1. Imrana Shakoor- SLP
INTRODUCTION
SPEECH: Coordination of the mouth to produce sounds to form
words and sentences (to address articulation, fluency, and voice
volume regulation.
LANGUAGE: Understanding and expressing language (written,
pictorial, body, and sign forms, and the use of language through
alternative communication systems such as social media, computers,
and iPads).
Hierarchy of Language Therapy
Basic Level of Skills
Attending Skills
1. Sitson the chair independently
2. Makes eye contact in response to name
3. Makes eye contact when given the instruction “Look at me”
4. Responds to the direction “Hands down”
Imitation Skills
1. Imitate facial expressions
2. Imitates simple oral movements
Receptive Language Skills
1. Follow one step command
2. Identifies objects
3. Identifies bodyparts
4. Identifies pictures
5. Identifies familiarpeople
6. Follows verbinstructions
7. Identifies verbs in pictures
8. Identifiesobjectsinthe environment
9. Points to pictures in a book
10. Identifies objects by function
11. Identifies possession
12. Identifies environmental sounds (Thunder, Doorbell, Motor bike, birds chirping,
horn etc.)
2. Imrana Shakoor- SLP
Expressive Language Skills
1. Points to desired items in response to “What do you want”
2. Points to desired items spontaneously
3. Imitates sounds and words
4. Labels objects
5. Labels pictures
6. Labels possession
7. Verbally request desired item
8. States or gestures yes and not for preferred items.
9. Labels familiar people
10. Makes achoice
11. Reciprocates greetings
12. Answers socialquestions
13. Labelsverbsinpictures, others, and self
14. Labels objects by function
Social Skills:
1. Make an eye contact
2. Waiting
3. Interactive play (Peek-a-boo, patty cake etc.)
4. Usage of conventional objects
5. Solitary pretend play
6. Take turns when asked.
7. Show two or more emotions to express himself.
Advance Level of skills
Attending skills
1. Sustains eye contact for 5seconds in response to name
2. Makes eye contact in response to name while playing
3. Makes eye contact in response to name froma distance
4. Asks “What?” when name is called
Imitation skills
1. Imitatesactionspaired with sounds.
2. Imitate simple words
Receptive Language Skills
3. Imrana Shakoor- SLP
1. Identifies rooms
2. Identifies emotions
3. Identifies places
4. Follows two-stepinstructions
5. Gives two objects
6. Retrieves objects out of view
7. Identifies attributes
8. Identifies community helpers
9. Pretends
10. Identifies categories
11. Identifies pronouns
12. Follows directions with prepositions
13. Identifies an object in view when it’s described
14. Places sequence cards in order
15. Identifies gender
16. Identifies item that is missing
Expressive Language Skills
1. Imitates two- and three-word phrases
2. Requests desired items in a sentence in response to “What do you want?”
3. Request desired items spontaneouslyin a sentence
4. Calls parent from a distance
5. Labels object based on function
6. Labels function of body parts
7. Labels and points body part according to function
8. Labels function ofobjects
9. Labels places
10. Labels emotions
11. Labels categories
12. Uses simple sentences
a. It’s a…
b. I see a… .
c. I have a…..
13. Reciprocates information
a. I have…
b. I see…
c. Social Information
14. States “I don’t know” when asked to label unknown objects
15. Asks wh-questions: “What’s that?” and “Where is…..?”
16. Labels preposition
17. Labels pronouns
18. Answers wh–questions about objects and pictures
4. Imrana Shakoor- SLP
19. Answersyes/noin responseto questions about objects and actions
Social Skills
1. Greetings
2. Maintaining appropriate proximity
3. Initiate for Communication
4. Understanding gender differences (Cannot shake hands with females/Males)
5. Understanding body language and social cues
6. Body awareness and understanding privacy
7. Take turns without being asked
8. Initiate for seeking companionship
9. Group pretend play
Oral-motor deficits and issues
Restricted tongue movement
1. Tongue elongation exercises
2. Elongate range of motion via imitation.
Difficulty in sucking
1. Internal oral musculature Massage
2. Internal muscle stimulatory Massage with an electric brush (As per client need)
Difficulty in blowing
1. Blowing exercises
Drooling
1. Thermal stimulation for labial seal.
Mouthing
1. Internal & external oral muscle Stimulation massage
2. Oral muscle stimulation Massage from electric toothbrush
Difficulty in chewing
5. Imrana Shakoor- SLP
1. Teethers
2. Chew on molars with chewy foods
3. Bite on a vibrating toy
