The PROMPT model: Use and application for children with mixed phonological-motor impairment

Abstract

PROMPT (Prompts for Restructuring Oral Muscular Phonetic Targets) a tactually grounded, sensori-motor, cognitive-linguistic treatment model is explored as a philosophy, approach, system and technique. The PROMPT Conceptual Framework and the Motor-Speech Hierarchy are described as frameworks for both assessment and treatment that help clinicians develop a holistic communication focus for treatment, while embedding motor, language and social interaction goals. The role of technique and tactual systems in PROMPT are explained with relevance to their use and application with children who have moderate to severe mixed phonological and motor impairment. General assessment guidelines and priorities for treatment, with one case study are discussed.

Keywords:

• Dynamic system
• speech-motor disorder
• phonological disorder
• mixed disorders
• tactual-kinesthetic therapy approaches
• somatosensory system
• PROMPT therapy