Brave Wings Therapy
Naomi Sutton and Jennifer Moore

Services

Areas of Practice

 

Helping children achieve their goals in a fun and innovative way


 
 
 

Our practice specializes in various therapeutic techniques for children with speech difficulties. We provide pediatric speech therapy services in a welcoming, sensory-based, therapeutic setting. 

 
 
 

Are you looking for a PROMPT certified therapist?

 
 

Dr. Jennifer Moore is the only PROMPT Certified/Instructor in NJ.

PROMPT is an acronym for Prompts for Restructuring Oral Muscular Phonetic Targets. The technique is a tactile-kinesthetic approach that uses touch cues to a patient’s articulators (jaw, tongue, lips) to manually guide them through a targeted word, phrase or sentence. The technique develops motor control and the development of proper oral muscular movements, while eliminating unnecessary muscle movements, such as jaw sliding and inadequate lip rounding.

 
 

Evaluations & Screenings

Parents often wonder if their child's speech and language skills are developing appropriately. You might have some concerns about your child but are hesitant to seek professional help. You might ask yourself if you are just overreacting or wonder when should a certain skill develop. If you've ever shared these concerns, you are not alone. A speech and language evaluation can determine whether a delay or a disorder is present and whether therapy is warranted.


Feeding Therapy

Also known as developmental feeding therapy, this type of therapy is implemented when children present with difficulty transitioning through different textures and flavors of foods. Therapy focuses on increasing awareness of the oral mechanism, normalizing oral sensitivity, and facilitating normal oral-motor movements necessary for managing food safely. Feeding skills are addressed while following the SOS Approach to Feeding Therapy. 


Occupational Therapy

OT helps children gain independence while also strengthening the development of fine motor skills, sensory-motor skills, and visual motor skills. OT is also beneficial for improving sensory and vestibular processing, regulation, and integration. Therapy may combine a variety of strategies which can help your child respond better to his/her environment. These can include physical activity (swings, slides, obstacle courses), play activities, self-help activities (brushing teeth/hair, washing hands), and adaptive strategies (coping with transitions).


Tongue Thrust / Myofunctional Therapy

Orofacial myofunctional therapy improves oral functions in order to eliminate tongue thrust, prevents an increased open bite, improves tongue mobility for proper swallowing, and addresses articulation errors such as interdental lisps and/or lateral lisps.

Apraxia/Motor Speech Therapy

Oral Apraxia involves difficulty with non-speech movements of the oral mechanism such as tongue protrusion and lateralization as well as lip pursing on command. Apraxia of speech, also known as verbal apraxia, is a neurologically based articulation disorder that is characterized by difficulty in positioning speech muscles and sequencing movements for the voluntary production of speech. This disorder is not associated with weakness, slowness, or incoordination of these muscles. Therapy focuses on teaching voluntary control of the articulatory movements through the use of tactile, visual, and auditory stimulation (i.e. PROMPT therapy) in order to develop new motor pathways for the production of connected speech.


Oral Motor Therapy

This therapy involves the process of facilitating improved oral (jaw, lip, tongue) movements. The purpose of Oral Motor Therapy is to establish "normal" oral movement controls. These techniques are used when addressing articulation and phonological delays , dysphasia, developmental feeding delays, orofacial myofunctional disorders, neurodevelopment delays, and sensorimotor integration delays.


Voice

A voice disorder is defined by the American Speech-Language Hearing Association (ASHA) as a disorder that occurs when voice quality, pitch, or loudness present as inappropriate for the child's age, gender, or size. This may present as hypernasality (nasal speech), hyponasality (sounding like a stuffy nose), rough or hoarse voice due to medical conditions such as vocal nodules or laryngeal tension, or abnormally low or high vocal pitch. Our practice treats voice disorders by implementing vocal hygiene and working in conjunction with Otolaryngologists (ENTs). 

Articulation Therapy

Children with an Articulation disorder demonstrate speech production errors. Articulation errors are typically classified as either substitutions, omissions, distortions, or additions of the target sound. This impacts the child’s intelligibility, making it hard to understand what they are saying. Therapy focuses on identifying the most stimulable and relevant speech sound targets as well as teaching isolated placements for those sounds. Therapy goals consist of the ability to produce the sound in isolation, consonant vowel combinations, words, phrases, sentences, and in conversational speech.


Receptive and Expressive Language Therapy

A language disorder is defined as the abnormal acquisition, comprehension, or use of spoken or written language. The disorder can involve both the comprehension and production of language. Receptive language refers to the ability to derive meaning from incoming auditory or visual messages. Expressive language refers to the production of language. Typically, language disorders are classified according to the following major components: semantics (meaning of individual words), morphology (the structure of words), syntax (rules governing the order and combination of words), pragmatics (rules governing the use of language in social context), and phonology (rules that govern permissible sound combinations). Therapy is developed on an individual basis and the ultimate goal is to teach strategies for facilitating the language acquisition process.


Augmentative Communication

AAC is used to enhance communicative ability of children (or adults) who have difficulty with their expressive oral language. This may be in the form of high tech devices such as an iPad, or in low tech devices such as Picture Exchange Communication System (PECS). Our practice is trained in implementing various modalities of AAC and works with the family to implement carryover and home use.