Goal: Improve Breath Control and Function to Improve Fluency and Voice

Sample Goal:

Client will independently demonstrate belly breaths during spontaneous conversation with no more than 2 cues on 3 out of 4 data collection days.

Download the No-Prep Therapy Kit:

We have a start-to-finish therapy kit that will give you everything you need to practice this skill in therapy and send home homework.  Click the packet below to open it.  Then, print it out and place it in the child’s notebook or binder.

Therapy Phases:

  1. Education: Client will demonstrate understanding of the respiratory system by naming where the air goes when breathing in (nose, throat, lungs) and when air goes out (lungs, throat, mouth) 100% of the time on 3 out of 4 data collection.
  2. Awareness: Client will identify when they (and/or SLP) are using a diaphragmatic breath (vs. clavicular/thoracic) when tidal breathing 85% of the time on 3 out of 4 opportunities.
  3. Breathing in Isolation: Client will independently demonstrate diaphragmatic breathing in the supine or sitting position when tidal breathing 85% of the time on 3 out of 4 data collection days.
  4. Adding voice to diaphragmatic breath: Client will independently demonstrate diaphragmatic breathing while voicing with sustained phonation 85% of the time on 3 out of 4 opportunities.
  5. Syllables: Client will demonstrate diaphragmatic breathing while saying (targeted sound) syllables with no more than 2 cues 85% of the time on 3 out of 4 opportunities.=
  6. Words: Client will independently say (targeted) words using diaphragmatic breathing 85% of the time on 3 out of 4 data collection days.
  7. Phrases: Client will independently say (targeted) phrases using diaphragmatic breathing 85% of the time on 3 out of 4 data collection days.
  8. Sentences: Client will say (targeted) sentences using diaphragmatic breathing and appropriate phrasing with 85% of the time with no more than 3 prompts on 3 out of 4 data collection days.
  9. Reading Aloud: Client will demonstrate diaphragmatic breathing when reading aloud with no more than 3 prompts 85% of the time on 3 out of 4 data collection days.
  10. Structured Conversation: Client will independently use diaphragmatic breathing during structured conversation 85% of the time on 3 out of 4 data collection days.
  11. Unstructured Conversation: Client will use diaphragmatic breathing when participating in a spontaneous conversation with no more than 3 prompts on 3 out of 4 data collection days.

Supplemental Materials

Here are some other resources that may help you when working on this skill:

Webinars:

Here are some webinars on the topic of voice and fluency that may provide you with more information:

Training Videos:

Need some extra help on treating this skill?  Check out these related training videos:

Helping You Help Them

*** The SLP Solution is for informational and educational purposes only and does not provide medical or psychological advice.  We provide general resources but cannot tell you exactly what should be done for a specific client.  Every client is different and your clinical judgement should be used when making decisions about specific individuals.

 

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