What should an SLP model if a patient struggles with mouth opening while sustaining "ah"?

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Demonstrating the production of "ah" with a wide-open mouth is effective for several reasons. First, it provides the patient with a clear visual representation of the target behavior, allowing them to observe the proper mouth position and movement needed to produce the sound correctly. This modeling can enhance their understanding of how much to open their mouth and what it feels like, thus reinforcing the physical sensations associated with the desired articulation.

Furthermore, when the speech-language pathologist (SLP) models the sound, it allows the patient to hear the correct airflow and sound quality produced with an open mouth. This creates an auditory cue that can prompt the patient to replicate the same technique. Additionally, this approach can help reduce anxiety or uncertainty the patient may feel when trying to perform the task on their own. By providing immediate guidance, the SLP supports the patient in practicing the skill effectively.

Other approaches could hinder the patient's progress, such as using negative reinforcement, which might create a negative association with the task. Encouraging the patient to attempt the task without assistance could lead to frustration and a lack of success if they do not fully understand the mechanics of achieving the desired mouth opening. Ignoring the issue entirely or changing the exercise would not address the core challenge, allowing it

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