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Kayla Sutton

Horn Therapy: Sara Rosenfeld-Johnson, M.S., CCC-SLP
Diverse Populations: o Down Syndrome o Cerebral Palsy o Apraxia/Dyspraxia (to learn motor-planning movements for the eventual development of speech clarity) o Drooling Programs o Any age: 12mths – 104 yrs Program: o Practice at least 2x/wk with SLP and 1x at home. o Even clients with major deficits make significant therapeutic progress o Help with the following necessary movements for speech production(and speech sounds): o Lips: open to closed/ closed to open (1, 2, 3, 4, 5, & 8) o Lips: protrusion/retraction (3, 6, 7, 9, & 10) o Tongue: retraction (9, 10, 11, 12, 13, & 14) o Tongue: back of tongue side spread (14) o Certain rules to follow: o Client’s feet must rest firmly on the floor or other stabilizing surface and the body should be at 90-degree angles in the pelvis, knees, and ankles. – Stabilization in the body allows for mobility in the mouth. o Hold the horn and make sure there is no biting. o Remove the horn from the client’s mouth after each blow. – Muscle movement is recreated over and over again to develop strength/muscle memory. o Use oral motor therapy in adjunct with traditional therapy. When targeted muscles normalize, introduce client to traditional therapy techniques such as auditory feedback and phonological processing. You are using the horns to achieve the goal in a powerful and fun way! o Goal: 25 reps with small breaths in between each blow for each horn. (If max number of reps is less than the targeted goal, the attained number is assigned for homework.) o Work on designated goals—dealing with the development of muscles in 3 areas: phonation through the abdominal muscles, resonation through muscles of the velum, and articulation via the muscles in the jaw, lips, and tongue.

“When the horn therapy program is completed, clients have the strength and mobility to start traditional articulation therapies. And they got to make a little music along the way.”

lip rounding. Target correction of the interdental lisp. tongue retraction/release. Produces sound from vegetative breathing. cleft palate repair. Teaches lip closure and the skill of projecting exhalation in a frontal manner. Challenges the client’s achievements in a rewarding way. tʃ. and fun is a motivator!” . and abdominal constriction/tension. Must be blown for a 1-2 second duration. Teaches jaw elevation with minimal lip closure as client learns volitionally control airflow. Increases abdominal and lip closure strength. /w. b. Horns are organized by goals and the muscle movement required to produce phonemes. Flat mouthpiece. bilabial sounds. u.Kayla Sutton Horns: Sara Rosenfeld-Johnson made a hierarchy program with 14 progressively complex horns. Clients can feel and hear the redirecting of airflow. p/ 2. “Horns are fun. oral-tactile defensiveness. Prolongation of sound. Harmonica-like. dʒ/ 4. Works on bilabial sounds and tongue retraction. Oral-nasal resonants. 1. Requires no abdominal or obicularis oris contraction. Requires more than elementary lip closure and teaches first-level lip rounding. 8-9. /s/-assisting in lateral lisp correction 3. lip protrusion. /m. and low jaw sounds required for vowels and open-mouth consonants. ʃ. Intensifying the degree of duration of exhalation. p/ and the prolongation of oral language statements 5-7. Slide whistle. b. 10-14. /m.

o Remove the horn from the client’s mouth after each blow. 13. And they got to make a little music along the way. o Goal: 25 reps with small breaths in between each blow for each horn. & 8) o Lips: protrusion/retraction (3. 4. (If max number of reps is less than the targeted goal.S. 12. – Muscle movement is recreated over and over again to develop strength/muscle memory. 9.” . the attained number is assigned for homework. o Hold the horn and make sure there is no biting. M. o Help with the following necessary movements for speech production(and speech sounds): o Lips: open to closed/ closed to open (1. 7. 3. – Stabilization in the body allows for mobility in the mouth. 5. CCC-SLP Diverse Populations: o Down Syndrome o Cerebral Palsy o Apraxia/Dyspraxia (to learn motor-planning movements for the eventual development of speech clarity) o Drooling Programs o Any age: 12mths – 104 yrs Program: o Practice at least 2x/wk with SLP and 1x at home.. 2. 11. 6. & 10) o Tongue: retraction (9. 10. and ankles.Kayla Sutton Horn Therapy: Sara Rosenfeld-Johnson.) “When the horn therapy program is completed. & 14) o Tongue: back of tongue side spread (14) o Certain rules to follow: o Client’s feet must rest firmly on the floor or other stabilizing surface and the body should be at 90-degree angles in the pelvis. knees. clients have the strength and mobility to start traditional articulation therapies.

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