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= Tactile Visual Cues! = = The use of tactile visual cues for the remediation of apraxia disorders is an initiative of the Speech-Language Pathologists in the State of Iowa. The SLPs have selected the resource, __Moving Across Syllables, Training Articulatory Sound Sequences__ by Jill Kirkpatrick, M.S.CCC-SLP, Pamela Stohr, M.S. CCC-SLP and Deborah Kimbrough, M.A. CCC-SLP as the tactile visual system to be used with children so that a consistent set of cues are used across the State. = Contact Diane Crouch, Early Access Speech Language Pathologist, for a collection of videos demonstrating the use of these hand signs. dcrouch @ghaea.org **/p/ and /b/**

Touch lightly above the upper lip with your index finger. Remove your finger as you say the sound.
= /n/ and /m/ = = Place your index finger alongside the nose for the feeling of nasality. =

= /k/, /g/ and /ng/ = = Place your index finger under the chin above the larynx. Remove your hand as you say the sound.​ =

= /s/ and /z/ = = /f/ and /v/ = **With your index finger placed horizontally under the lower lip, lightly roll the lower lip in and under the upper teeth while producing the sound,** = /l/ = **Place your index and middle fingers above the upper lip. Lightly draw down toward toward the border of the upper lip while producing the sound.** = /w/ = **Place your thumb and index finger at opposite corners of the lips. Apply slight inward pressure to stimulate lip rounding while saying the sound.**
 * Place your finger under the lower lip on the left size. Lightly draw your finger across to the right side of the lower lip while producing the sound. **

= /sh/ and /zh/ = **Place your thumb on one cheek and the index and middle fingers on the opposite cheek. Apply slight forward pressure while saying the sound.** = /ch/ and /j/ = **Use the tactile cues for /sh/ and /zh/ but apply a brisk forward squeezing motion of the fingers to suggest a greater air explosion.**

= /r/ = = ** Place the thumb and middle finger on opposite cheeks approximately at the upper molar positions. ** = = = = /y/ = **Use the /r/ tactile cue but also rapidly draw the fingers downward to suggest jaw opening while you produce the sound.**

= /th/ = ** Gently seperate the lips with thumb and index finger to suggest outward movement of the tongue. **