Phonomotor Treatment: Principles and Methods

JoAnn P. Silkes², Megan Oelke^1,2, Wesley M. Allen^1,2 and Diane L. Kendall^1,2,3

¹ VA Puget Sound Medical Center, Seattle, WA

² University of Washington, Dept. of Speech and Hearing Sciences, Seattle, WA

³ University of Pretoria, Pretoria, South Africa

This work was supported by VA RR&D Merit Review Grant #C6572R from the United States (U.S.) Department of Veterans Affairs Rehabilitation Research and Development Service. The contents do not represent the views of the U.S. Department of Veterans Affairs or the United States Government.

For a PDF version of this manual, click here, or scroll down this page for access to the online version.

Welcome!

Phonomotor Treatment (PMT) is a treatment for aphasia that is based in strengthening phonological skills. It is multi-faceted and complex, so this manual has been designed to help speech-language pathologists learn how to deliver PMT. It provides detailed explanations and examples that you can use to learn the basics of the program, along with quiz modules to help you solidify and integrate your understanding of PMT.

We encourage you to take your time going through each section of this manual. Read the information and examples, watch the videos that are linked throughout, and review the case studies provided. Use the section quizzes to help you solidify and integrate your understanding of each aspect of PMT. Practice the tasks, keeping the written and pictorial aids that are provided here nearby for reference, and then review the relevant manual section and check your performance against what has been described.

Thank you for your interest in Phonomotor Treatment!

TABLE OF CONTENTS:

Introduction to the Phonomotor Therapy Manual

What is Phonomotor Therapy (PMT)?

Quiz module: Theoretical motivations for PMT

How is the PMT program structured?

Quiz module: The structure of the PMT program

What qualifications do I need to deliver PMT?

Who is a good candidate for PMT?

What supplies are needed to deliver PMT?

Socratic questioning: A fundamental element of PMT

Quiz Module: Socratic questioning

How to implement PMT

First session: Pre-treatment conceptual explanation

Quiz module: Conceptual introduction to PMT

A framework for introducing individual sounds in isolation

A note on orthographic conventions used in this manual

Consonant training sequence

Consonant family relationships

Vowel training sequence

Incorporating different modalities in treatment tasks

Training single phonemes

Procedure for introducing consonants: the first cognate pair - p/b

Procedure for training consonants: subsequent consonant sets

Procedure for introducing single vowels

Suggested tasks for reinforcing single phonemes

Training sounds in combination

Suggested tasks for training sounds in combination

Anatomy of a treatment session

Anatomy of a treatment trial - merging tasks within a single trial

Introducing orthography

Progression through the task hierarchy

Adjusting task difficulty and facilitating client success

Treatment stimuli

Devising non-word stimulus combinations

Introducing real words

Keeping data for PMT

Delivering PMT in the real world - practical considerations

Case studies:

Case study #1 - Morgan

Case study #2: Phil

Case study #3: Suzanne

Case study #4: Lynn

Printable materials for delivering PMT:

Mouth pictures.pdf

Blank vowel circle.pdf

PMT graphemes.pdf

Non-words to use in treatment.pdf

Real word stimuli to be used in treatment.pdf

Examples of word and syllable chains.pdf

Examples of phonotactically legal consonant clusters in English.pdf

Examples of real words with conventional spelling in PMT orthography.pdf

Phonemes with no features shared.pdf

Phonemes with 1 feature shared.pdf

Phonemes with 2 features shared.pdf

PMT Supplies Checklist.pdf

Sample PMT goals

Sample data sheets:

Data sheet example #1.pdf

Data sheet example #2.pdf

Data sheet example #3 .pdf

Data sheet example #4.pdf

Data sheet example #5.pdf

Client videos

Client perspectives on PMT

Video examples - Pre-treatment conceptual explanation

Video examples - Introducing and practicing single phonemes

Video examples - Introducing and practicing single syllables

Video examples - Introducing and practicing multi-syllables

Video examples - Introducing and using orthography

Video examples - How NOT to do PMT

Glossary of terms

References

If you would like access to the Discussion Board on this website, please email aphasia@uw.edu with either a University of Washington email address or a Gmail address and we will add you to the participant list. Once you receive email confirmation that you have been added, you can log in by clicking "Log In" at the top of the left side of the screen, and then a link to the Discussion Board will appear in the list of available pages on the left side of the page.

Questions or comments about this manual? Please contact us at aphasia@uw.edu.

Guide to Phonomotor Therapy