Speech Sounds on Cue – Review & Giveaway
Since 1999, speech-language pathologists and adults with apraxia have been using a computer program called Speech Sounds on Cue
. This software was developed by Carol Bishop of Australia under the company Multimedia Speech Pathology. Taking advantage of video, sound, and written cues, the program was intended to increase the intensity of treatment for people with apraxia, combining J. Rosenbek's integral stimulation approach with B. Hill's carrier phrase facilitation drills. In 2010, the software was upgraded to include audio feedback and both North American and UK accents.
In 2011, the PC/Mac-based software made the leap to the iPad. Originally priced similarly to the computer software at $150, Speech Sounds on Cue for iPad has been reduced to $48.99, making it more affordable to home users. The full version of the app consists of 20 initial phoneme groups and over 500 words. A free trial, Speech Sounds on Cue for iPad Lite, is available to show the capability of the app with just the /w/ sound.
There are essentially 2 ways to use the app: phrase completion and rhyming. When using phrase completion, select the phoneme you wish to target and choose between "Basic" or "Random" presentation. In "Basic," the exercise starts with a captioned video demonstration of how to make the sound. On the next screen you will hear a carrier phrase accompanied by a full color photo and text on the left side of the screen. On the right side, the final word in the phrase appears with a three-stage cue: a video of a mouth saying the word accompanied by sound, then the video with no sound, and finally a microphone icon appears while the device records the user's production. The recording is then played back for the user to give immediate auditory feedback. At any point, the user can skip to a given word in the phoneme group, repeat or skip ahead, or return to the phoneme selection screen. A "Random" option is also available to launch the exercise without the demonstration and a random word order.
The second mode within the app is "Rhyming." No single phonemes are selected for this activity as it simply presents four images and written labels on the screen, all with the same rhyme (e.g. peel-wheel-seal-heel). There are 13 sets of four images, and as with the previous exercise, you can select which set you want to show. Tapping the image plays an audio recording of the word.
The app does not save any recordings, nor does it collect data of any sort. The progression through the three cues can move a little fast, with several of my clients wanting to see and hear the word a few more times before trying on their own. Usually after several trials with support, they are able to repeat the exercise as many times as needed to get a satisfactory recording. With these shortcomings noted, this app remains amazingly useful for independent practice of speech production for those with severe apraxia. I have had motivated clients practice for hours with this app and make rapid improvements in their speech. Given that the cost is now more affordable for stroke survivors, it is a more accessible evidence-based tool for both the clinic and home practice. Children with apraxia, autism, and other speech/language disorders are reportedly finding the app useful to reach their goals as well.
Download Speech Sounds on Cue for iPad - Lite to try it out, then comment below on how you would use this app for a chance to win!
One free copy will be given away next week, selected randomly from the comments.