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Home The Speak Boutique Blog The Motor Speech Hierarchy
SOUND&MOVEMENT
DEVELOPMENT
O
LATER
TONGUE
CONTROL
e.g.T,K,S,SH,R,THetc
3-6YEARS
LIP
CONTROL
e.g.P.B.M.F
2-4YEARS
JAW
COnTROl
VOWELS
0-3YEARS
EARLIER
The Motor Speech Hierarchy C0000000
The
February 19, 2022 speak
Boutique
BroadcorrespondenceofspeechsounddevelopmenttoPROMPT's
MotorSpeechHierarchy. isfor
Motor-SpeechHierarchy
STAGEVII
PROSODY
STAGEVI
SEQUENCEDMOVEMENTS
Co-articulatedMultiplePlanes
STAGEV
TONGUECONTROL
(anterior posterior)
Segm ental
production
(timing&
durationi
STAGEIV
FACIALRETRACTION&ROUNDING
(horizontalplane)
STAGEIII
(verticalplane)
•Voiceonsettime
evoice•vOice
STAGEI STAGEII
TONE PHONATION
BREATHCONTROL
The
speak
BoUtIque
AGENORMSmappedontotheMSH
SPEECHSOUNDSBYAGE
STAGEVII AverageagesforEnglishcon.
PROSOOY
STAGEVI
SEQUENCEDMOVEMENTS
firming
Co-articulatedMultiplePlanes
year!
STAGEV
TONGUECONTROL
(anterior-posterior)
Segmental
production
(timing&
durationi
STAGEIV
FACIALRETRACTION&ROUNDING
(horizontalplane)
STAGEIII
(verticalplane)
iceonsettime
STAGEI STAGEII
TONE PHONATION
Ageinveare-
The Motor Speech Hierarchy (MSH) a central element of PROMPT therapy
BREATHCONTROL
is a -stage guide that helps SLPs analyze speech through the lens of
MOVEMENT. (For more about PROMPT visit their web-site at
promptinstitute.com )
Broadcorrespondenceofspeechsounddevelopment
toPROMPT'sMotorSpeechHierarchy.
Why I it: The
speak
Boutique
The MSH corresponds neatly to developmental progression of speech
sounds. In slide 3, I’ve juxtaposed it to the consonant norms outlined in
2018 by McCleod & Crowe (poster from The Speak Boutique store) and
vowel norms from Dr. Namasivayam et al’s 2020 paper: Speech Sound
Disorders: An AP Perspective.
https://www.frontiersin.org/articles/10.3389/fpsyg.2019.02998/full
By addressing sounds according to MOVEMENT, S-LPs can address
several sounds at once. E.g. when working on lip closure, we can address
P, B and M at the same time. When working on back tongue control, we
can target K and G together.
It is a MYTH that you need to address sound errors in the sequence of
the MSH. PROMPT trained SLPs to analyze the subsystems of speech
breakdown & prioritize/customize according to the specific child’s abilities
and needs. #clinicaljudgement
The MSH in a nutshell:
STAGES:
and :
tone/posture
basic phonatory control
both = related to BREATH control.
important bc/ speech = shaping of air through the vocal tract .
JAW movement.
vertical ↕ movement
mostly VOWELS
ing for central & stable mvmt.
LIP movement
horizontal movement.
lips stretch: “ee”, or are : “o”.
lower to contact for F/V
at if s are closing fully and symmetrically.
TONGUE movement
anterior/posterior .
is moving independently from jaw.
sequenced movement - changes in voicing & control (valving) and
integration of multiple planes of movement.
Compare “mom” ( movement/all voiced) vs. “squirrel” which
requires variation of voicing, control of jaw, lip and tongue movement.
)
Prosody: the melody of speech. re: time and
volume/emphasis.
Stage is connected to Stage . We consider prosodic elements
throughout a child’s intervention.
very important for kids with CAS.
February 19, 2022
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