PROMPT (Prompts for Restructuring Oral Muscular Phonetic Targets) therapy is a specialized approach used to treat speech production disorders, including motor speech disorders such as apraxia of speech. It focuses on improving motor planning and coordination of the articulatory muscles involved in speech production.

Individualized and holistic approach

PROMPT therapy is highly individualized, with treatment plans tailored to the unique needs of each client. It takes into account the specific motor and sensory challenges of the individual and aims to address the underlying motor planning and coordination difficulties.

Multisensory input

PROMPT therapy incorporates a multisensory approach, utilizing touch, kinesthetic, and proprioceptive cues to guide and support the individual in achieving accurate speech movements. Tactile prompts on the face, jaw, and oral structures are used to assist in the production of specific speech sounds and movements.

Hierarchical prompting system

PROMPT therapy uses a hierarchical system of prompts to guide speech production. The prompts range from minimal contact and gentle touch to more firm and direct cues, gradually fading as the individual gains greater control and independence in producing the target sounds or words.

Dynamic and functional goals

Therapy targets are chosen based on functional communication needs. PROMPT therapy focuses on facilitating motor coordination and accuracy for meaningful speech production, rather than solely targeting isolated speech sounds. This approach emphasizes the integration of speech sounds into functional words, phrases, and sentences.

Continuous assessment and adaptation

PROMPT therapy is a dynamic and flexible approach. We continuously assess the individual’s progress and adjust the therapy techniques and targets accordingly. The therapy evolves with the individual’s changing needs and progress over time.

Intensive and frequent sessions

PROMPT therapy typically involves regular and frequent sessions to promote motor learning and consolidation. The intensity and duration of therapy depend on the individual’s needs and goals.

Collaborative approach

PROMPT therapy often involves a collaborative approach that ensures that therapy goals are meaningful, progress is monitored, and strategies can be carried over into daily life.

PROMPT therapy has been used effectively for individuals with various speech production disorders, including children with apraxia of speech and individuals with neurological conditions that affect speech motor control. The therapy aims to improve speech intelligibility, motor planning, coordination, and overall communication skills. Trained and certified PROMPT therapists employ this specialized technique to help individuals achieve more accurate and functional speech production.