Description
0.1 ASHA CEUs are offered for this online speech therapy course.
Course Format: Text - including audio/video samples (which can be viewed online) & references.
R is one of the most difficult sounds for a clinician to target. Where do we start? The R that initiates a syllable is very different from the R that is vowelized, and the R that is stressed within a word is different from the unstressed R at the end of words...or are they?
Author, Sandra Holtzman, MS, CCC-SLP, C.O.M., brings 30 years of experience to this e-course, which is derived from the program, Orofacial Myology: From Basics to Habituation. You will discover the secrets of taking the right steps in the right order. You will no longer be left in limbo, unsure whether to begin with the initial sound in isolation, or in the final position, or with clusters....or whether to simply pull your hair out in frustration!
This e-course offers seven basic steps that are necessary to move clients onward toward habituation. Provided is a step-by-step method of treating clients with /r/ articulation errors. Certain structural and functional complications that interfere with the treatment process are described and ruled out. Basic lingual skills necessary for success are introduced early in the treatment program. Participants of this e-course will progress—much as their clients will—through tiny critical steps along a smooth and sensible pathway leading to the final goal of habituation.
Please note: This eCourse is set up to be flexible to accomodate all schedules. You do not have to complete this program in one sitting. You can access the course materials as many times as you need to in order to complete all the sections.
Course Objectives
At e-course conclusion, participants will be able to:
- Rule out various etiologies prior to initiating a program of /r/ therapy.
- Understand the basic lingual skills to be maximized before initiating a program of articulation.
- Name and describe the seven stages of therapy from "basics to habituation."
- Give at least two examples of methods to obtain a pure, stable and consistent ER in isolation.
- Explain the benefits of presenting ER in the final position of words instead of the initial position.
A score of 80% or better must be received on the post test in order to
receive a certificate of completion.
Author Profile

Sandra R. Holtzman, M.S., CCC-SLP, C.O.M., is an ASHA certified speech-language pathologist who has specialized in orofacial myology for more than 30 years. She is a certified orofacial myologist and a member of the International Association of Orofacial Myology (IAOM). Sandra is presently serving on both the Board of Directors and the Board of Examiners of the IAOM.
Sandra has addressed SLPs, dental professionals, and other specialists across the United States on the connection between orofacial musculature and speech disorders, tongue-tie (ankyloglossia), thumb and digit sucking habits, mouth breathing, and other topics. In 2000, Sandra established Neo-Health Services, Inc., which provides continuing education workshops, therapy for orofacial myofunctional disorders and other speech-language disorders, and supplies oral myofunctional products. She is author of Orofacial Myology: From Basics to Habituation (aka the "Myo Manual").
Intended Audience
Accreditation
This program is offered for .1 CEUs (Intermediate level; Professional area).
Per our longstanding procedures with ASHA, we submit CEU information to ASHA quarterly, so your CEUs will be reflected as completed on the last day of that quarter. For instance, if you complete a course on December 7th, 2011, it will be reported to ASHA in January 2012, and it will be reflected in your ASHA account as completed on December 31st, 2011. However, for submitting to your state board or for your own records, you will receive a certificate of completion with the actual completion date.