https://nicolekolenda.com/ https://nicolekolenda.com/about.html https://nicolekolenda.com/nyu-motor-speech-lab.html https://nicolekolenda.com/what-is-dttc.html https://nicolekolenda.com/videos.html https://nicolekolenda.com/speaking.html https://nicolekolenda.com/podcast.html https://nicolekolenda.com/blog.html https://nicolekolenda.com/connect.html https://nicolekolenda.com/videos/2026-10-15_watch-me-listen-to-me-do-what-i-do.htmlhttps://nicolekolenda.com/assets/posters/2026-10-15_watch-me-listen-to-me-do-what-i-do-full.jpg?v=800c1f12"Watch Me, Listen to Me, and Do What I Do"What "watch me, listen to me, and do what I do" really means: show the child what to look at, help them hear the movement, and ask them to feel it, so every try is practice with a purpose.https://nicolekolenda.com/demo/media/2026-10-15_watch-me-listen-to-me-do-what-i-do.mp42026-10-15Nicole Kolenda https://nicolekolenda.com/videos/2026-10-11_when-dynamic-assessment-isnt-possible-yet.htmlhttps://nicolekolenda.com/assets/posters/2026-10-11_when-dynamic-assessment-isnt-possible-yet-full.jpg?v=c80e81b3When a Child Can't Engage in Dynamic Assessment YetIf you suspect CAS but the child can't yet manage a dynamic assessment like the DEMSS, begin motor-based treatment and let the child's response to cueing guide your decisions.https://nicolekolenda.com/demo/media/2026-10-11_when-dynamic-assessment-isnt-possible-yet.mp42026-10-11Nicole Kolenda https://nicolekolenda.com/videos/2026-10-10_dynamic-assessment-in-action-demss.htmlhttps://nicolekolenda.com/assets/posters/2026-10-10_dynamic-assessment-in-action-demss-full.jpg?v=94b7f8c4Dynamic Assessment in Action: One DEMSS ItemOne item from the DEMSS, the word "me," with a child who needs a lot of support: the cues the clinician adds after the first try, and how the final, uncued try is scored.https://nicolekolenda.com/demo/media/2026-10-10_dynamic-assessment-in-action-demss.mp42026-10-10Nicole Kolenda https://nicolekolenda.com/videos/2026-10-09_what-is-dynamic-assessment.htmlhttps://nicolekolenda.com/assets/posters/2026-10-09_what-is-dynamic-assessment-full.jpg?v=157bb194What Is Dynamic Assessment, and Why Does It Matter?Static tests give one try with no help; dynamic assessment adds systematic cueing to show how a child responds to support, revealing emerging skills, severity and what will help in therapy.https://nicolekolenda.com/demo/media/2026-10-09_what-is-dynamic-assessment.mp42026-10-09Nicole Kolenda https://nicolekolenda.com/videos/2026-10-08_varying-prosody-in-dttc.htmlhttps://nicolekolenda.com/assets/posters/2026-10-08_varying-prosody-in-dttc-full.jpg?v=b8d6fa20Quick Tip: Targeting Prosody in DTTCHow to get children on board with varying prosody in DTTC sessions: set up social situations that evoke a feeling, then give them a choice in how to say the word.https://nicolekolenda.com/demo/media/2026-10-08_varying-prosody-in-dttc.mp42026-10-08Nicole Kolenda https://nicolekolenda.com/videos/2026-10-06_why-vary-prosody-six-lane-highway.htmlhttps://nicolekolenda.com/assets/posters/2026-10-06_why-vary-prosody-six-lane-highway-full.jpg?v=7a80ce2bWhy We Vary Prosody in DTTC: Dirt Road or Six-Lane Highway?Varying prosody gives a target many routes instead of one: the same word said soft, loud, happy, sad, mad and as a question, at the first three levels of the DTTC hierarchy.https://nicolekolenda.com/demo/media/2026-10-06_why-vary-prosody-six-lane-highway.mp42026-10-06Nicole Kolenda https://nicolekolenda.com/videos/2026-10-04_what-the-dttc-hierarchy-sounds-like.htmlhttps://nicolekolenda.com/assets/posters/2026-10-04_what-the-dttc-hierarchy-sounds-like-full.jpg?v=c37c6049What the DTTC Hierarchy Sounds LikeOne target word, "funny," at all four levels of the DTTC hierarchy, as the clinician's support fades and the child takes over.https://nicolekolenda.com/demo/media/2026-10-04_what-the-dttc-hierarchy-sounds-like.mp42026-10-04Nicole Kolenda https://nicolekolenda.com/videos/2026-09-27_backward-chaining-funny.htmlhttps://nicolekolenda.com/assets/posters/2026-09-27_backward-chaining-funny-full.jpg?v=51cb2208Backward Chaining in DTTC: Practicing "Funny"A DTTC block with backward chaining: set up the starting mouth, stop errors right away, practice the end of the word first, then chain it back and finish with the whole word.https://nicolekolenda.com/demo/media/2026-09-27_backward-chaining-funny.mp42026-09-27Nicole Kolenda https://nicolekolenda.com/videos/2026-09-26_multisensory-cueing.htmlhttps://nicolekolenda.com/assets/posters/2026-09-26_multisensory-cueing-full.jpg?v=d5cfc806What Does Multisensory Cueing Look Like?Combine verbal, visual, gestural and tactile cues, and help the child feel the movement, to build motor programs for speech.https://nicolekolenda.com/demo/media/2026-09-26_multisensory-cueing.mp42026-09-26Nicole Kolenda https://nicolekolenda.com/videos/2026-07-21_dttc-plus-other-goals-in-one-session.htmlhttps://nicolekolenda.com/assets/posters/2026-07-21_dttc-plus-other-goals-in-one-session-full.jpg?v=9df418bbTreating CAS and Other Speech-Language Goals in the Same SessionAfter the Apraxia Kids conference, Nicole answers a common question: how to use DTTC with a child who has childhood apraxia of speech and also has other speech, language or social goals.https://nicolekolenda.com/demo/media/2026-07-21_dttc-plus-other-goals-in-one-session.mp42026-07-21Nicole Kolenda https://nicolekolenda.com/videos/2026-07-07_dttc-is-not-play-based.htmlhttps://nicolekolenda.com/assets/posters/2026-07-07_dttc-is-not-play-based-full.jpg?v=0c95c44bDTTC Is Not Play-Based (But It Can Be Joyful)A quick PSA on Dynamic Temporal and Tactile Cueing (DTTC): why practice is organized in focused blocks rather than play activities, explained with a gym analogy.https://nicolekolenda.com/demo/media/2026-07-07_dttc-is-not-play-based.mp42026-07-07Nicole Kolenda https://nicolekolenda.com/videos/2026-05-13_conscious-practice-and-blocked-practice.htmlhttps://nicolekolenda.com/assets/posters/2026-05-13_conscious-practice-and-blocked-practice-full.jpg?v=591db324Conscious Practice and Blocked Practice in Pediatric Motor Speech TherapyA guest speech-language pathologist asks what researchers think clinicians should move away from and toward. Nicole, lead treating SLP at the NYU Motor Speech Lab, explains conscious practice and why blocked practice is where the learning happens in DTTC.https://nicolekolenda.com/demo/media/2026-05-13_conscious-practice-and-blocked-practice.mp42026-05-13Nicole Kolenda https://nicolekolenda.com/videos/2026-05-09_high-frequency-practice.htmlhttps://nicolekolenda.com/assets/posters/2026-05-09_high-frequency-practice-full.jpg?v=e6719e9cH Is for High-Frequency Practice | Apraxia Awareness MonthIn this May Motor Speech Takeover video, Nicole explains why high-frequency, massed practice comes first when organizing therapy sessions for children with childhood apraxia of speech, and how principles of motor learning guide what comes next.https://nicolekolenda.com/demo/media/2026-05-09_high-frequency-practice.mp42026-05-09Nicole Kolenda https://nicolekolenda.com/videos/2026-05-07_abcs-of-practice.htmlhttps://nicolekolenda.com/assets/posters/2026-05-07_abcs-of-practice-full.jpg?v=2ec1a8a8The ABCs of Practice: Accessible, Blocked, ConsciousFor Apraxia Awareness Month, the ABCs of practice in pediatric motor speech therapy: accessible practice, blocked practice, and conscious practice.https://nicolekolenda.com/demo/media/2026-05-07_abcs-of-practice.mp42026-05-07Nicole Kolenda https://nicolekolenda.com/videos/2026-05-04_coordinated-movement-not-single-sounds.htmlhttps://nicolekolenda.com/assets/posters/2026-05-04_coordinated-movement-not-single-sounds-full.jpg?v=fd9947b8CAS Is About Coordinated Movement, Not Single SoundsFor Apraxia Awareness Month: in childhood apraxia of speech the core difficulty is planning and programming coordinated movement across sounds, so treatment should target coarticulation, not isolated phonemes.https://nicolekolenda.com/demo/media/2026-05-04_coordinated-movement-not-single-sounds.mp42026-05-04Nicole Kolenda https://nicolekolenda.com/videos/2026-05-01_apraxia-awareness-month-with-dr-strand.htmlhttps://nicolekolenda.com/assets/posters/2026-05-01_apraxia-awareness-month-with-dr-strand-full.jpg?v=a0092389Kicking Off Apraxia Awareness Month With Dr. Edythe StrandJoining Nicole by video call on the first day of Apraxia Awareness Month, Dr. Edythe Strand encourages clinicians making the shift to think about movement in everything they do, and thanks the colleagues already doing that work.https://nicolekolenda.com/demo/media/2026-05-01_apraxia-awareness-month-with-dr-strand.mp42026-05-01Nicole Kolenda https://nicolekolenda.com/videos/2026-04-27_labeling-emotions-in-session.htmlhttps://nicolekolenda.com/assets/posters/2026-04-27_labeling-emotions-in-session-full.jpg?v=ab18ba8fLabeling Emotions in a Motor Speech SessionA story from a session with a frustrated child, and the research behind affect labeling (Lieberman et al.): naming a feeling calms it, so it's okay to pause practice and talk about it.https://nicolekolenda.com/demo/media/2026-04-27_labeling-emotions-in-session.mp42026-04-27Nicole Kolenda https://nicolekolenda.com/videos/2026-04-22_negative-practice-when-to-set-a-target-aside.htmlhttps://nicolekolenda.com/assets/posters/2026-04-22_negative-practice-when-to-set-a-target-aside-full.jpg?v=90d2cb38Negative Practice: When to Set a Target AsideHow to tell a hard-but-good target from one that has become negative practice: keep the word while the child's productions change with your cueing, and set it aside when they don't.https://nicolekolenda.com/demo/media/2026-04-22_negative-practice-when-to-set-a-target-aside.mp42026-04-22Nicole Kolenda https://nicolekolenda.com/videos/2026-03-11_dynamic-assessment-and-cas.htmlhttps://nicolekolenda.com/assets/posters/2026-03-11_dynamic-assessment-and-cas-full.jpg?v=7d555c35Why Dynamic Assessment Matters in Diagnosing CASStatic versus dynamic assessment: why letting a child attempt multiple trials with multisensory cueing reveals the motor breakdowns that point to childhood apraxia of speech.https://nicolekolenda.com/demo/media/2026-03-11_dynamic-assessment-and-cas.mp42026-03-11Nicole Kolenda https://nicolekolenda.com/videos/2026-02-20_parking-lot-method.htmlhttps://nicolekolenda.com/assets/posters/2026-02-20_parking-lot-method-full.jpg?v=159a4240The Parking Lot Method for Conscious PracticeNicole's parking lot method: young children earn a toy character after each block of practice, then the character goes to the parking lot, so play waits and attention stays on the clinician.https://nicolekolenda.com/demo/media/2026-02-20_parking-lot-method.mp42026-02-20Nicole Kolenda https://nicolekolenda.com/videos/2026-02-17_where-to-find-target-words.htmlhttps://nicolekolenda.com/assets/posters/2026-02-17_where-to-find-target-words-full.jpg?v=7e948804Where to Find Target Words for the STRIVE FrameworkNicole's two favorite sources of target words for the STRIVE framework: conversations with the family (names, pets, what matters at home) and the words in the DEMSS dynamic assessment.https://nicolekolenda.com/demo/media/2026-02-17_where-to-find-target-words.mp42026-02-17Nicole Kolenda https://nicolekolenda.com/videos/2026-02-02_phrase-targets-live-with-amy-graham.htmlhttps://nicolekolenda.com/assets/posters/2026-02-02_phrase-targets-live-with-amy-graham-full.jpg?v=b51f9b16Choosing Phrase Targets for CAS, With Amy GrahamBack on Amy Graham's Instagram Live, Nicole talks about children with CAS who are ready for longer targets: what they look like in assessment, choosing meaningful phrases, cueing stress, and building rapport.https://nicolekolenda.com/demo/media/2026-02-02_phrase-targets-live-with-amy-graham.mp42026-02-02Nicole Kolenda https://nicolekolenda.com/videos/2026-01-09_strive-framework-target-selection.htmlhttps://nicolekolenda.com/assets/posters/2026-01-09_strive-framework-target-selection-full.jpg?v=f14dafbdThe STRIVE Framework for Target Selection in CASIntroducing STRIVE, the target-selection framework for childhood apraxia of speech from the NYU Motor Speech Lab (Dr. Maria Grigos) and the Case Speech Lab (Dr. Julie Case), presented at ASHA, with five questions to ask when choosing targets.https://nicolekolenda.com/demo/media/2026-01-09_strive-framework-target-selection.mp42026-01-09Nicole Kolenda https://nicolekolenda.com/videos/2026-01-08_strive-framework-live-with-amy-graham.htmlhttps://nicolekolenda.com/assets/posters/2026-01-08_strive-framework-live-with-amy-graham-full.jpg?v=ac3ce52aTalking Through the STRIVE Framework With Amy GrahamOn an Instagram Live with speech sound disorders specialist Amy Graham, Nicole walks through STRIVE, the target-selection framework for CAS from the NYU Motor Speech Lab and the Case Speech Lab: word structure, transitions, responsiveness, inventory, vowels and emphasis.https://nicolekolenda.com/demo/media/2026-01-08_strive-framework-live-with-amy-graham.mp42026-01-08Nicole Kolenda https://nicolekolenda.com/videos/2025-12-08_using-tactile-cues.htmlhttps://nicolekolenda.com/assets/posters/2025-12-08_using-tactile-cues-full.jpg?v=b68ac577Using Tactile Cues in Motor Speech TherapyAfter ASHA, Nicole shares how she uses tactile cues: ask permission first, then use touch to close a CVC word, tap out syllables, and show pressure differences, such as for a child with an intrusive schwa.https://nicolekolenda.com/demo/media/2025-12-08_using-tactile-cues.mp42025-12-08Nicole Kolenda https://nicolekolenda.com/videos/2025-11-11_dont-skip-varied-prosody.htmlhttps://nicolekolenda.com/assets/posters/2025-11-11_dont-skip-varied-prosody-full.jpg?v=99d51400Don't Skip Varied ProsodyCan you skip the varied-prosody level of the DTTC hierarchy if a child is reluctant? No. Variability of practice applies to prosody too, and leaving it for last makes clarity harder later.https://nicolekolenda.com/demo/media/2025-11-11_dont-skip-varied-prosody.mp42025-11-11Nicole Kolenda https://nicolekolenda.com/videos/2025-10-28_progress-is-not-linear.htmlhttps://nicolekolenda.com/assets/posters/2025-10-28_progress-is-not-linear-full.jpg?v=204cc0abProgress Is Not Linear: Moving Through the DTTC HierarchyA child reached delayed imitation with varied prosody, then couldn't do the word in direct imitation one block later. Why that's normal in DTTC, how to step back down the hierarchy, and why clinicians need to stay present.https://nicolekolenda.com/demo/media/2025-10-28_progress-is-not-linear.mp42025-10-28Nicole Kolenda https://nicolekolenda.com/videos/2025-10-24_when-a-target-is-hard.htmlhttps://nicolekolenda.com/assets/posters/2025-10-24_when-a-target-is-hard-full.jpg?v=cb2df757When a Target Word Is Too HardWhat to do when a child is reluctant to practice a challenging word: use a smaller block, move down the cueing hierarchy, and if needed, set the word aside to avoid negative practice.https://nicolekolenda.com/demo/media/2025-10-24_when-a-target-is-hard.mp42025-10-24Nicole Kolenda https://nicolekolenda.com/videos/2025-10-21_lab-updates-october-2025.htmlhttps://nicolekolenda.com/assets/posters/2025-10-21_lab-updates-october-2025-full.jpg?v=f8f599fdLab Updates: Apraxia Kids Walk, ASHA, and a Free Lunch and LearnOctober 2025 news from the NYU Motor Speech Lab: the Apraxia Kids Walk, an ASHA presentation with Dr. Julie Case's lab on treatment target selection, a free Lunch and Learn on Zoom, and two treatment studies that are enrolling.https://nicolekolenda.com/demo/media/2025-10-21_lab-updates-october-2025.mp42025-10-21Nicole Kolenda https://nicolekolenda.com/videos/2025-10-06_setting-up-for-success-build-rapport.htmlhttps://nicolekolenda.com/assets/posters/2025-10-06_setting-up-for-success-build-rapport-full.jpg?v=ae8173bbSetting Up for Success: Build Rapport FirstA grad student asked how kids participate so willingly in intensive DTTC therapy. The answer goes back to basics: build rapport, let the child get to know you, and ask them for help.https://nicolekolenda.com/demo/media/2025-10-06_setting-up-for-success-build-rapport.mp42025-10-06Nicole Kolenda https://nicolekolenda.com/videos/2025-09-12_specificity-in-feedback.htmlhttps://nicolekolenda.com/assets/posters/2025-09-12_specificity-in-feedback-full.jpg?v=a617c28bWhy Specific Feedback MattersA quick tidbit on specificity in feedback during pediatric motor speech sessions, told through a story from the gym: when one cue isn't working, switch it up rather than repeating it.https://nicolekolenda.com/demo/media/2025-09-12_specificity-in-feedback.mp42025-09-12Nicole Kolenda https://nicolekolenda.com/videos/2025-09-08_welcome-back-be-a-present-practitioner.htmlhttps://nicolekolenda.com/assets/posters/2025-09-08_welcome-back-be-a-present-practitioner-full.jpg?v=88a12161Motor Mindset: Be a Present PractitionerA fall 2025 welcome back from the lab, and a tidbit for clinicians: conscious practice applies to us too. Staying present in each block keeps us from missing errors we don't expect.https://nicolekolenda.com/demo/media/2025-09-08_welcome-back-be-a-present-practitioner.mp42025-09-08Nicole Kolenda https://nicolekolenda.com/videos/2025-07-16_recruiting-cas-studies-fall-2025.htmlhttps://nicolekolenda.com/assets/posters/2025-07-16_recruiting-cas-studies-fall-2025-full.jpg?v=4949f825Last Call: CAS Treatment Studies Recruiting for Fall 2025One of the last chances to join the NYU Motor Speech Lab's CAS treatment studies, run with the Case Speech Lab at Hofstra, for children ages 2 to 7;11 with diagnosed or suspected CAS.https://nicolekolenda.com/demo/media/2025-07-16_recruiting-cas-studies-fall-2025.mp42025-07-16Nicole Kolenda https://nicolekolenda.com/videos/2025-07-14_when-direct-imitation-is-too-hard.htmlhttps://nicolekolenda.com/assets/posters/2025-07-14_when-direct-imitation-is-too-hard-full.jpg?v=a66d8be7When Direct Imitation Is Too HardWhat to do when a child loses a target in DTTC direct imitation: slow it down, whisper, mime, and if needed step back to simultaneous production, because the hierarchy is dynamic.https://nicolekolenda.com/demo/media/2025-07-14_when-direct-imitation-is-too-hard.mp42025-07-14Nicole Kolenda https://nicolekolenda.com/videos/2025-06-30_simultaneous-production-dttc.htmlhttps://nicolekolenda.com/assets/posters/2025-06-30_simultaneous-production-dttc-full.jpg?v=aeaae3eaSimultaneous Production in the DTTC HierarchyChallenges at the simultaneous-production level of DTTC, and how to make a hard word easier: slow it down, just move your mouths together, then whisper, and set the word aside if needed.https://nicolekolenda.com/demo/media/2025-06-30_simultaneous-production-dttc.mp42025-06-30Nicole Kolenda https://nicolekolenda.com/videos/2025-05-19_knowledge-of-performance-vs-results.htmlhttps://nicolekolenda.com/assets/posters/2025-05-19_knowledge-of-performance-vs-results-full.jpg?v=9aca93bfKnowledge of Performance vs. Knowledge of ResultsThe two kinds of motor-learning feedback: specific knowledge-of-performance feedback while teaching a new target, then knowledge-of-results feedback once the child has the skill. Explained with a yoga story.https://nicolekolenda.com/demo/media/2025-05-19_knowledge-of-performance-vs-results.mp42025-05-19Nicole Kolenda https://nicolekolenda.com/videos/2025-05-15_feedback-that-motivates.htmlhttps://nicolekolenda.com/assets/posters/2025-05-15_feedback-that-motivates-full.jpg?v=7ad09d1aConscious Practice Takes Time: Feedback That MotivatesFor Apraxia Awareness Month: conscious practice can't be forced. Early in therapy, feedback should motivate as well as instruct, praising the behaviors that help a child succeed.https://nicolekolenda.com/demo/media/2025-05-15_feedback-that-motivates.mp42025-05-15Nicole Kolenda https://nicolekolenda.com/videos/2025-04-04_parking-lot-method-demo.htmlhttps://nicolekolenda.com/assets/posters/2025-04-04_parking-lot-method-demo-full.jpg?v=a44a774bThe Parking Lot Method, Demonstrated With ToysWith a stuffed ape standing in for a child, Nicole demonstrates the parking lot method: earn a toy after each block, park it, and save the bigger play break for when every toy is earned.https://nicolekolenda.com/demo/media/2025-04-04_parking-lot-method-demo.mp42025-04-04Nicole Kolenda https://nicolekolenda.com/videos/2025-04-02_recruiting-two-cas-studies-spring-2025.htmlhttps://nicolekolenda.com/assets/posters/2025-04-02_recruiting-two-cas-studies-spring-2025-full.jpg?v=d42592bfNow Recruiting: Two CAS Treatment StudiesThe NYU Motor Speech Lab is recruiting children ages 2 to 7;11 with CAS for two studies: four-day-a-week DTTC treatment at NYU, and a two-day-a-week caregiver study with the Case Speech Lab at Hofstra.https://nicolekolenda.com/demo/media/2025-04-02_recruiting-two-cas-studies-spring-2025.mp42025-04-02Nicole Kolenda https://nicolekolenda.com/videos/2025-03-20_three-ways-to-add-variability.htmlhttps://nicolekolenda.com/assets/posters/2025-03-20_three-ways-to-add-variability-full.jpg?v=49cb1759Three Ways to Add Variability of PracticeVariability of practice in motor speech sessions: mix syllable shapes, use a modified block schedule with shorter blocks for hard words, and always vary prosody.https://nicolekolenda.com/demo/media/2025-03-20_three-ways-to-add-variability.mp42025-03-20Nicole Kolenda https://nicolekolenda.com/videos/2025-03-01_end-on-a-positive-note.htmlhttps://nicolekolenda.com/assets/posters/2025-03-01_end-on-a-positive-note-full.jpg?v=6eb03533End Every Block on a Positive NoteA DTTC pro tip: before a break, step back down to a level where the child succeeds, even a whisper or just mouthing, so every block ends with real praise.https://nicolekolenda.com/demo/media/2025-03-01_end-on-a-positive-note.mp42025-03-01Nicole Kolenda https://nicolekolenda.com/videos/2024-12-14_what-is-treatment-fidelity.htmlhttps://nicolekolenda.com/assets/posters/2024-12-14_what-is-treatment-fidelity-full.jpg?v=312239d2What Is Treatment Fidelity?After the lab's ASHA talk in Seattle, Nicole explains treatment fidelity in CAS research: checking that the treating clinician follows the DTTC protocol as intended, using a fidelity checklist and independent raters.https://nicolekolenda.com/demo/media/2024-12-14_what-is-treatment-fidelity.mp42024-12-14Nicole Kolenda https://nicolekolenda.com/videos/2024-11-22_sticker-projects.htmlhttps://nicolekolenda.com/assets/posters/2024-11-22_sticker-projects-full.jpg?v=8cb2d43cSticker Projects in Motor Speech TherapyOne of Nicole's favorite activities: sticker scenes like a make-a-turkey sheet, which keep a child engaged while earning stickers between blocks of focused practice.https://nicolekolenda.com/demo/media/2024-11-22_sticker-projects.mp42024-11-22Nicole Kolenda https://nicolekolenda.com/videos/2024-10-25_challenge-point-framework.htmlhttps://nicolekolenda.com/assets/posters/2024-10-25_challenge-point-framework-full.jpg?v=1beb744aUsing the Challenge Point Framework to Pick TargetsThe Challenge Point Framework says targets should be not too hard and not too easy. Targets that are too hard lead to negative practice, and dynamic assessment shows where the sweet spot is.https://nicolekolenda.com/demo/media/2024-10-25_challenge-point-framework.mp42024-10-25Nicole Kolenda https://nicolekolenda.com/videos/2024-10-09_choosing-cues.htmlhttps://nicolekolenda.com/assets/posters/2024-10-09_choosing-cues-full.jpg?v=8e292e50How to Choose Which Cues to UseDynamic assessment with the DEMSS shows which cues work for a child. Nicole's go-to cues: her hand for mouth opening, "meet me here" for integral stimulation, and touch for word-final consonants.https://nicolekolenda.com/demo/media/2024-10-09_choosing-cues.mp42024-10-09Nicole Kolenda https://nicolekolenda.com/videos/2024-10-02_accurate-movement-gestures.htmlhttps://nicolekolenda.com/assets/posters/2024-10-02_accurate-movement-gestures-full.jpg?v=7b9febbcWorking on Accurate Movement GesturesWhat working on movement gestures looks like in therapy, using the word "my": treat the word as a whole, slow it down, and cue the lip closure and the vowel.https://nicolekolenda.com/demo/media/2024-10-02_accurate-movement-gestures.mp42024-10-02Nicole Kolenda https://nicolekolenda.com/videos/2024-09-24_cas-and-phonological-disorder.htmlhttps://nicolekolenda.com/assets/posters/2024-09-24_cas-and-phonological-disorder-full.jpg?v=c1b8d833Can CAS Coexist With a Phonological Disorder?Yes. How to tell that a child has both childhood apraxia of speech and a phonological disorder, and how to choose treatment targets that work on both at once.https://nicolekolenda.com/demo/media/2024-09-24_cas-and-phonological-disorder.mp42024-09-24Nicole Kolenda https://nicolekolenda.com/videos/2024-09-21_first-sessions-set-up-for-success.htmlhttps://nicolekolenda.com/assets/posters/2024-09-21_first-sessions-set-up-for-success-full.jpg?v=3cb888fdFour Ways to Start Motor Speech Therapy Off RightFour things Nicole does in the first motor speech sessions with a new child: explain the session, give lots of praise, shorten blocks when needed, and set up targets with cloze phrases.https://nicolekolenda.com/demo/media/2024-09-21_first-sessions-set-up-for-success.mp42024-09-21Nicole Kolenda https://nicolekolenda.com/videos/2024-09-13_hard-work-for-clinicians-too.htmlhttps://nicolekolenda.com/assets/posters/2024-09-13_hard-work-for-clinicians-too-full.jpg?v=4746f5bbMotor Speech Therapy Is Hard Work for Clinicians TooA new-semester reminder that intensive motor speech therapy is exhausting for the treating clinician too, so protect your time, sleep, eat and stay hydrated.https://nicolekolenda.com/demo/media/2024-09-13_hard-work-for-clinicians-too.mp42024-09-13Nicole Kolenda https://nicolekolenda.com/videos/2024-07-19_how-to-start-cueing.htmlhttps://nicolekolenda.com/assets/posters/2024-07-19_how-to-start-cueing-full.jpg?v=ec45090cHow to Start Cueing a Target WordAfter a CAS diagnosis workshop for new clinicians: the best way to figure out how to cue a word is to say it yourself and notice how it feels, using "day" as the example.https://nicolekolenda.com/demo/media/2024-07-19_how-to-start-cueing.mp42024-07-19Nicole Kolenda https://nicolekolenda.com/videos/2024-06-26_feel-the-movement.htmlhttps://nicolekolenda.com/assets/posters/2024-06-26_feel-the-movement-full.jpg?v=26492c40Feel the Movement: Feedback for Conscious PracticePart of making the shift to motor speech therapy is encouraging conscious practice by telling the child, again and again, to feel the movement.https://nicolekolenda.com/demo/media/2024-06-26_feel-the-movement.mp42024-06-26Nicole Kolenda https://nicolekolenda.com/videos/2024-06-06_balloon-pump-toy.htmlhttps://nicolekolenda.com/assets/posters/2024-06-06_balloon-pump-toy-full.jpg?v=3883b0f2A Balloon Pump Toy for Motor Speech PracticeHow Nicole builds blocks of practice around a water-balloon pump toy, using a varied set of target words: toy, out, mine and open.https://nicolekolenda.com/demo/media/2024-06-06_balloon-pump-toy.mp42024-06-06Nicole Kolenda https://nicolekolenda.com/videos/2024-06-05_progress-is-not-linear.htmlhttps://nicolekolenda.com/assets/posters/2024-06-05_progress-is-not-linear-full.jpg?v=5c6eb363Progress Is Not LinearAn idea from Maria Montessori that fits motor speech therapy: within the DTTC hierarchy we move up and down, meeting the child where they are, and the bigger picture still trends up.https://nicolekolenda.com/demo/media/2024-06-05_progress-is-not-linear.mp42024-06-05Nicole Kolenda https://nicolekolenda.com/videos/2024-05-22_dttc-hierarchy-delayed-spontaneous.htmlhttps://nicolekolenda.com/assets/posters/2024-05-22_dttc-hierarchy-delayed-spontaneous-full.jpg?v=a725f55dThe DTTC Hierarchy: Delayed Imitation and Spontaneous ProductionThe four levels of the DTTC hierarchy, with how to explain delayed imitation to a child and how to plant “sprinkles” early for spontaneous production.https://nicolekolenda.com/demo/media/2024-05-22_dttc-hierarchy-delayed-spontaneous.mp42024-05-22Nicole Kolenda https://nicolekolenda.com/videos/2024-05-05_whole-word-not-phoneme.htmlhttps://nicolekolenda.com/assets/posters/2024-05-05_whole-word-not-phoneme-full.jpg?v=2659eb83Making the Shift: Think About the Whole Word, Not the PhonemeFor Apraxia Awareness Month: the M in “me” is planned differently from the M in “mom,” so motor speech feedback describes how the mouth moves through the whole word.https://nicolekolenda.com/demo/media/2024-05-05_whole-word-not-phoneme.mp42024-05-05Nicole Kolenda https://nicolekolenda.com/videos/2024-04-24_cas-treatment-studies-with-dr-julie-case.htmlhttps://nicolekolenda.com/assets/posters/2024-04-24_cas-treatment-studies-with-dr-julie-case-full.jpg?v=14728563Our CAS Treatment Studies, With Dr. Julie CaseLive from Hofstra, Nicole and Dr. Julie Case describe two DTTC studies for children with CAS, four days a week at NYU and twice a week with caregiver practice at NYU and Hofstra, and what making the shift was like for them.https://nicolekolenda.com/demo/media/2024-04-24_cas-treatment-studies-with-dr-julie-case.mp42024-04-24Nicole Kolenda https://nicolekolenda.com/videos/2024-04-09_instead-of-negative-practice.htmlhttps://nicolekolenda.com/assets/posters/2024-04-09_instead-of-negative-practice-full.jpg?v=b3380537What to Do Instead of Negative PracticeWhen a child keeps saying a target incorrectly, make it easier: slow down and say it together, cue the movement, whisper it, then just move your mouths, and end the block positively.https://nicolekolenda.com/demo/media/2024-04-09_instead-of-negative-practice.mp42024-04-09Nicole Kolenda https://nicolekolenda.com/videos/2024-04-02_backward-chaining-multisyllabic.htmlhttps://nicolekolenda.com/assets/posters/2024-04-02_backward-chaining-multisyllabic-full.jpg?v=452d7673Backward Chaining for Multisyllabic TargetsFor long target words with older kids with CAS, practice the end of the word first, like “cato” in avocado, and always finish the block with the full word.https://nicolekolenda.com/demo/media/2024-04-02_backward-chaining-multisyllabic.mp42024-04-02Nicole Kolenda https://nicolekolenda.com/videos/2024-03-01_three-reinforcers-stickers-darts-fishing.htmlhttps://nicolekolenda.com/assets/posters/2024-03-01_three-reinforcers-stickers-darts-fishing-full.jpg?v=fac6fcb8Three Reinforcers for Motor Speech SessionsSticker-by-number pages, a dartboard and beanbag toss, and a magnetic fishing game: quick play between focused practice blocks.https://nicolekolenda.com/demo/media/2024-03-01_three-reinforcers-stickers-darts-fishing.mp42024-03-01Nicole Kolenda https://nicolekolenda.com/videos/2024-02-22_buy-in-older-kids.htmlhttps://nicolekolenda.com/assets/posters/2024-02-22_buy-in-older-kids-full.jpg?v=2c03bcfaHow to Get Buy-In From Older Kids in Motor Speech TherapyAnswering a follower's question: partner with the family, give older kids the illusion of control, and explain the process so they can track their own progress.https://nicolekolenda.com/demo/media/2024-02-22_buy-in-older-kids.mp42024-02-22Nicole Kolenda https://nicolekolenda.com/videos/2024-02-14_partnering-with-older-kids.htmlhttps://nicolekolenda.com/assets/posters/2024-02-14_partnering-with-older-kids-full.jpg?v=604b3deaPartnering With Older Kids in Motor Speech TherapyWith a seven-year-old client, Nicole explains the treatment and its protocol, a partnership Dr. Julie Case noticed while reviewing her sessions.https://nicolekolenda.com/demo/media/2024-02-14_partnering-with-older-kids.mp42024-02-14Nicole Kolenda https://nicolekolenda.com/videos/2024-01-31_dttc-start-with-direct-imitation.htmlhttps://nicolekolenda.com/assets/posters/2024-01-31_dttc-start-with-direct-imitation-full.jpg?v=d2668d54DTTC Tip: Start Every Block With Direct ImitationWhatever level you expect a child to reach, begin each new practice block with direct imitation, then adapt from there.https://nicolekolenda.com/demo/media/2024-01-31_dttc-start-with-direct-imitation.mp42024-01-31Nicole Kolenda https://nicolekolenda.com/videos/2024-01-27_demss-tips-profound-cas.htmlhttps://nicolekolenda.com/assets/posters/2024-01-27_demss-tips-profound-cas-full.jpg?v=ff7d501bTwo Tips for Giving the DEMSS to Profoundly Impacted KidsWhen speech is very hard for a child, cue fewer than six times, and, a tip from Dr. Strand, give just the first three targets of each syllable section.https://nicolekolenda.com/demo/media/2024-01-27_demss-tips-profound-cas.mp42024-01-27Nicole Kolenda https://nicolekolenda.com/videos/2024-01-22_dynamic-assessment-demss.htmlhttps://nicolekolenda.com/assets/posters/2024-01-22_dynamic-assessment-demss-full.jpg?v=1913db69Dynamic Assessment for CAS: How the DEMSS WorksWhy dynamic assessment matters when you suspect CAS: cue the child up to six times, take a final uncued try for a consistency measure, and learn which cues work.https://nicolekolenda.com/demo/media/2024-01-22_dynamic-assessment-demss.mp42024-01-22Nicole Kolenda https://nicolekolenda.com/videos/2024-01-09_initial-cas-assessment.htmlhttps://nicolekolenda.com/assets/posters/2024-01-09_initial-cas-assessment-full.jpg?v=24374d70What an Initial CAS Assessment Looks Like at the NYU Motor Speech LabMinutes before a new child arrives, Nicole walks through her evaluation: the DEMSS, the Goldman-Fristoe, an oral mechanism exam, a syllable repetition task, multisyllabic words and a language sample.https://nicolekolenda.com/demo/media/2024-01-09_initial-cas-assessment.mp42024-01-09Nicole Kolenda https://nicolekolenda.com/videos/2023-12-12_key-elements-positive-practice.htmlhttps://nicolekolenda.com/assets/posters/2023-12-12_key-elements-positive-practice-full.jpg?v=bc8149baKey Elements of Practice, Part 5: Positive, Not Negative, PracticeStop an incorrect attempt right away and cue the correct movement, like a GPS course-correcting, so the child never practices a motor plan for the wrong target.https://nicolekolenda.com/demo/media/2023-12-12_key-elements-positive-practice.mp42023-12-12Nicole Kolenda https://nicolekolenda.com/videos/2023-12-08_key-elements-prosody.htmlhttps://nicolekolenda.com/assets/posters/2023-12-08_key-elements-prosody-full.jpg?v=f0649244Key Elements of Practice, Part 4: Practice Prosody From the StartVary prosody at every level of the DTTC hierarchy, saying a target mad, happy, as a question, loud or soft, so the motor plan becomes a six-lane highway instead of a dirt road.https://nicolekolenda.com/demo/media/2023-12-08_key-elements-prosody.mp42023-12-08Nicole Kolenda https://nicolekolenda.com/videos/2023-12-04_key-elements-multimodal-cues.htmlhttps://nicolekolenda.com/assets/posters/2023-12-04_key-elements-multimodal-cues-full.jpg?v=d6e3d0fcKey Elements of Practice, Part 3: Multimodal Cues for MovementHand shapes, a reinforcer held at mouth level, tactile cues and syllable tapping: multimodal ways to keep a child's attention on movement.https://nicolekolenda.com/demo/media/2023-12-04_key-elements-multimodal-cues.mp42023-12-04Nicole Kolenda https://nicolekolenda.com/videos/2023-11-30_key-elements-conscious-practice.htmlhttps://nicolekolenda.com/assets/posters/2023-11-30_key-elements-conscious-practice-full.jpg?v=9eaed523Key Elements of Practice, Part 2: Conscious PracticeConscious practice starts with the clinician: notice how a target word feels in your own mouth, then describe it to the child so they feel it too.https://nicolekolenda.com/demo/media/2023-11-30_key-elements-conscious-practice.mp42023-11-30Nicole Kolenda https://nicolekolenda.com/videos/2023-11-28_key-elements-structured-practice.htmlhttps://nicolekolenda.com/assets/posters/2023-11-28_key-elements-structured-practice-full.jpg?v=a1e8ff9cKey Elements of Practice, Part 1: Structured PracticeThe first in a series on the key elements of practice developed by the Case Speech Lab and the NYU Motor Speech Lab: what structured practice looks like in a session.https://nicolekolenda.com/demo/media/2023-11-28_key-elements-structured-practice.mp42023-11-28Nicole Kolenda https://nicolekolenda.com/videos/2023-09-28_zoo-train-ipad-reinforcer.htmlhttps://nicolekolenda.com/assets/posters/2023-09-28_zoo-train-ipad-reinforcer-full.jpg?v=a1058d2cZoo Train: An iPad Reinforcer for Distractible KidsFor kids who get distracted by physical toys, Nicole uses the Zoo Train app on an iPad: quick play, a fun payoff, and easy to take back for the next block.https://nicolekolenda.com/demo/media/2023-09-28_zoo-train-ipad-reinforcer.mp42023-09-28Nicole Kolenda https://nicolekolenda.com/videos/2023-09-27_sticker-reinforcers.htmlhttps://nicolekolenda.com/assets/posters/2023-09-27_sticker-reinforcers-full.jpg?v=32196921Stickers as Reinforcers in Motor Speech TherapyQuick little reinforcers that build to a bigger reward: animal-face sticker sets for younger kids and paint-by-sticker mosaics for older ones.https://nicolekolenda.com/demo/media/2023-09-27_sticker-reinforcers.mp42023-09-27Nicole Kolenda https://nicolekolenda.com/videos/2023-09-26_paw-patrol-cars-reinforcer.htmlhttps://nicolekolenda.com/assets/posters/2023-09-26_paw-patrol-cars-reinforcer-full.jpg?v=3e3f97c3A Paw Patrol Car Set That Keeps Kids Going Through a SessionHow Nicole uses a Paw Patrol car set to hold a toddler's attention for a full 45-minute session while still getting around 250 productions.https://nicolekolenda.com/demo/media/2023-09-26_paw-patrol-cars-reinforcer.mp42023-09-26Nicole Kolenda https://nicolekolenda.com/videos/2023-09-14_what-i-say-to-new-participants.htmlhttps://nicolekolenda.com/assets/posters/2023-09-14_what-i-say-to-new-participants-full.jpg?v=8033e115What I Say to New Participants to Set Up TreatmentAs a new research cohort begins, Nicole shares the phrases she uses from the first assessment to plant the seeds for successful DTTC treatment.https://nicolekolenda.com/demo/media/2023-09-14_what-i-say-to-new-participants.mp42023-09-14Nicole Kolenda https://nicolekolenda.com/videos/2023-08-19_movement-gestures-not-single-sounds.htmlhttps://nicolekolenda.com/assets/posters/2023-08-19_movement-gestures-not-single-sounds-full.jpg?v=1d32e8cdTarget Movement Gestures, Not Sounds in IsolationOne of the hardest parts of making the shift: goals for children with CAS should target whole words, or movement gestures, because the same sound is set up differently depending on the vowel that follows.https://nicolekolenda.com/demo/media/2023-08-19_movement-gestures-not-single-sounds.mp42023-08-19Nicole Kolenda https://nicolekolenda.com/videos/2023-08-01_how-many-productions-per-session.htmlhttps://nicolekolenda.com/assets/posters/2023-08-01_how-many-productions-per-session-full.jpg?v=00c7ebe5How Many Productions Should You Get in a Session?Nicole answers a frequent question about how many repetitions to aim for in a CAS session: the lab often gets 200 to 350, but quality of practice always matters more than the count.https://nicolekolenda.com/demo/media/2023-08-01_how-many-productions-per-session.mp42023-08-01Nicole Kolenda https://nicolekolenda.com/videos/2023-07-26_motor-learning-lessons-from-running.htmlhttps://nicolekolenda.com/assets/posters/2023-07-26_motor-learning-lessons-from-running-full.jpg?v=78db3314What Marathon Training Teaches Us About Motor Speech PracticeFilmed after an interval run, Nicole compares blocks of practice to running intervals and lifting sets, and shares four ways to keep kids motivated: positive self-talk, clear expectations, slowing down, and taking breaks.https://nicolekolenda.com/demo/media/2023-07-26_motor-learning-lessons-from-running.mp42023-07-26Nicole Kolenda https://nicolekolenda.com/videos/2023-07-21_meet-me-here-cue.htmlhttps://nicolekolenda.com/assets/posters/2023-07-21_meet-me-here-cue-full.jpg?v=704d9bf3"Meet Me Here": A Favorite Cue for Starting a BlockThe difference between a cue and feedback, and how Nicole uses the simple cue "meet me here" to help a child find and feel the starting position of a hard word.https://nicolekolenda.com/demo/media/2023-07-21_meet-me-here-cue.mp42023-07-21Nicole Kolenda https://nicolekolenda.com/videos/2023-07-10_making-the-shift-to-motor-treatment.htmlhttps://nicolekolenda.com/assets/posters/2023-07-10_making-the-shift-to-motor-treatment-full.jpg?v=7a73f041Making the Shift From Articulation Therapy to Motor Speech TherapyFresh from the Apraxia Kids conference, Nicole walks through the key shifts from traditional articulation therapy to motor-based treatment for CAS: structured and conscious practice, blocked repetitions, multimodal cues, early prosody, and avoiding negative practice.https://nicolekolenda.com/demo/media/2023-07-10_making-the-shift-to-motor-treatment.mp42023-07-10Nicole Kolenda https://nicolekolenda.com/videos/2023-06-23_giving-kids-choice-and-control.htmlhttps://nicolekolenda.com/assets/posters/2023-06-23_giving-kids-choice-and-control-full.jpg?v=448a055eGiving Kids Choice and Control in Motor Speech TherapyChildren with motor speech disorders often feel a loss of control, so Nicole builds small choices into each session to make kids more willing to do the hard work.https://nicolekolenda.com/demo/media/2023-06-23_giving-kids-choice-and-control.mp42023-06-23Nicole Kolenda https://nicolekolenda.com/videos/2023-06-12_attention-through-the-cortex.htmlhttps://nicolekolenda.com/assets/posters/2023-06-12_attention-through-the-cortex-full.jpg?v=cbe11475If It's Not Going Through the Cortex, There's No LearningWhy a child on autopilot isn't learning, and three ways Nicole brings attention back to the movement: cupcake breathing, "blinders," and closing the eyes to feel the word.https://nicolekolenda.com/demo/media/2023-06-12_attention-through-the-cortex.mp42023-06-12Nicole Kolenda https://nicolekolenda.com/videos/2023-05-30_five-more-times-after-first-success.htmlhttps://nicolekolenda.com/assets/posters/2023-05-30_five-more-times-after-first-success-full.jpg?v=6a520ef0When They First Get It, Do It Five More TimesAdvice from Dr. Strand: the first time a child gets the target, don't stop to celebrate; have them do it five more times so the new motor program is laid down.https://nicolekolenda.com/demo/media/2023-05-30_five-more-times-after-first-success.mp42023-05-30Nicole Kolenda https://nicolekolenda.com/videos/2023-05-23_target-word-in-push-harder.htmlhttps://nicolekolenda.com/assets/posters/2023-05-23_target-word-in-push-harder-full.jpg?v=478995c5Target Word "In": Specific Feedback to Push HarderWith Dr. Strand sitting in, one specific cue, "now push your tongue harder," gave a little girl a strong, crisp final N after weeks of working on placement alone.https://nicolekolenda.com/demo/media/2023-05-23_target-word-in-push-harder.mp42023-05-23Nicole Kolenda https://nicolekolenda.com/videos/2023-05-19_target-word-bunny-jaw-opening.htmlhttps://nicolekolenda.com/assets/posters/2023-05-19_target-word-bunny-jaw-opening-full.jpg?v=9a77eb88Target Word "Bunny": Shaping the Jaw OpeningWhen "bunny" came out as "bonnie," Nicole shifted her feedback to how far the mouth opens and how it feels, working in slow simultaneous production before moving on.https://nicolekolenda.com/demo/media/2023-05-19_target-word-bunny-jaw-opening.mp42023-05-19Nicole Kolenda https://nicolekolenda.com/videos/2023-05-04_target-word-hi-up-the-dttc-hierarchy.htmlhttps://nicolekolenda.com/assets/posters/2023-05-04_target-word-hi-up-the-dttc-hierarchy-full.jpg?v=0028f2e3Target Word "Hi," Part 2: Moving Up the DTTC HierarchyTwelve sessions into a research study, Nicole traces one target word, "hi," session by session from a slow simultaneous whisper to spontaneous use, then answers a viewer question about scoring vowel and articulatory accuracy on the DEMSS.https://nicolekolenda.com/demo/media/2023-05-04_target-word-hi-up-the-dttc-hierarchy.mp42023-05-04Nicole Kolenda https://nicolekolenda.com/videos/2023-04-26_intrusive-schwa-with-dr-julie-case.htmlhttps://nicolekolenda.com/assets/posters/2023-04-26_intrusive-schwa-with-dr-julie-case-full.jpg?v=18d61e8dThe Intrusive Schwa in CAS, With Dr. Julie CaseA lunchtime Instagram Live with Dr. Julie Case of the Case Speech Lab on the intrusive schwa in CAS: how it differs from epenthesis, her idea of "vocal inertia," and the cues and target choices that help a child stop cleanly.https://nicolekolenda.com/demo/media/2023-04-26_intrusive-schwa-with-dr-julie-case.mp42023-04-26Nicole Kolenda https://nicolekolenda.com/videos/2023-04-17_where-to-start-with-a-target-word.htmlhttps://nicolekolenda.com/assets/posters/2023-04-17_where-to-start-with-a-target-word-full.jpg?v=3c07582bI Have My Target Word, but Where Do I Start?Nicole walks through a first session with the word "hi" for a profoundly impacted three-year-old: stopping errors, holding the starting configuration, and removing voicing to make the target easier.https://nicolekolenda.com/demo/media/2023-04-17_where-to-start-with-a-target-word.mp42023-04-17Nicole Kolenda https://nicolekolenda.com/videos/2023-04-03_video-record-your-sessions.htmlhttps://nicolekolenda.com/assets/posters/2023-04-03_video-record-your-sessions-full.jpg?v=04efecd6Video Record Yourself When You Start DTTCFrom the Advanced CAS Workshop at NYU: the one tool Nicole recommends to every clinician starting DTTC is recording and reviewing their own sessions.https://nicolekolenda.com/demo/media/2023-04-03_video-record-your-sessions.mp42023-04-03Nicole Kolenda https://nicolekolenda.com/videos/2023-03-29_organizing-dttc-sessions-note-sheet.htmlhttps://nicolekolenda.com/assets/posters/2023-03-29_organizing-dttc-sessions-note-sheet-full.jpg?v=3850bb53How Nicole Organizes Her DTTC SessionsA walkthrough of Nicole's one-page session sheet for tracking blocks, hierarchy level and spontaneous productions for each DTTC target word, plus the new DTTC hierarchy infographic.https://nicolekolenda.com/demo/media/2023-03-29_organizing-dttc-sessions-note-sheet.mp42023-03-29Nicole Kolenda https://nicolekolenda.com/videos/2023-03-21_acknowledge-the-childs-hard-work.htmlhttps://nicolekolenda.com/assets/posters/2023-03-21_acknowledge-the-childs-hard-work-full.jpg?v=fcf4f24aStop and Acknowledge the Child's Hard WorkRepetitive motor speech practice can leave kids feeling they're letting you down, so Nicole pauses to praise their effort and compares practicing words to an athlete practicing a shot.https://nicolekolenda.com/demo/media/2023-03-21_acknowledge-the-childs-hard-work.mp42023-03-21Nicole Kolenda https://nicolekolenda.com/videos/2023-03-13_sprinkling-in-spontaneous-productions.htmlhttps://nicolekolenda.com/assets/posters/2023-03-13_sprinkling-in-spontaneous-productions-full.jpg?v=e37b43b5Sprinkling In Spontaneous ProductionsOnce a target reaches the spontaneous level of DTTC, Nicole sets up questions ahead of time to elicit it, aiming for 10 good productions a session across three sessions.https://nicolekolenda.com/demo/media/2023-03-13_sprinkling-in-spontaneous-productions.mp42023-03-13Nicole Kolenda https://nicolekolenda.com/videos/2023-03-06_end-every-block-accurate-production.htmlhttps://nicolekolenda.com/assets/posters/2023-03-06_end-every-block-accurate-production-full.jpg?v=af06ce7cEnd Every Block on an Accurate ProductionWhen you move up and down the DTTC hierarchy and a child can't get a target at a harder level, step back down until they produce it accurately, and end the block there.https://nicolekolenda.com/demo/media/2023-03-06_end-every-block-accurate-production.mp42023-03-06Nicole Kolenda https://nicolekolenda.com/videos/2023-03-02_choosing-targets-trial-and-error.htmlhttps://nicolekolenda.com/assets/posters/2023-03-02_choosing-targets-trial-and-error-full.jpg?v=cb0dc014Choosing Target Words Takes Time and Trial and ErrorFor kids who struggle most with longer syllable shapes and spontaneous speech, the lab tests many multisyllabic words to find exactly where a child breaks down before picking targets.https://nicolekolenda.com/demo/media/2023-03-02_choosing-targets-trial-and-error.mp42023-03-02Nicole Kolenda https://nicolekolenda.com/videos/2023-02-23_stopping-negative-practice.htmlhttps://nicolekolenda.com/assets/posters/2023-02-23_stopping-negative-practice-full.jpg?v=9134bb07Stopping Negative PracticeWith Sarah standing in for a client, Nicole demonstrates how to stop a child the moment they start saying a target incorrectly, then cue them to think about the movement so the next try is accurate.https://nicolekolenda.com/demo/media/2023-02-23_stopping-negative-practice.mp42023-02-23Nicole Kolenda https://nicolekolenda.com/videos/2023-02-13_target-words-from-the-demss.htmlhttps://nicolekolenda.com/assets/posters/2023-02-13_target-words-from-the-demss-full.jpg?v=13509485Picking Target Words From the DEMSSFor more severely impacted kids, the lab starts with the DEMSS, pulling target words straight from its syllable-shape sections that the child had a hard time with during the assessment.https://nicolekolenda.com/demo/media/2023-02-13_target-words-from-the-demss.mp42023-02-13Nicole Kolenda https://nicolekolenda.com/videos/2023-01-30_tell-them-to-fix-it.htmlhttps://nicolekolenda.com/assets/posters/2023-01-30_tell-them-to-fix-it-full.jpg?v=e6e53e4bTell Them to "Fix It"When a child who mostly has a target misses it, Nicole borrows a phrase from Dr. Edythe Strand, "fix it," which tells them to try again while showing that she believes they can.https://nicolekolenda.com/demo/media/2023-01-30_tell-them-to-fix-it.mp42023-01-30Nicole Kolenda https://nicolekolenda.com/videos/2023-01-23_dont-segment-multisyllabic-words.htmlhttps://nicolekolenda.com/assets/posters/2023-01-23_dont-segment-multisyllabic-words-full.jpg?v=7f504a31Don't Segment Multisyllabic WordsWhen teaching a multisyllabic target, don't break it into separate syllables or phonemes; slow it down by elongating the vowels and say it together, because children learn in gestures and whole words.https://nicolekolenda.com/demo/media/2023-01-23_dont-segment-multisyllabic-words.mp42023-01-23Nicole Kolenda https://nicolekolenda.com/videos/2023-01-16_hand-gestures-as-cues.htmlhttps://nicolekolenda.com/assets/posters/2023-01-16_hand-gestures-as-cues-full.jpg?v=da052cb5Using Hand Gestures as CuesA simple technique Nicole picked up from Dr. Julie Case's treatment videos: using her hand to show jaw height or lip shape for every target word.https://nicolekolenda.com/demo/media/2023-01-16_hand-gestures-as-cues.mp42023-01-16Nicole Kolenda https://nicolekolenda.com/videos/2023-01-09_simultaneous-production-first-step.htmlhttps://nicolekolenda.com/assets/posters/2023-01-09_simultaneous-production-first-step-full.jpg?v=5c93568dSimultaneous Production: The First Step in DTTCSaying a word at the same time as someone else feels strange, so when kids resist simultaneous production Nicole drops the voicing first, or simply joins in when they repeat after her.https://nicolekolenda.com/demo/media/2023-01-09_simultaneous-production-first-step.mp42023-01-09Nicole Kolenda https://nicolekolenda.com/videos/2023-01-03_two-types-of-feedback.htmlhttps://nicolekolenda.com/assets/posters/2023-01-03_two-types-of-feedback-full.jpg?v=97c02352Two Types of Feedback: Knowledge of Results and Knowledge of PerformanceStarting a series on feedback, Nicole explains the difference between binary knowledge of results (KR) feedback and the specific knowledge of performance (KP) feedback used in the early stages of motor learning.https://nicolekolenda.com/demo/media/2023-01-03_two-types-of-feedback.mp42023-01-03Nicole Kolenda https://nicolekolenda.com/videos/2022-12-26_interoception-and-performance-imagery.htmlhttps://nicolekolenda.com/assets/posters/2022-12-26_interoception-and-performance-imagery-full.jpg?v=cde06aacFeedback Through Interoception and Performance ImageryThe biggest change in Nicole's switch to motor speech therapy was her feedback: she asks kids to notice how an accurate word felt, then has them recall that feeling before the next try, the way athletes use performance imagery.https://nicolekolenda.com/demo/media/2022-12-26_interoception-and-performance-imagery.mp42022-12-26Nicole Kolenda https://nicolekolenda.com/videos/2022-12-19_paint-by-sticker-reinforcers.htmlhttps://nicolekolenda.com/assets/posters/2022-12-19_paint-by-sticker-reinforcers-full.jpg?v=3a6df409Keeping Kids Engaged With Paint-by-StickersMotor speech therapy isn't play-based, but it can still be fun: Nicole hands out a sticker or two after every few productions, so kids finish the session with a completed picture.https://nicolekolenda.com/demo/media/2022-12-19_paint-by-sticker-reinforcers.mp42022-12-19Nicole Kolenda https://nicolekolenda.com/videos/2022-12-14_favorite-toy-for-the-demss.htmlhttps://nicolekolenda.com/assets/posters/2022-12-14_favorite-toy-for-the-demss-full.jpg?v=4ea88c37My Favorite Toy for the DEMSSHow do you keep a child interested during a speech assessment? Nicole reveals her all-time favorite toy for the DEMSS, the dynamic assessment for suspected childhood apraxia of speech: the classic Pop-Up Pirate game.https://nicolekolenda.com/demo/media/2022-12-14_favorite-toy-for-the-demss.mp42022-12-14Nicole Kolenda https://nicolekolenda.com/videos/2022-12-12_close-your-eyes-integral-stimulation.htmlhttps://nicolekolenda.com/assets/posters/2022-12-12_close-your-eyes-integral-stimulation-full.jpg?v=08016496Close Your Eyes So They Can Watch Your MouthIntegral stimulation asks kids to watch the clinician's face, which can feel intense, so Nicole closes her eyes to take the pressure off while they look at her mouth.https://nicolekolenda.com/demo/media/2022-12-12_close-your-eyes-integral-stimulation.mp42022-12-12Nicole Kolenda https://nicolekolenda.com/videos/2022-12-12_hold-up-fingers-for-repetitions.htmlhttps://nicolekolenda.com/assets/posters/2022-12-12_hold-up-fingers-for-repetitions-full.jpg?v=c2418fb4Hold Up Your Fingers to Count RepetitionsTo get multiple repetitions in a block without stopping to prompt, Nicole holds up the number she wants and adds a little click after each one as a visual and auditory reinforcer.https://nicolekolenda.com/demo/media/2022-12-12_hold-up-fingers-for-repetitions.mp42022-12-12Nicole Kolenda https://nicolekolenda.com/videos/2020-09-25_velopharyngeal-closure-and-consonants.htmlhttps://nicolekolenda.com/assets/posters/2020-09-25_velopharyngeal-closure-and-consonants-full.jpg?v=750ec710How Incomplete Velopharyngeal Closure Can Impact Consonant ProductionWhen the velopharyngeal port does not close fully, a child can sound hypernasal and produce weak plosives, because air escapes through the nose instead of building up in the mouth.https://nicolekolenda.com/demo/media/2020-09-25_velopharyngeal-closure-and-consonants.mp42020-09-25Nicole Kolenda https://nicolekolenda.com/videos/2020-08-05_include-siblings-in-speech-therapy.htmlhttps://nicolekolenda.com/assets/posters/2020-08-05_include-siblings-in-speech-therapy-full.jpg?v=a07536d5How to Include Your Child’s Sibling in Their Speech Therapy ProgressNicole shares how she brought a toddler’s older brother into teletherapy by teaching him the target words, and why involving siblings helps therapy carry over into everyday life.https://nicolekolenda.com/demo/media/2020-08-05_include-siblings-in-speech-therapy.mp42020-08-05Nicole Kolenda https://nicolekolenda.com/videos/2020-07-27_talk-less-to-get-your-child-to-talk-more.htmlhttps://nicolekolenda.com/assets/posters/2020-07-27_talk-less-to-get-your-child-to-talk-more-full.jpg?v=24c01bc8Talk Less to Get Your Child to Talk MoreParents can encourage their child to talk more by talking less: match your sentence length to your child's, pause after questions, and count to five so they have time to respond.https://nicolekolenda.com/demo/media/2020-07-27_talk-less-to-get-your-child-to-talk-more.mp42020-07-27Nicole Kolenda https://nicolekolenda.com/videos/2020-07-14_feedback-in-speech-therapy.htmlhttps://nicolekolenda.com/assets/posters/2020-07-14_feedback-in-speech-therapy-full.jpg?v=7daf2075Feedback in Speech TherapyNicole explains knowledge of performance (KP) and knowledge of results (KR) feedback, why therapy moves from specific to simple feedback, and how a yoga class shows the same motor learning principle.https://nicolekolenda.com/demo/media/2020-07-14_feedback-in-speech-therapy.mp42020-07-14Nicole Kolenda https://nicolekolenda.com/videos/2020-07-09_encourage-imitation-when-your-child-is-reluctant.htmlhttps://nicolekolenda.com/assets/posters/2020-07-09_encourage-imitation-when-your-child-is-reluctant-full.jpg?v=f63be5ceHow to Encourage Imitation When Your Child Is ReluctantWhen a child won't imitate words in speech therapy, take the pressure off, have them look at your mouth and say the word with you, choose verbs, and practice inside a game with built-in rewards.https://nicolekolenda.com/demo/media/2020-07-09_encourage-imitation-when-your-child-is-reluctant.mp42020-07-09Nicole Kolenda https://nicolekolenda.com/videos/2020-07-03_5-tips-for-online-speech-therapy.htmlhttps://nicolekolenda.com/assets/posters/2020-07-03_5-tips-for-online-speech-therapy-full.jpg?v=f199f2f55 Tips for Successful Online Speech TherapyNicole shares five tips for parents doing speech therapy over Zoom with young children: shorter sessions, knowing the targets ahead of time, a distraction-free space, modeling what the SLP says, and having reinforcements ready.https://nicolekolenda.com/demo/media/2020-07-03_5-tips-for-online-speech-therapy.mp42020-07-03Nicole Kolenda https://nicolekolenda.com/podcast/32-persistence-creates-possibility-with-amy-jordan.html https://nicolekolenda.com/podcast/31-creating-possibility-one-voice-at-a-time-with-dr-mara-rosa-brea.html 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