Newsletter November

Upcoming Events at FAME

In commemoration of the International Day of Persons with Disability, FAME India is organising the Inter School Sport meet on 14th December 2016, at Kittur Rani Chennamma Stadium, Jayanagar 3rd Block, between 8:30am to 1:00 pm.

The spirit behind the endeavour is to bring the students of special schools and mainstream schools toegther. This is an opportunity extended to the students to exhibit their sports talents and also to interact with each other , thereby creating awareness about persons with disabilities.
Achieving 17 goals for the Future We Want", which draws attention to the 17 Sustainable Development Goals and how these goals can create a more inclusive and equitable world for persons with disabilities.

Oral Placement Therapy

How does oral muscle skills impact speech clarity or feeding?

Sara Rosenfeld Johnson, in her book 'Oral Placement Therapy for Speech Clarity and Feeding' says that:

Speech is the end result of 4 critical elements of muscle movement:

  1. Awareness of the oral structures
  2. Placement of the oral structures
  3. Stability, endurance and muscle memory
  4. Production

Awareness is the sensory component of movement. If a client is unable to "feel" the position of a muscle or has a negative reaction to this 'feel', speech clarity and feeding abilities will be compromised. A client could be hypersensitive or tactile defensive, hyposensitive to tactile input, or have mixed or fluctuating responsivity to tactile input. These reactions could be seen any client with a variety of diagnoses - Autism, ADHD, Apraxia, Cerebral Palsy, Downs Syndrome, Visual Impairments, etc. Therapists and Parents need to be aware of these reactions to ultimately facilitate the development of Speech or better Feeding abilities. We have noticed a lot of difference in children once they actually became aware of their oral structures through the structured OPT program we followed. Children who were non-verbal started making sounds and babbling. Children who were drooling started swallowing more. Children who wouldn't move their tongue or lips started doing so. Children who were sensitive to food gradually started eating better.

When we talk about Placement of Oral Structures with reference to speech and feeding skills, we help children to learn where to place their articulators with the help of therapy tools. However unlike other traditional methods of "Look at me and say what I say", OPT looks at adding the tactile stimuli to teach placement of the oral structures. Especially for children with Childhood Apraxia of Speech or Dyspraxia, tactile cues are the key to improved speech clarity and feeding skills. OPT uses a variety of 'Therapy Tools' like Horns, Bubbles, Straws, Jaw Grading Bite Blocks, Chewy Tubes, ARK Grabbers, etc. in a hierarchical and structured manner to help children improve skill levels by maximizing all the sensory systems.

You can get more information about these tools on or

Once a client (child or adult) becomes more aware of his oral structures and then has learnt where to place his jaws, lips and tongue for various sounds or for appropriate feeding skills, OPT works on building the clients Stability, Endurance and Muscle Memory. This just means that the muscles are taught movements through increased repetitions so that the movements become automatic and are not lost.


Neural connections can be developed every day and the more neural connections there are, the higher chances of speech developing as a way of communicating. If the foundation for the development of speech is poor, it is unfair for us to expect the child to just start 'talking'. Hence OPT takes the client through a hierarchical and structured program or steps to reach the 'Criteria of Success' at each step. The number of repetitions is based upon stability, endurance, adequate strength and muscle memory requirements and must be followed closely if success is expected.

"Oral Placement Therapy or OPT therapy for speech teaches oral structural placement to clients who cannot produce or imitate speech sounds using traditional auditory or visual input...... it is a tactile-proprioceptive teaching technique which accompanies traditional therapy"

One example of building stability, endurance and muscle memory via the Horn Hierarchy is to have the client blow the Horn 25 times in rapid succession. This helps the client become aware of his structures, learn how to purse his lips for blowing and strengthen his lips to endure that movement 25 times. It also teaches the muscles the automaticity in the movement (muscle memory) so that the client purses or rounds his lips the minute he/she sees the Horn. This is the basis for a sound like /oo/.

'Talking' or production of speech sounds is not as easy as one thinks it out to be. There are a lot of brain processes involved to coordinate between getting the idea about what to say to planning the movements necessary for it to actually saying it. If we talk about the production of speech alone, we have seen that an individual needs to be AWARE of his oral structures, know the PLACEMENT of his oral structures, have enough STRENGTH, STABILITY, ENDURANCE & MUSCLE MEMORY to finally be able to PRODUCE speech sounds or produce the movements needed for appropriate feeding skills. To develop a foundation for good speech skills, it is important that the clients JAW is strong, stable and graded. It is the jaw that forms the foundation for developing movements of the lips and the tongue Â. An example of how we would develop the strength and graded movement of the jaw would be by using therapy tools such as the Chewy Tubes, Jaw Grading Bite Blocks, etc.

Ms. Shereen Idiculla
Consultant Speech Therapist FAME India &
Director, Clinic Services, Playstreet

Hip Hip Hurrah!

FAME India participated in the National Festival on Therapeutic Sports Meet for Persons with Multiple Disabilities held at National Institute for Empowering of Persons with Multiple Disabilities (NIEPMD), Muttukadu, Chennai. 13 States and 56 Special schools participated in this meet.

Under the enthusiastic and able leadership of Mr. L.S. Fernando and Ms. Chaitra, the school had sent 6 students for this National programme. Excitement filled our school as we heard about different prizes being won by our students especially by Manjunath and Dakshay. Manjunath won prizes for Running, Tennis ball throw, Bocce and Dakshay won for Softball throw and Bocce. Our girls too won prizes and brought laurels to our school. . FAME India won a trophy for the coming overall fourth in the National Festival on Therapeutic Sports Meet for Persons with Multiple Disabilities Championship and this indeed is a great day for all FAME Indians.

FAME India

Foundation for Action, Motivation and Empowerment





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Annual Reports

Financial Statement


Contact Us

We are located here

No.156, 36th Cross

2nd Main Road, Jayanagar 7th Block

Bangalore - 560 082

Karnataka, India

Phone: 80 - 2244 6622

Fax: 80 - 2244 6623