Hi
I think my original posting slipped under the radar, so just great to have so many of your thoughts now.
Tom and Teresa thankyou for your comments, Hilary, the anecdotal observations made interesting reading.
Your comments Caroline make a lot of sense, I wasn't thinking beyond the role of exercise influencing tone or the vestibular system; altered breathing alone would impact on his prosody and nasality and so his intelligibility. I must admit I hadn't picked up from the OT's I have worked with, that there was any doubt about SID actually being officially recognised! Thanks for the history lesson too, very enlightening – even zits WOW!
Rob, the visual part was a mirror under his nose
Peter, I have only heard the nasality on occasion with the voiceless stops /t/ and /k/, not with any fricatives. As detailed in the original posting he has had his adenoids removed and I'm wondering if this is the cause of the nasality of whether it's habitual. His GP commented last week that when he has a cold the mucus is not draining into the nasal cavity as would be expected but is instead heading down the airways and pools in the URT. The boy usually has a cold and his voice quality (not breath) is wet but easily cleared with a cough. There is not the need for frequent nose blowing, indeed, following my advise he has only been blowing his nose for a week (aged 4.3 years)
I think I am seeing a mixed picture, mouth breathing, drooling due to habit because of the history of enlarged adenoids. Possibly also accounting for lack of intonation and rapid rate of speech because of inadequate auditory feedback or breath control??? Coupled with intermittent nasality due to enlarged space following adenoidectomy.
--- In phonologicaltherapy@yahoogroups.com, "Teresa Mackinnon" <teresa.mackinnon@...> wrote:
>
> As a mum of a young man with semantic-pragmatic disorder i can attest to the positive impact of physical activity upon his arousal levels
> ----- Original Message -----
> From: hilary gardner
> To: phonologicaltherapy@yahoogroups.com
>
> I now spend some time in a multidisciplinary clinic where sensory
> integration (SI) is one of the therapeutic approaches on offer as part of
> the occupational therapist toolkit, not exclusively but dependent on the
> child's 'sensory' and other profiles (yes, the roots lie in Jean Ayres
> work).
>
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