Seven ways to train language in cerebral palsy

  1, relaxation therapy: can be through the relaxation of involuntary movement muscle groups is to reduce the tension of language, for breathing and pronunciation to lay the foundation: (1) lower limbs: toe flexion, knee joint straight; (2) chest and abdomen back: abdomen and chest deep inhalation; (3) upper limbs: hand fist, arms forward to shoulder level; (4) shoulders and neck head: shrugging shoulders, head downward, slowly backward to do both sides of clockwise and counterclockwise rotation, frown, lips The lips are tightly closed and the tongue is pressed against the hard palate arch. Each of the above actions hold for 3 seconds and then relax, repeat 10 times.  2, breathing training: blowing feathers, windmills, harmonica, balloons, etc., the blowing of the object from light to heavy, from small to large. If the child’s expiration time is short and weak, can be lying down, by the therapist to help do arm abduction, chest expansion exercises at the same time breathing exercises, but also at the end of inhalation at the bottom of the front to lightly press the abdomen to extend the expiration time phase and increase the force of exhalation.  3, tongue training: first make the child lick the tongue to eat lollipops, sweet cakes, etc., and ask it to open, the tongue as far as possible out of the mouth, up and down, swinging left and right, and then the tip of the tongue lick the upper and lower lips, upward and backward pressure on the hard palate, if you can not take the initiative to carry out, available tongue depressor or in the tongue massage, or gauze gently hold the outstretched tongue to do up and down, left and right movement, but also can be used to suck the drink in the cup straw.  4.Lip movement: make the child’s lips unfold, close, protrude and retract, and pay attention to the coordination and symmetry of the movement. You can also ask him/her to hold the tongue depressor with lips tightly closed, and the therapist will pull the tongue depressor outward, so that the child must tightly close the lips to prevent the tongue depressor from being pulled out, three times a day.  5, face, jaw and throat training: ask the child to smile, frown, open mouth, close, cheek, so that the cheeks are filled with gas and then gently exhale, repeatedly, three times a day. You can also help the child wash his hands for sucking to contract the cheek and orbicularis oris muscle movement. When the mouth cannot be closed, patting the skin near the central part of the jaw and the temporomandibular joint with the hand can promote the closure of the mouth and prevent the forward extension of the jaw. In severe cases, the left hand can be placed under the jaw and the right hand placed on the head, and the left hand can be used to assist in the upward lifting and pulling down of the jaw to gradually make the lips close. You can also ask them to do chewing and swallowing training.  6, pronunciation training: after sitting lip, tongue, jaw and other training let it try to keep these movements for a long time, then softly induce the purpose sound, first pronounce ” a u o ” vowel, then pronounce consonants by lip ” b p m f “, then gradually pronounce ” ba pa ma” – and finally transition to word and sentence training.  7. Training to overcome nasalization: Use methods to guide the airflow through the mouth, such as blowing candles and whistles to guide and focus the airflow. You can also let the child put both hands on the table and push downward, or put them under the table and then push upward, exerting force while vocalizing.