1) Phonate on /”ah”/ and observe if tongue is retracted posteriorly.
2) If so, have patient read word lists with tongue-tip sounds to move
e.g. “did” “sip” “tip” “seed”
“pit” “teeth” “maid” “sis” “tizzy” (White, 2001)
Excessive Anterior Tongue Carriage
1) Read words with a lot of back vowels and back consonants (k/g)
e. g. cook kook go good cog
Note if improvement heard in vocal resonance.
Assessing Oral peripheral Structure & Oral Motor Functioning
Oral Peripheral Exam – observe structure and function related to cranial
- Face - Cheeks - Lips - Mandible
- Tongue – occasional resting tremor
AMR’s (alternating motion rates) usually slow or may be fast and