Hierarchy Of Speech Sounds
Aphasia Readers offers free PDF practice phrases, organized by theme
7) Sentences
- I hope to arrive early.
- Take one pill with water.
- The best bookseller for board books is in Boston.
- Pass the pepper to my plate.
- Must we move to Montana on Monday?
8) Conversations
- What is your favorite season and why?
- What would you do if you inherited a million dollars?
- What are your favorite sporting events and why?
- What would you do if you were 25 again?
- Coffee or tea? Why?
- Peter Piper picked a peck of pickled peppers
- She sells seashells by the seashore
- Which wristwatches are Swiss wristwatches?
- Seventy-seven benevolent elephants
- Betty bought some butter, but the butter was bitter, so Betty bought some better butter to make the bitter butter better
- How much wood would a woodchuck chuck if a woodchuck could chuck wood?
- Many an anemone sees an enemy anemone
- A skunk sat on a stump and thunk the stump stunk, but the stump thunk the skunk stunk
Zoom Voice Group For Pwp
Cost: $60 / 6 weeks
Class: voice exercise
Duration: 60 minutes
Classes run in 6 week sessions with a break in between. Class size is limited. Registrants must commit to all 6 weeks. You can register for the class with the instructor, speech language therapist, Jocelyn Lagier, on her website, by phone , or by using this form and mail her a check for tuition.
Cost: Free
Effort Closure Techniques: Hypoadduction
Use effort closure techniques with patients with hypoadduction of the vocal folds. These techniques aim to increase the force of vocal fold adduction.
- Clasp hands together then squeeze the palms together as hard as possible
- If seated on a chair, pull upward or push downward with both hands
- Interlace hands and pull outward
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Dual Task Training For Parkinson
Publisher: Triad Solutions, Inc.
Dual Task Training is combining speech therapy with physical movement and cognitive tasks. It has been shown to be the most comprehensive and fun type of speech therapy. This page has seven short dual task exercise videos plus one video of aquatic dual task training.
Work With A Online Speech Therapist Today

The Parkinsons speech therapy exercises outlined above are a great place to start if you feel that your speech skills are starting to decline. But, youll see the greatest benefits if you also work with a specialized speech therapist.
When working with Great Speech, our team of therapists will help you make sure youre doing the exercises correctly. Theyll also be able to prescribe specific exercises that are better tailored to your particular needs to continue seeing results between sessions.
Great Speechs team of online speech pathologists provide speech therapy services for a wide range of people, including those related to Parkinsons disease.
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Consonant & Vowel Pairing Repetition
Now that weve completed the simple speech therapyexercises, lets move onto more complex activities.
Take a consonant that you have trouble saying, and then pairit with each of the 5 vowels . Forexample, if you have trouble with the r sound, then practice saying ra, re,ri, ro, ru over and over.
If youre feeling ambitious, try this with all consonants.
Voice Choral Singing Therapy
Voice Choral Singing Therapy uses music therapy to help patients increase their respiratory volume and reduce vocal fatigue. Research studying VCST has shown it can improve vocal intensity and intelligibility however, it does not provide significant improvements in functional measures of vocal quality.2
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What To Do If You Cant Talk At All
Patients that cant talk afterstroke likely sustained major damage to the language center of the brain.Recovery will take more time and effort, but its often possible.
Mute patients wont be able to practice most speech therapy exercises,but they can take a step back and try a different type of speech therapy: singing therapy.
Surprisingly, even if someone cant talk, they can usually sing their words. This is because speech is a left-brain function but singing is a right-brain function.
A unique approach called singing therapy helpspatients capitalize on this opportunity for recovery.
Many people who had difficulty learning to speak againafter brain injury or stroke often have great success with singingtherapy.
Environmental Modifications For Dysarthria
Make environment modifications that will help your patient be more easily understood when communicating.
- Choose a quiet setting. Turn off the TV, fans, shut the window, etc.
- Choose an area with good lighting
- Avoid visual distractions
- Make sure that the speaker and communication partner are face-to-face and close enough
- Have a communication board or a notepad and pencil handy
- Use videoconferencing instead of phone calls
- Use the Telecommunications Relay Service where a specially trained communication assistant mediates phone calls for patients
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Want Access To This Printable Resource And Thousands More Add Printables To Your Access Pass
Create or modify your custom Access Pass subscription to get instant and easy access to handouts, therapy materials, clinical tools, research summaries, and continuing education courses so that you can spend your valuable time doing what you do best: Connecting with your patients and changing lives for the better.
Lsvt Loud Speak Out And Pitch Limiting Voice Treatment
LSVT LOUD is a treatment program that focuses on high phonatory effort to think loud and speak loud in order to increase vocal intensity.
SPEAK OUT! emphasizes that patients speak withintent to increase vocal intensity, clarity, and thinking processes.
For summaries of both treatment programs, see Voice Treatment Approaches: LSVT LOUD® and SPEAK OUT!®
Pitch Limiting Voice Treatment emphasizes speaking loud and low to increase vocal intensity without excessive pitch or hypertension of laryngeal muscles. The University that developed PLVT offers an app meant to enhance the treatment.
For more phonation exercises and materials, visit our shop
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Dysarthria Exercises For Adult Speech Therapy
In this post, youll find dysarthria exercises, strategies, and treatment ideas for your adult speech therapy patients.
As always, we include functional materials and step-by-step instructions for you to use during treatment. Bookmark this post to open during treatment or copy and print the resources.
For pre-made handouts and materials, visit our shop!
- When treating dysarthria, focus on the underlying impairment.
- Ask yourself these questions:
- What signs and symptoms am I seeing in my patient?
- Would speech therapy improve their ability to communicate more effectively, efficiently, or naturally?
- What subsystem can treatment focus on to help them communicate best?
- Should I refer out to ENT or a voice specialist?
Lee Silverman Voice Treatment

The Lee Silverman Voice Treatment is a series of exercises for people with PD. Named for Mrs. Lee Silverman who developed the technique in 1987, LSVT has been scientifically studied for 20 years. Also called LSVT LOUD, the technique focuses on simple tasks that are designed to maximize vocal and respiratory functioning. LSVT LOUD exercises have been shown to have several benefits, including:
- Improving voice quality and loudness,
- Improving the articulation of speech,
- Increasing the inflection ,
- Improving the intelligibility of speech .2-4
Research studies have found that people with PD who are treated using LSVT are likely to maintain improvement in their vocal function for up to two years following therapy.3 LSVT LOUD exercises are administered in 16 sessions over a month and include techniques such as:
- Warm-up: While sitting up straight, the patient says ah in a loud, clear voice for as long as possible, stopping if the voice becomes scratchy.
- Vocal stretches: After taking a deep breath, the patient starts at a low pitch and glides up as high as possible saying an Ah or Ee sound.5
Patients are trained to monitor the loudness of their voice and the effort it takes to produce it. The treatment does not train people with PD to shout or yell, but it uses loudness training to bring the voice to a healthy, improved vocal level without strain. Look for a speech therapist who is certified in the LSVT technique or search for a clinician at the LSVT Global website.4
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Which Problem Areas Do You Need Covered
Here are some of the functions that go into speech that yourSLP will assess:
- Problem-solving
The speech therapy exercises in this article mostly focus onyour speaking ability.
With oral motor skills being only a small part of youroverall speech, it helps to work with a professional and use speech therapyapps.
Your SLP will assess your problem areas and design a rehabprogram to meet your needs. The CTSpeech App also assesses your problem areas and caters a program unique toyou.
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Parkinsons Speech Therapy Exercises
The following speech therapy exercises are specifically designed to help people who suffer from Parkinsons disease.
Deep Breathing
This exercise might seem simple, but deep breathing is essential for keeping your lungs and diaphragm healthy and strong. This, in turn, helps you maintain your ability to project your voice.
Deep breathing is a great warm-up to get your ready for other, more advanced exercises.
To do this exercise, simply start by sitting or standing up straight. Take a deep breath in through your nose. Breathe in until you feel your ribs and abdomen start to expand.
When youve inhaled as much as you can, exhale slowly through your mouth .
Take several deep, full breaths before moving on to the next exercise.
Pitch Glides
This is a great exercise that will help you maintain your pronunciation and projection abilities.
Start by taking a deep breath in. Then, push out from your diaphragm while making an ah sound. Try to extend this sound for at least 15 seconds.
Take another deep breath and push out from your diaphragm while repeating an oh sound for 15 seconds. Do this again with both oo and ee sounds.
When youve done the exercise with each sound, youre ready to move on and practice changing your pitch. Do this by alternating between the oh and ee sounds for 30 seconds.
Volume Control
Sirening
Sirening is another good exercise for improving your pronunciation and pitch control.
Laryngeal Push-ups
Hierarchy Of Reading Tasks
Click for a list of phrases.
2) Sentences
Click for a list of sentences.
3) Paragraphs
JaToya took her dogs out for a walk. Their normal route was blocked by construction, but the new route she chose was beautiful. They walked over two miles.
Washington state is known for being a rainy place. This is not unfounded, as some of its cities have over 140 rainy days per year. Washington rain, however, is usually a light drizzle. When measuring total inches of rain per year, Washington is only the 29th rainiest state. The frequency of rainy days in the western part of the state makes it a green, vibrant place most of the year. Locals know to invest in good waterproof jackets.
Osaka, pronounced OH-saw-ka, is the second-largest city in Japan. It is also one of the largest cities in the world, with a population of over 20 million people. Osaka is considered Japans economic center. It is home to electronics giants Panasonic, Sharp, and Sanyo. Osaka is also one of the most expensive cities in the world to live inmore expensive even than New York City or Los Angeles.
4) Page-Level Reading
To keep treatment functional and patient-centered, its best to use books, magazines, or other materials that your patient is already reading.
For free classic books in the public domain, check out Project Gutenberg.
Pride and Prejudice by Jane Austen
It is a truth universally acknowledged, that a single man in possession of a good fortune, must be in want of a wife.
Mr. Bennet made no answer.
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Speech Therapy Exercise Apps
While the exercises above are a great place to start, theyarent tailored to your unique problem areas.
To get even better results, its a great idea to try usingspeech therapy apps like CT Speech and CognitiveTherapy App. It assesses your problem areas and assigns exercises tomeet your needs.
Best of all, the CT App contains hundreds of exercises sothat you can get quality therapy without the need of a therapist. In fact, theapp was designed by Speech-Language Pathologist to provide better therapy fortheir patients at home.
While its always best to work with a therapist, manytherapists encourage patients to use the CT App at home between sessions.
Expiratory Muscle Strength Training & Inspiratory Muscle Strength Training
EMST and IMST are recommended for patients with significant weakness who have speech that is incomprehensible because they run out of breath.
EMST and IMST training typically involve specially designed one-way valves that only open and allow airflow when a certain threshold of effort is reached.
Examples are the EMST 150, which is pictured above, and the POWERbreathe® Medic.
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Building Up Breath Control
Print out reading material then add slash marks between words to denote a new breath group. Where you put the slash marks will depend on each patients skill level.
Patient Instructions:
Use your breath support strategies while saying the following. You may take breaths as needed.
For more respiration exercises and materials, visit our shop
Should You Work With A Speech

If you struggle with speech and cognitive skills, then youshould consider working with a speech-language pathologist .
An SLP is trained to help you recover speech afterneurological injury, and they work with all areas of speech recovery that welisted earlier.
Most people work with an SLP for as long as insurance will cover, and then move onto speech apps when insurance cuts them off.
Want 20 pages of stroke recovery tips in an illustrated PDF?
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Parkinson’s Voice Project Practice Videos
Four Speak Out! practice videos, each with a different Parkinson’s Voice Project speech language pathologist .
Cost: $34.99/month or $349.99/year, first month free
Online post speech therapy maintenance with a speech language pathologist trained in either LSVT LOUD or Speak OUT!
Includes 15+ voice practice sessions per week as well as facial exercises, articulation practice, and more.
Publisher: LSVT Global, Inc. Cost: $28 for DVD or download $15/year streaming
Speech exercises for people with Parkinson’s Disease and other neurological conditions. Available in English and Cantonese.
The Best Speech Therapy Exercises To Get Your Voice Back
Written by the editorial team at Flint Rehab
Speech therapy exercises can help you improve your abilityto communicate and produce language. They can be especially helpful after aneurological injury like stroke.
Youre about to discover some great speech therapy exercisesthat you can try at home. Then, well share some tips to help you get startedeven if you cant talk at all.
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Doing The Best Speech Therapy Exercises
Overall, the best speech therapy exercises are the ones youpractice repetitively and consistently. Thats how the brain recovers.
However, because many different skills go into speech, itsimportant to cover all your bases by working with an SLP or using speechtherapy apps.
And if you have trouble getting started because you canttalk at all, then singing therapy is a great option to look into.
Benefits Of Speech Therapy Exercises
Speech therapy exercises are great for improving languagedisorders like aphasia.These disorders occur when the language center of the brain becomes damagedafter injury like stroke.
The language center resides in the left hemisphere of thebrain. Therefore, aphasia often occurs after a left hemisphere stroke or braininjury.
Speech therapy exercises help improve language skills bysparking neuroplasticity:the brains ability to rewire itself. Through neuroplasticity, healthy areas ofthe brain can take over the function of language.
Speech therapy exercises encourage new areas of the brain to take on the function of speech and communication.
Neuroplasticity is activated with repetitive stimulation, soconsistent speech therapy is required for the best results.
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