Wednesday, October 31, 2012

A Frontal Lisping Program - A way to correct that tricky "S" Sound!

Happy Halloween everyone!  I recently developed a program to help correct frontal lisping.  It has a lot of pictures of silly monsters and that makes this posting today appropriate!  It concentrates on retraining the tongue to stay behind the teeth by having the student say a lot of words that require alveolar ridge placement (bump behind your upper teeth), and than the program moves on to correcting the "s" sound with better tongue placement in the back of the mouth.  I've borrowed portions of this therapy technique from other SLP's, and have added some of my own strategies, diagrams, and words to help make it a complete program for correcting frontal lisping. I have used this strategy with several kids and have found a lot of success with it.  I hope it helps someone that you know too who is struggling with the tricky sound of "s"! Cheers to keeping that tongue inside where it should be for making the "s" sound! Please just click on our TpT or Teachers Notebook links to see previews of the program and if you wish to buy it for your own use.  Also, feel free to share the information with a friend or teacher that may be interested.  A link to the preview of the program is below. Best wishes for a fun and productive lesson with your kiddos soon. 
Manda, MA-CCC-SLP 

Link to Lisping Program at Teachers Pay Teachers here.

Link to Lisping Program at Teachers Notebook.

What is a frontal lisp?

A lisp is a Functional Speech Disorder (FSD), and a functional speech disorder is a difficulty learning to make a specific speech sound, or a few specific speech sounds.

Typically, when a person lisps their tongue either protrudes between, or touches, their front teeth and the sound they make is more like a 'th' than a “s”.

Protruding the tongue between the front teeth while attempting “s “ is referred to as 'interdental' production, and touching the front teeth with the tongue while attempting to produce “s”  is called 'dentalised' production.

Usually kids who are demonstrating a frontal lisp will substitute a sound close to the voiceless /th/ for the /s/. You may hear words that sound like this: ”saw” sounds like ” thaw” , ”grasshopper” sounds like ”grathhopper”, and ”class” sounds like “clath”.

 Children developing speech along typical lines may have interdental lisps until they are about 4½ - after which they disappear. If they don't 'disappear' a speech language pathologist should complete an assessment and initiate treatment as demeaned appropriate.

Bowen, C. (November 2011) Lisping – When /s/ and /z/ are hard to say,
Retrieved 10/18/2012 from:

Wednesday, October 24, 2012

FREEBIE!! Autumn Themed Reading

Manda created an autumn themed reading packet!

* Correction made to the misspelling of the word CORNUCOPIA at 11:30 am 10/28/2012- sorry about that! Please use link to get updated version.
Pick up this FREEBIE here:)   Autumn Time Reading Freebie Link Here

This packet includes:
1) One worksheet to work on identifying initial letters in words.
2) One worksheet for identifying the last letter in a word.
3) Two match the picture to the word worksheets.
4) Two sets of words with the picture flash cards.

Sunday, October 21, 2012

*updated 3/7/2013: EARLY SPEECH SOUNDS IN ISOLATION MEGA PACK: B, D, H, K, G, M, N, P, T & W

*updated pack on 3/7/2013- now 122 pages!

Hello! Today I would like to post on speech sound development.  When a little one begins speech therapy with me around the age of two, and if they have limited speech, I begin with encouraging the imitation of the early speech sounds.  There are many studies that have been conducted on the acquisition of sounds and some of them do not agree with each other. Although they differ, it can be deducted what typically is considered the norm of when sounds are mastered.

Here is a chart you can download for reference:Sound Development Chart

Here are a few examples of the results of some different studies: 

0-12 months: b,p,d,m 
12-18 months: p,b,t,d,h,w, t
18-24 months: m,n,ng
24-36 months: k,g, f,s, h,w,y,l
3-5 years: sn,sp,mp,nt, ch, j,sh, z, v, tr, cl, gr
5-7 years: th, r
Here is another resource:
Age at which 85% of Goldman Fristoe Test of Articulation (GFTA-2) Standardization Sample Correctly Produced the Consonant and Consonant Cluster Sounds
Initial Position
Medial Position
Final Position
b, d, h, m, n, p
kw (blend)
ch,j,l,s,sh,y, bl (blend)
ch, j,l,s,sh,z

th (voiced)
th (voiceless)

th (voiceless)

Voiceless ‘th’ = sounds like “bathroom”
Voiced ‘th’= sounds like “bathing”

Here's a link to another speech developmental chart: Cambridgeshire Speech Sound Development Chart.

Parents can help expose their children to the early speech sounds while they play with them, during reading time, and by being good models of correct sound production.  Another fun way to help to encourage imitation of speech sounds is to get music involved. Here is an example of a music c.d. which has songs for learning early speech sounds: Songs for teaching.

Another component that I use to help with the production of sounds is the use of visual phonics. I use the See-the-Sound system. See-the-Sound Visual Phonics is a system of sound associations which represent each sound in our language with a hand signal and a graphic or written symbol.  In See-the-Sound Visual Phonics the 46 hand signals represent sounds, not letters or words. Follow this link: Visual Phonics for more information and to see a video clip of someone using the system for spelling the word CAT.

I made a new resource for helping to encourage the imitation of the early speech sounds. Download the preview at our TN and TpT stores (links below) to receive some FREE pages and to get a glimpse of what you will find in this 122 page document targeting early speech sounds in isolation!For this articulation packet I chose the sounds of: B, D, G, H, K, M,N, P, T, AND W for working on at the isolated stage. I am always looking for new and fun activities to use with my younger students who are working on early speech sounds and I have exhausted many of the available material options out there. That is why I made this packet! The packet has been very motivating for my little ones and I can often elicit 100 or more sound productions a session! I have also been excited to see that this type of interactive therapy helps to develop turn taking, facilitates question asking, and it helps to work on the auditory comprehension area of one step directions.

P.S. I also think that this would be a wonderful packet for helping to increase early letter awareness and phonics, as each letter is worked on individually. It would be a great early literacy packet for the preschool crowd!

I hope that you find every page useful and fun to do with your students! 
You can find the packet at our TpT and Teachers Notebook stores.
Please use the following links:

Teachers Pay Teachers

I hope you enjoy this packet!

All in speech and language fun,


Wednesday, October 17, 2012

*updated Post 4/10/2013: Pre-K Concepts with Targeted Productions of Final Consonants

 I have seen many children who are deleting their final sounds in words. Since many of my kids have language concept goals as well, I combined these two goals in this new packet.  The packet contains the following Pre-K language goals at the same time targeting the production of final sounds in words.  
1. Naming of objects and animals with a final sound focus.
2.   Tracing a line while attempting to say each sound in the word.
3.   Putting shapes around targets.
4.   Tic-Tac-Toe for turn taking and naming.
5.   Finding the differences in pictures.
6.   Naming who is smallest and largest.
7.   Naming objects inside targeted shapes.
8.   Naming what object comes next in a pattern.
9.   Choosing the correct end sound of a picture.
10.Counting objects and repeating a sentence i.e. “I see seven frogs”.
11. Naming what is in the middle.
12. Matching pictures.

 Each concept is repeated twice to help with reinforcement of each concept and to give consistent practice of words with end sounds that are appropriate to the Pre-K population. The packet can be printed off, put into sheet protectors and all activities can be completed using a dry erase marker. It has been very motivating and fun to use with my kiddos!  I sure hope others will find it useful as well.  The Fun Pack can be found at our TpT and Teacher Notebook sites using the following links:

Teachers Pay Teachers

Teachers Notebook
Please let me know of any questions and if you find the packet useful and fun to use as well!

All in speech and language fun,

Updated 4/10/2013 *Please follow this link for information on final consonant deletions and our new packet focusing on it:

Tuesday, October 9, 2012

Practicing Pragmatics: Table Manners Social Skills Game

I hope that everyone is enjoying fall.  Here in Minnesota, many of the trees are turning into pretty shades of  red, oranges and yellows.  It is just gorgeous to see!  I had to stop my car on the way to work the other day just to take some pictures out of the window.  I wish the beautiful colors could stay all year long!  I could never get tired of the beauty of it.

The fall season has got me thinking about Thanksgiving and the big family meal that a lot of us have.  We come together as a big group to celebrate how thankful we all are and to just be together as a family! It sure is a special day. That is what inspired me to create my most recent therapy printable.  It is all about discussing proper table manners.  This is a very important social skill area that a lot of children I know could improve on.  I hope that you find the game and questions helpful. 

Practicing Pragmatics: Table Manners Social Skills Game at Teachers Pay Teachers with this link.

Practicing Pragmatics: Table Manners Social Skills Game at Teachers Notebook with this link.

Take care! And happy autumn wishes to you all!

Sunday, October 7, 2012

Free Autumn Themed Pre-K Concept Packet!!

This packet is a freebie! Follow this link to get the Freebie!

We hope that you enjoy using this wonderful autumn time concept packet with your pre-k kids! Have a great fall!

What you will find inside:

1) What’s Different ?
2) What Shapes Do You See?
3) Smallest to Biggest
4) Boy or Girl?
5) Count the Pumpkins
6) Name the Letter
7) Name the Autumn object
8) Name the color

Sincerely, Manda & Shanda

Friday, October 5, 2012

Need some fun new autumn themed speech and language therapy materials? Go to our TpT store to buy some awesome materials at a very low price!

Pre-K, Kindergarten, First, Second, Third, Fourth, Fifth, Sixth, Seventh, Ninth, Tenth, Eleventh, Twelfth, Adult Education -

Speech & Language Themed Units

Dear followers,

Shanda and I are big believers that our profession is so much more than just "speech". We truly try hard to be Speech LANGUAGE Pathologists. When the client needs help in language, we treat that as much as the articulation, fluency and voice goal areas. Language involves reading, writing, social use, auditory comprehension, and even math skills. We also feel that cognitive skill development is important and we will often focus on improving problem solving and memory skills too. We have fun putting together weekly speech and language themed units. The units will involve many targeted areas of speech and language development. For instance, we usually will develop three or more activities to be used in the categories of articulation, verbal expression, early literacy/reading, copying/writing, social language/pragmatics, auditory comprehension, math/numbers, problem solving/memory, and concepts. Here's an example of one of our lesson plans for the week that we named BASEBALL UNIT. I thought I would share this example so that you can see why we post such a wide variety of speech and language activities in our Teachers Pay Teachers website store. We feel that there's a wide range of areas to work on with your speech and language kiddos and we know that the kid's love the themes! They look forward to coming each week to therapy because we try hard to make the sessions different and very fun each week and of course, each week is a new and fun theme so that makes them want to walk through the door to see just what is in store for that speech session! Thanks for reading this blog entry.
Have a wonderful day! Manda


1)            Play “Merry-Go-Sound” articulation board game to target /s/, /ch/, /r/, /sh/, /l/, and /th/ words, phrases or sentences.

2)            Practice /s/ blend words and in sentences using the slide as a visual aid.


1)            Play the game of “Pin the medal on the baseball player”. Follow the rules of playing fair and keeping your eyes closed. Practice taking turns and do this activity at least twice with the SLP.


1)            Count the baseballs to #7 and write the number down.

2)            Complete the double digit addition problems to find the answer to a baseball problem.

3)            Complete the level one math story problems.       

5) Auditory Comprehension/Verbal Expression:

1)            Follow the 2-step directions to color a baseball-Bee Identify all of the colors and locations. Than identify the words that begin with “B”for some phonics work.

2)            Answer the “wh” questions with the correct one word response.

3)            Play a bean bag toss game to find the hidden baseball. Name all of the revealed objects and repeat past tense sentences. E.g., “I found a lion”. Win a MN Twins baseball prize when you reveal the baseball!

4)            Follow directions to make a baseball banner craft. Kids should spell their first and last names correctly and will help to find the letters.

5)           Look at a picture of a baseball game and tell a story about it.

6)          Sentence production practice while playing Bull’s-eye Baseball. E.g., “I got a single”; “I got a home run”.

6) Matching/Problem Solving: 

1)       Correctly mark out the item that does not belong in a category.

2)       Read a pictograph to find the answers to baseball related questions.

3)       complete the baseball antonym and synonym exercises.

7) Writing/Spelling:    

1)       Trace the upper case “B” and lower case “b”, and the words “Bat”, “Hat” and “Baseball”.

2)       Trace and write the number “8” and trace and write the word “eight”.

3)       Trace the sports words and match the word to the picture

4)       Write a story about a baseball game.

5)       Color the MN Twins logo or T.C. Bear

6)       Find the baseball related words in a crossword puzzle.

7)       Unscramble the 20 baseball words.

8) Reading/Phonics/Literacy:  

1)       Read the baseball word list.

2)      Calendar/Schedule reading. Read the MN Twins 2011 Schedule.

  1)  Name what month we are in and what the date is.

                2) Answer when we play Cleveland at home next.

      3) Figure out the days that Seattle is playing the Twins.

                4) How many days is each series?

                5) When do we play Kansas City next?

 6) Who are the Twins playing today?

3)       Read the baseball bar graph and answer the 9 questions.

Thursday, October 4, 2012

Hello and welcome to Twin Sisters Speech and Language Therapy!

Hello from Manda and Shanda!
We hope to share our knowledge obtained from working with children and adults for 15 plus years in a variety of therapy settings such as, hospitals, schools, rehab centers, and outpatient therapy clinics! We just love our job as SLP's and really enjoy making new, fun and exciting materials to go with our different therapy themes we have weekly. Currently we work together at an outpatient clinic. Here is a link on an article that tells you more:

Our clinical expertise: Speech, language, voice, fluency, swallowing, articulation and cognitive rehabilitation for children and adults.  

Here's more on us:
Manda: Married to her great husband Eric for 14 years and mother of two wonderful boys: Landon (7ys) and Grady (4ys). Education: Masters in Speech Language Pathology achieved at the University of MN- Duluth in 1997. A BA achieved in Communication Disorders and Writing from Valparaiso University, Valparaiso, Indiana in 1994.
Shanda: Married to her just as great husband :) Bruce for 15 years and mother of Evelyn (12 ys) and Taylor (10 ys). Education degree achieved from the University of Northern Illinois in 1999. Masters in Speech Language Pathology achieved at the University of WS-Stevens Point, Wisconsin in 1997. A BA achieved in Communications Disorders and Psychology from Valparaiso University, Valpariso, Indiana in 1994.

We hope to provide information and downloadable printables that will help provide you with new ideas to use during speech therapy or within your preschool to grade school classrooms. We also plan on posting materials that can be used with the middle school, high school and adult populations!

Sincerely, Manda & Shanda


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