HOW TO USE SPEECH SOUNDS ON CUE

Transcription

1 HOW TO USE SPEECH SOUNDS ON CUE Speech Sounds on Cue plays on both Windows and Mac computers. Installation instructions are on the CD-ROM case. There are 2 versions of this program, the Home and Professional versions. Professional users can install on 2 computers and have extra options such as recording and replaying recordings from multiple clients and printing all the exercises. There is also a Demo version which only lets you try the W sound and the Rhyming Words (other functions are disabled). Time limited subscriptions of the Home User version are also available. You can use a mouse or touch screen to control the program, or if this is difficult there are also simple keyboard controls using the Spacebar and arrow keys. HOW TO START THE PROGRAM WINDOWS MAC After installation, there should be a shortcut icon on your desktop and in your START menu called Speech Sounds On Cue. Double click on this to start. The first time you use it you will need to enter the codes you have been given to register. After installation, open the Speech Sounds On Cue folder in your Applications folder and click on the Icon called SpeechSoundsOnCue.app. The first time you use it you will need to enter the codes you have been given to register. The first time you use it you can choose to change the screen resolution to suit larger screens and you see and hear some keyboard operation instructions. You can choose to not see these messages each time (and access these functions from the Settings Button later if you need them again). The program will then start with the Menu each time. If you want the Pro version to start automatically with the Clients screen each time you can request this on the CLIENTS screen. This will mean you can enter the client you are working with at start-up to enable recordings to be saved for that client. Otherwise, go to this screen manually by clicking the Clients button on the top Navigation Bar. The Navigation buttons on the bar along the top of your screen open the MENU or the screens controlling other functions. On the Home version, the Clients button is not accessible as the CLIENTS screen is not needed. Each of these screens will be explained below. THE MENU SCREEN The program starts with the MENU screen. It can also be accessed from the Menu Button on the top left of the screen). This is the screen you work from. Click on a sound button to select it from the menu, or press the Space Bar continually to reach the sound you want to start with. Other Exercises available from the Menu screen are Random Practice exercises and Rhyming Word Exercises (to be explained later). 1

2 HOW TO CONTROL THE EXERCISES Use the navigation buttons in the bar at the top of the screen to open the Menu or the other functions. The Clients button is not accessible on the Home version. Start the exercises from the Menu. Click on a button to select a sound. MOUSE OR TOUCHSCREEN CONTROLS Click on these buttons. Next - move through the words. Repeat - say the same word again. Previous - move backwards through the list. Select from Dropdown list - select a particular word or starting point. Record - only use this if Start recording automatically is turned off. Playback - only use this if Play back recording automatically is turned off. KEYBOARD CONTROLS - If you can t use a mouse you can use the keyboard for some of the functions. USE THE SPACE BAR 1. TO SELECT WHICH SOUND TO WORK ON: From the MENU Screen, keep on pressing the SPACE BAR to move to the sound you want to work on. Stop pressing and the last sound highlighted will be selected and will start playing. 2. TO MOVE FORWARD TO THE NEXT WORD within the exercise, and take you to the Menu at the end of the exercise. LEFT ARROW - To repeat the last word. RIGHT ARROW - To return to the menu 2

3 HOW TO DO THE EXERCISES 1. Click on a sound from the menu OR keep pressing the SPACE BAR until you reach the sound you want to work on. 2. Watch the video showing how to say the sound on its own and try to say the sound. If you want to keep practicing the sound on its own, click on Repeat or the left keyboard arrow. 3. To continue to the words, click next or the spacebar. 4. The sentence cue and video play to show you how to say each word. You can try to say the word now, or you can choose to just watch or think the movement in the early stages of using the program. 5. The sentence cue plays again and this time you say it as the silent video plays - it will record and play back your voice as you say the word this second time. It will record automatically or you can choose to turn the automatic recording and playback off using the SETTINGS screen. (Then use the Record and Playback buttons if you want to record and replay). 6. If you want to go back to practice specific words, use the Previous button or select the word from the drop-down list at lower left of your screen. Random Practice Button Clicking on this button gives you the option of Random Practice. Principles of Motor Learning research shows some support for simple repetitive blocked practice of single sounds for the early stages of acquisition of a motor speech task, but drilling should transition toward more variation if the motor program is to be retained and generalised successfully. (See Maas, E., Robin, D. A., Austermann Hula, S. N., Freedman, S. E., Wulf, G., Ballard, K. J., et al. (2008). Principles of motor learning in treatment of motor speech disorders. American Journal of Speech-Language Pathology, 17(3), ) This is why Random Practice and Rhyming Word Practice exercises have been introduced. Click on the Random Practice button to turn on Random Practice. Now you can select more than one sound to work on. 30 target words from the selected sounds will be presented in random order. Rhyming Word Practice These exercises vary the initial sounds and should be attempted after you have achieved good control on the drills starting with the same sound. Roll your mouse over the photos to hear the words. Listen to the differences. See if you can identify their initial sounds or from the printed Sound Cards. Now roll over each photo and try to say each word. As you improve roll over 2 to 4 photos at a time and then try to say them in sequence. Then try to name the pictures or read the words without hearing them. If you have the Pro version, you can go to the PRINT screen to print out these rhyming pictures to practice at random. 3

4 THE SETTINGS SCREEN This is where you can turn on and off a number of options. Visual display use the drop down list to select if you want the program to always ask about screen size at start-up, to change the screen resolution to fill larger screens or to display the program at standard size. Skip the intro so that the program always starts with the menu. Video playing choose whether to play each video a second time silently during recording or turn this off to make it more difficult. Recording Options: Here you can select the microphone (Input device) you are using and the recording time. On a Mac computer you can adjust the Microphone (Input) volume here using the slider. The recordings save to a folder on your hard drive shown in the window at the bottom but you can also click Browse if you want to save them somewhere else (for instance if you want to put them on a USB stick and take them for your Speech/Language Pathologist/Therapist to listen to.) Playback Options Choose if you want your recordings to Play Back automatically. SOUND TEST - There is also a button to open your Sound Test to check that your microphone and speakers are working properly and show you how to fix them. (This sound test also plays the first time you use the program) THE CLIENTS SCREEN This is only available if you are a professional user. It enables Clinicians to enter their Clients names so that recordings will automatically be saved under their name during their session. Type in their name and click Add. If you want this screen to open every time you start the program so that you can select the client each time you start, click on Show client selection at start-up. Alternatively, you can click the Clients button on the Navigation Bar at the top to enter your client whenever you change clients. If only one person is using the Pro program you can leave the User List blank. On the Clients screen you can also highlight a client s name to edit it or to archive it (this makes it disappear from the list but you can retrieve it later by clicking Browse on the Playback Screen and selecting Archive ). To restore an archived file to the recordings list, find it in your Windows computer at My Documents\MMSP\SSonCue\Archive\ClientName_date_timeOfDeletion\. Remove the date-andtime-of-deletion information from the folder name and move it from the Archive folder back to the Recordings folder at My Documents\MMSP\SSonCue\Recordings\ THE PLAYBACK SCREEN Use this screen to find files saved from previous sessions. Highlight the Client Name, Session Date and time (named under the format YYMMDD_HHMM) and word (sound file) you want to hear. You can also click Select All to hear the whole list to score results for the session. Use the volume slider or your computer s speaker volume control to increase the playback volume. If the results have been saved on a USB stick or elsewhere on the computer or network (not the default folder where they are stored automatically) then you can find them by clicking on the Browse button. 4

5 THE PRINT SCREEN This screen lets you search for and print photos and exercises to learn and practice the sounds with a helper. TO PRINT: Select Document Type, Format, File and either Open or Print Selection to preview and print the documents and photos. If you select a document in Microsoft Word s DOC format, you will see No preview available instead of a preview. You can change the Format to see the preview. Alternatively, if there is an application on your computer that can open Word documents, you can click on Open to open the document in that application, or on Print Selection to print it. DOCUMENTS AND PHOTOS ON THE HOME VERSION: SOUND CHART - shows how to produce 20 consonant sounds for daily practice. SOUND PHOTOS You can print these full size or use them to create a set of cards. (In Windows Select Open folder and highlight the cards you want while holding down the SHIFT key. Then select File >Print and select Wallet Size. BOOKLET A complete list of all the sounds and words with their Sentence completion cues. HELP NOTES Select Help Notes, pdf and Print Selection EXTRA PRINTABLE WORKSHEETS ON THE PRO VERSION If you have purchased the Pro version of Speech Sounds on Cue, you will also be able to print a set of 300 Apraxia Worksheets and Scoresheets. SELECT THE FILES YOU WANT TO PRINT FROM THE FOLLOWING FOLDERS: SOUND PHOTOS FOR COPYING MAKE YOUR OWN EXERCISES: Select Make Your Own Exercises and Open. Copy these pictures (click with your right mouse button on the picture you want and select copy, then go to your Word document and Right Click/Paste) and paste them into your own Word documents to make a set of exercises and functional words to suit each person. VOWELS: these have been included for the clinician to work on prior to commencing Speech Sounds on Cue if the user is not yet able to initiate phonation or imitate vowels or diphthongs. LIP AND TONGUE EXERCISES: these have been included for the clinician to work on prior to commencing Speech Sounds on Cue if the user has poor voluntary control of lip and tongue movement, and is not yet able to combine consonants with vowels. FUNCTIONAL PHRASES: These are included for daily practice of high frequency functional words and phrases and serial speech with sound position pictures included to cue initiation. You can also make your own customised functional words and phrases using the pictures from the word document named Sound Photos for copying make your own exercises. SSOC PRACTICE SHEETS: These are printed versions of all the exercises in Speech Sounds on Cue which can be used when a computer is not available or for carry over of skills practiced with the program. SSOC SENTENCE COMPLETION EXERCISES: These are carry - over exercises for lexical retrieval. Can be used as a Word - Picture matching task (cut out the words on the bottom of the page or just point to the correct written word) or as oral or written sentence completion tasks. (Models for copying are provided in both uppercase and lowercase) RHYMING WORDS: These pictures are provided to give Random Practice of all the sounds attained in practicing with the cues within the Program. Use the exercises as a listening task Point to the one I say and phoneme manipulation task. Print the Sound Chart or Sound Cards 5

6 and ask the person to find the initial sound of each word on the page. Then progress to a speech production task, alternating between the rhyming words. SCORE SHEETS: Your Speech and Language Pathologist can print score sheets for all the sounds and listen to your recordings on the PLAYBACK screen score your performance and measure your progress. HOW TO MAKE THE EXERCISES EASIER OR HARDER This program is provided as a therapy tool to enable high frequency practice and feedback for people with Motor Speech Disorders, mainly Apraxia of Speech. The guidance of qualified Speech and Language Pathologist is recommended. Before commencing the program, we recommend that you practice some basic skills with the assistance of a clinician using the printable Sound Chart and sound cards (in both versions of Speech Sounds on Cue) and the printable vowel exercises and lip and tongue exercises in the Pro version. INCREASING THE LEVEL OF DIFFICULTY WHEN DOING THE EXERCISES 1. Go through the exercises and just watch the videos and listen to the cues and words without attempting to speak. 2. Go through the exercises and just watch the videos and listen to the cues and words and imagine yourself saying the words (recording can be turned of for these stages). 3. Go through the exercises, watch the videos and listen to the cues and just try to say the sound in isolation and the words along with the video or after the videos (even if you just achieve the initial sound.) 4. Watch the videos and listen to the cues and try to say the sound in isolation and the words along with the videos (listen to each recording that was made as you followed the second silent video) 5. Aim for increasing speed of response and accuracy try to say the word before the first video model starts. 6. Reduce the cues turn off the silent video (using the SETTINGS screen) and say it without the model. 7. Turn down your speaker volume and say the words without the auditory sentence completion cue. 8. Practice the sounds in random order (select the Random Practice exercises and Rhyming Word exercises.) 9. Print the SSOC Practice Sheets and read all the target words or name the pictures. 10. Say the words as you do the picture-word matching tasks (SSOC sentence completion exercises). (Cut out the words and read them as you match to the pictures or write in the correct answers) 11. Print out the rhyming words and say them as you read them or name the pictures in random order. 12. Get your helper to ask questions answerable with each word. 13. Say each word in your own sentence. 6

7 WHICH SOUNDS SHOULD I WORK ON FIRST? ADULTS: When working with adults with Apraxia of Speech, the Sound Chart poster (which can be printed from the PRINT screen) can help the Speech and Language Pathologist/Therapist to decide which sound to start with on the program. We recommend that the therapist or helper works through the sounds on the chart every day and helps the person to say as many sounds as possible. Assistance can be given in placing the person s lips and tongue in the correct position as on the chart. You can also help to cue the correct sounds by giving the person ideas or prompts to say the sound automatically. These are the prompts which I have found most useful, but each individual responds to different prompts so try anything that you find helps. M P mmm It tastes good or mmm. I agree with you Spit out some air B BOO! or Bye (with appropriate actions/gestures). W Cry like a baby or exclaim Ooooo! N Yes or.. No T A cup of Tea or 1 2 or Ta ta D Shut the..door How do you Do? (Shake hands) L Sing LA - LA - LA (Go up a few notes of a scale) S Z Hiss like a snake or an angry cat Buzz like a fly or mosquito. Lets go to the.zoo Sh Tell someone to be quiet (gesture with a finger in front of the lips) Th F V Make a cheeky face by sticking your tongue out or put honey on their lips to lick. Bite your lip Bite your lip. Watch the T.V CH Sneeze AH CHOO! Be a steam train choo choo choo. Do the Cha - Cha - Cha J K G Orange Juice. A honey Jar Drive a Car or Ache aching.a King. (It may help to hold the tip of your tongue down with a spoon to encourage the back of your tongue to elevate) Ready set.go (It may help to hold the tip of your tongue down with a spoon to encourage the back of your tongue to elevate) R Growl like a dog rrrrrr or It s cold.brrrrr 7

8 H Laugh HA HA HA or Sigh because you re finished.haaaaah! Don t attempt the same sound after 2 or 3 failed attempts. Go on to the next sound and try again tomorrow. Start the program on the sounds that are easiest on the chart. Then as the weeks go by, tackle the harder sounds. The helper needs to reduce cueing as the person improves until they are saying all the sounds on the chart without assistance. CHILDREN: When using the program with children, you should work on the sounds in the order recommended by your Speech and Language Pathologist/Therapist. Younger children (pre-school age) can work on the early developing sounds (m, p, b, w, n, t, d, k, g and h) but should not be expected to produce the more difficult sounds (s, z, v, th, sh, ch and j) until they have reached the appropriate stage of development. Copyright Carol Bishop All rights Reserved. You can contact Carol in Australia on E mail mmsp@tpg.com.au USA and Canada Representative: Bungalow Software 2905 Wakefield Drive Blacksburg, VA Ph: (540) info@bungalowsoftware.com 8