Major focus area

Speech Therapy -> Articulation

Short description

Integral stimulation approach is a motor based hierarchical speech treatment into which the SLP incorporates the principles of motor learning. DTTC is a child-specific modification of integral stimulation therapy (Rosenbeck, et al., 1973; Stand & Debertine, 2000; Stand, et al., 2006).

Long description

Integral stimulation and DTTC; targets can be practiced at the syllable, word, phrase, or sentence level. The patient may be moved up and down the treatment hierarchy depending on the amount of support needed and the level of success achieved.

Method: Multimodal cueing techniques are used in a hierarchical fashion and include auditory, visual, and tactile cues into the practice of speech production. These cues can be used together to provided maximal cueing and can be reduced when less support is needed. Studies have shown integral stimulation therapy is an effective treatment for remediating speech errors in patients with CAS, while noting that more and larger studies are needed to confirm the benefits of the treatment for a wider group of children (Rosenbeck, et al., 1973; Stand & Debertine, 2000; Stand, et al., 2006).