.

TIP#5 To Eliminate /fp/

It drives me crazy when a child learns the /f/ sound and says it so beautifully, but then inserts that /p/ when he starts using it in syllables or words! ARGH! What do you do? Well, there are two main solutions. This suggested solution may not be the best but it is one that has worked for me. When they begin saying their /f/syllables or words for the day, I have them use their own index finger (laterally) to push and hold the upper lip out of the way. I explain why I’m having them do this and demonstrate for them what they are doing and why it is coming out as /fp/. We continue with that days therapy activities with them using their finger. I encourage and coach the parents to do this during homework practice as well. It works. It may take a session or two but they finally grasp the idea that you do not need to use the lip, even though they have been substituting /p/ for /f/ all their little lives.

Now the better way to eliminate the /fp/ is taught by none other than Dr. Caroline Bowen. She teaches us how to use an aspiration trick to eliminate that stop. This is a no fail approach which I highly recommend. You know I love her therapy techniques! You also know I’m going to provide the link for you. Here is where she explains how to do it.

http://www.speech-language-therapy.com/tx-facts-and-tricks.html

And here is the link to her pre-made materials for us to use to teach it! Can she make it any easier for us?

http://www.speech-language-therapy.com/tx-/aspiration-trick-F.pdf

Beyond the tips we have just shared, I doubt you are having much difficulty with anything else related to the /f/, so we will conclude this blog. Ok, it may seem totally ridiculous to say this, but having seen well-meaning therapist do this I will remind you that you should not be teaching /f/ to a child who has no front teeth. If the /f/ is on his IEP as one of his targets it is OK to not work on it if he doesn’t have the oral structures to make the sound. Simply make note of it to report at the annual IEP meeting and go to another sound. If by chance you have no other sounds to work on, then call an IEP meeting to place the child on “Clinical leave” until his teeth come in. Yes, it is that simple.

For many of you the year is winding down, so enjoy and make the most of the days you have left with your kids!

Leah and Dean

www.2galspeechproducts.com

13 comments:

  1. I've only had a handful of /f/ and never thought about /fp/. Now I will be much more aware!

    ReplyDelete
  2. do you have any advice for /ft/...i have a student that can say /f/ in syllables, final and middle words...but four, fish, fin, forty, etc. come out ftour, ftish, ftin. help!!! :) love the other tips! thanks for posting!

    ReplyDelete
    Replies
    1. Brooke, one of the best tips I can give you is to use the aspiration trick that Caroline Bowen offers on her website. Here is the stimulus pics link http://speech-language-therapy.com/pdf/f-aspiration-trick.pdf As you will read on the bottom of the page she says to and I quote,

      " Practise ‘f…heat’, ‘fhhheat’, etc., gradually reducing the aspiration and eventually turning ‘f…heat’ into ‘feet’."

      Just take your time with this technique and don't rush it and you'll have him/her saying it correctly in no time!

      Her resources index is priceless http://www.speech-language-therapy.com/index.php?Itemid=117

      This should do the trick for you!

      Delete
  3. How about a child who produces /f/ with /w/ so fwour, fwive, fwarmer? Any suggestions?

    Brenda

    ReplyDelete
    Replies
    1. Brenda
      I suggest the same as I did for Brooke in the above. That technique should work regardless of whether the sound added is /p/ or /w/. You want to move from the /f/ to the rest of the word without any lip movement so the aspiration trick by Dr. Bowen should work.

      Delete
    2. Brenda
      I suggest the same as I did for Brooke in the above. That technique should work regardless of whether the sound added is /p/ or /w/. You want to move from the /f/ to the rest of the word without any lip movement so the aspiration trick by Dr. Bowen should work.

      Delete
    3. Brenda
      I suggest the same as I did for Brooke in the above. That technique should work regardless of whether the sound added is /p/ or /w/. You want to move from the /f/ to the rest of the word without any lip movement so the aspiration trick by Dr. Bowen should work.

      Delete
  4. Any tricks for a child who blows the air into his cheeks instead of out front?

    ReplyDelete
  5. What about a child that cannot imitate biting the bottom lip? The child currently uses his finger to "tuck in" the bottom lip and blows through approximated lips.

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  6. Any suggestions if you have a PreK student who is missing his top four front teeth?

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  7. I have a child that can say /f/ in the medial position on some words but not all. I thought maybe it depended on the consonant that preceded the /f/ sound in bi syllabic words but that is not the case. This child cannot get it at all in the initial position. He bites his lip and blows and the air comes forward, but he uses a /k/ sound every single time.

    ReplyDelete
  8. The event is free and open to the community and held at Beyond Expectations SouthBridge. Speech therapy

    ReplyDelete