What does PROMPT mean?
PROMPT stands for Prompts for Restructuring
Oral Muscular Phonetic Targets and is a therapy technique that
targets a patient’s communication difficulties from a physical sensory perspective. It combines not only the
physical sensory domains (i.e., muscle motor planning) but also the social
emotional (i.e., attention and listening, reciprocal turn taking) as well
as the cognitive domain (i.e., language development) and approaches speech
development from a holistic understanding of the three domains.
How does PROMPT work?
therapy uses facial touch cues to teach the muscles in the articulators (jaw,
tongue and lips) how and when to move. By stimulating and guiding the muscles
to move in the correct sequence, the client improves their motor control and
oral muscular movements resulting in clearer speech. PROMPT therapy targets
speech synchronisation at different levels including: adequate breath support
and phonation, broader jaw
movements ‘a’ vs ‘ee’ vs ‘oo’ and precise tongue movements.
How Is This Related
When we produce any form of speech;
whether it is a single sound, word or sentence, the muscles in our articulators
must synchronise with each other in a precise timed sequence. As well as
synchronising our articulators, we must also co-ordinate our neck and chest
muscles to provide adequate resonance and breath support. When we consider that
each sound in the English language has a unique sequence of muscular movements,
it is understandable that a difficulty with muscle motor planning can impact
significantly on an individual’s communication ability. Patients with communication disorders often
have inefficient motor control of their oral-facial muscles, resulting in jaw
sliding, inadequate lip synergy (e.g., difficulty rounding and retracting lips)
or imprecise tongue movements.
Who can benefit from PROMPT therapy?
appropriate for a wide range of clients with communication disorders including
those who are non-verbal. The most common clients who are referred for PROMPT
therapy have motor speech disorders (such as aphasia, dyspraxia and
dysarthria), articulation difficulties, Cerebral Palsy, Down Syndrome, acquired
brain injuries and Autism Spectrum Disorders.
What can you expect from a PROMPT
assessment and therapy session?
At the first
PROMPT appointment, the therapist will complete an assessment of the client’s
motor movements. They will identify what the motor inefficiencies are (i.e.,
jaw sliding, difficulties when moving lips). As some inefficiencies can be very
quick and minute, it is favourable that these sessions are filmed to allow the
therapist to complete an in-depth assessment.
therapy is an adult-led, play based approach that uses games and vocabulary to
target a range of sounds, words and phrases. PROMPT therapy sessions are
typically provided weekly and are between 30-45 minutes depending on the
client’s attention and concentration levels.
FYI Did you know that both Katie Hughes and Emily Smith are PROMPT trained clinicians?