Welcome Home Wednesday: Maria Del Duca!

Wednesday, February 27, 2013
Good morning and happy Wednesday! I am super excited to Welcome Home Maria Del Duca from the Communication Station: Speech Therapy PLLC blog! Maria always has fabulous ideas and tips for therapists. You are going to love her post today. It is filled with great new ideas for keeping the little ones active and attentive during therapy (I am SO glad I just bought a new Twister!) Have a great Wednesday!

Let’s Get Physical:  Keeping PK kiddos attentive during therapy!

So here is my biggest secret to success with preschoolers:  Movement!  It is NOT developmental to expect a PK age child to sit and attend to an activity for 30 or 50 minute sessions.  Children are constantly learning, exploring, and problem solving.  They, like us all, need proprioceptive feedback.  I provide that by adding movement to almost ALL of my therapy activities.  When I add movement to any activity, I have learned that my PK students attend longer to one single activity and will participate in more trials during the therapy session than if I would expect them to sit the entire time.  The movement does not have to be big or elaborate.  Here some simple examples of how I incorporate movement into some everyday activities we SLPs LOVE:

  • Bingo:  We SLPs love our bingo don't we? Articulation bingo?  Grammar bingo? Vocab bingo? I simply place the stimulus cards (or bingo chips) in another area (all over the floor, along the walls, hidden the room, on another table, etc.) so that every time we need to use them, the children get to walk over and get one (or several depending on the number of trials I am attempting that day).

Memory/Concentration:  We love this game for the problem solving, reasoning, visual memory, task that it truly is while targeting articulation or other language tasks!  How do I add movement into memory?  Place the cards farther apart all over the floor.  That's it!  So simple and so effective.  Below you see I added tossing the bean bags to choose a card, but many times I will use little balls (bounce on the card and it’s yours), or nerf guns/disc slingers (hit a card and it’s yours) just to mix it up a bit!    

  • Fishing:  We love to have our kids "fish" those stimulus cards!  I usually place the "pond" of fish (with stimulus cards attached) on one end of the room, while I am seated at the other end.  After the child "catches" his number of fish, he walks over to give me cards and we practice those stimulus cards together.

  • Board games:  Teaching a child rules to board games, taking turns, being a good sport, etc. are invaluable.  So it is a MUST that we work on them in therapy.  How in the world do you add movement to board games you ask?  Well the biggest thing I do for activities that are AT a table is I allow the children to stand!  Yes they will move around, they will squirm, and maybe even find themselves on the floor a few times during therapy, but the sensory feedback they get from standing and squirming results in more practice trials...so...I'll take it!  (As the children grow in age and development I will expect longer periods of sitting in order to prepare them for Kindergarten of course.)
  • Bean Bag or Ball Toss games:  I love me some bean bag toss games...throwing stimulus cards all over the floor and having the child throw the bean bag or ball onto a card (or with a ball it may roll/bounce on several cards), the child quickly picks up card, brings back to me, we practice...and do it all over again!

  • Hide N Seek:  Great game for teaching pronouns!  Also great with use of a ball, nerf gun (or "dart slinger" if you aren't allowed to use the word gun in your work environment) or any other object that is soft and can be "thrown" at stimulus cards.  Hide the cards, child finds the cards, throws/rolls ball or shoots dart at card...practices card and finds another.

  • Crafts:  We love our crafts...great receptive language tasks focusing on following directions.  So place all craft materials somewhere OTHER than the table you are doing the craft and have the child retrieve the objects you need (BEFORE giving a complex command so they can focus on the language of that command after the materials are in front of them).

  • Other things I love to do:  games that incorporate hopping or jumping, crab crawling, and yes even dancing.  You know I love my music!  When in a school, you have some really great resources with your PE teacher.  Grab a scooter, hula hoops, a dodge ball or a parachute and have some fun. 
Don’t have access to those things?  How about simple game of Twister?  I love to use my twister mat for this...and add color identification as a side preacademic concept for kids while using the spinner.  On the spinner I will place words “jump, hop, crawl, dance, frog hop, etc. over the areas that label left vs. right hand/foot so the students can follow a gross motor direction while grabbing their stimulus card.

You’ve done twister?  How about a point’s game?  I make points cards (+/- points) and use our disc slingers after several trials of stimulus cards.  Where ever our discs land is how many points we get after each round.  Below you can see that this game was a family affair during one of my home sessions!  It’s always nice to get siblings involved for support!

Think of all the ways you can add movement into your therapy!  I promise you it won't take away from your therapy or goals.  Allowing a child to perform within his/her developmental expectations is NEVER out of sync with our goals as SLPs.  And most importantly, remember to have fun!

Happy Talking!


  1. Great post! Such simple adaptations but definitely effective! Thanks for sharing!!

    1. Thanks Monica. I love to keep kiddos moving and once I starting thinking out of the box a little I realized how easy it really is to do that AND have a successful therapy sessions! Thanks for your feedback :)


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