Massage of the tongue and body for the development of correct speech in children. The procedure for performing massage of the tongue muscles. “and we’re collecting another one

Today, unfortunately, many children suffer from speech impediments; some are even diagnosed with various disorders. Speech therapy massage for children not only accompanies the correct production of sounds, but is also a powerful stimulant for children to begin speaking. After all, the muscle tone of newborns affects future speech. Therefore, with the help of massage, facial muscles and tissues relax, which forms correct speech.

Benefit



Combining visits to a speech therapist and massage will be productive and beneficial.

The adjustment includes the following tasks:

  • there is a correction of sounds that are difficult for the child, and therefore they do not correspond to the norm, this can be the replacement of hissing or letters L and R, G and D;
  • bringing speech breathing indicators to normal is necessary if the child’s pronunciation is incorrectly formed due to improper breathing;
  • reduction of emotional stress;
  • correction of stuttering, dysarthria, rhinolalia, voice disorders;
  • increased tone of facial muscles if the child uses little effort when pronouncing sounds;
  • reduction of increased salivation;
  • work on the articulatory apparatus;
  • strengthening the pharyngeal reflex when speaking and improving the condition of the voice - for medical reasons.



All this with the right approach and systematization leads to high-quality results.

Indications for the procedure

  1. The first and most important indication, if you take your child to a speech therapist - consolidate the result. Speech therapy massage will speed up the pronunciation process, this is important for children whose speech lags behind their peers.
  2. Weak or, on the contrary, increased tone of the facial muscles.
  3. Stuttering - the child repeats syllables in a word or cannot pronounce the word completely, becoming fixated on one part. Often this affects children who are frightened, have experienced a strong shock, or are simply indecisive kids.
  4. Voice disorder – the child gets tired of speaking b, does it quietly and complains of pain and sore throat, a feeling of “lump” and heaviness when speaking.
  5. Dysarthria. Violation, rather, psychological than articulatory. Against the background of various mental disorders The child cannot speak correctly.
  6. Increased salivation It is also an indication for massage; it indicates weak muscles not only of the face, but also of the tongue.
  7. Children with cerebral palsy.

However, it is not always possible to do speech therapy massage.


It is contraindicated for skin diseases of the face, lips and oral cavity (rash, herpes, stomatitis, viral infections, gingivitis, throat diseases, inflammation of the lymph nodes, as well as conjunctivitis and boils).

All of them will bring pain and discomfort, due to which a child, even in a healthy state, may refuse to exercise.

Varieties

It’s no secret that to develop speech you need to work not only with the speech apparatus, because in human body everything is interconnected.



  • Massage for the tongue. It is first necessary to relax the jaw muscles, neck and shoulder muscles so that the root of the tongue relaxes. If touching the tongue causes spasm and a gag reflex, then the massage is limited only to the tip of the tongue in the baby’s mouth, gradually increasing the distance and forcing the tongue to extend longer.
  • Lip massage. All movements are repeated at least 50 times and very gently.
  • Neck massage. Performed before meals or after passing 2 hours from eating.
  • Ear massage. Stimulates the articulatory apparatus.
  • Hand massage. Each finger is responsible for a specific organ, so this massage is effective not only for speech. Thumb- brain, index - stomach, middle - spine, intestinal section, ring finger - liver, little finger - heart. It is better to start with a finger massage, gradually increasing the area of ​​manipulation.
  • Massage with spoons. Requires careful handling.



Conditions for holding

Ideally, speech therapy massage is prescribed by a medical specialist. However, not everyone has the opportunity to visit it, so light exercises can be done at home on your own. First you need to create favorable conditions- peace and quiet so that the child is not distracted. The room should be bright and ventilated. The massager's hands are warm and clean.

The first lesson is no more than five minutes; the child should get used to the procedure, which is unusual for him. At first, the massage should be no more than 10 minutes; after a week, the time can be increased to 25-30 minutes. The time varies depending on age: the smallest children can only withstand 10 minutes, preschoolers up to 15-20, but schoolchildren can fully endure 25 minutes.



Classes should be systematized, approximately 2-3 times a week; the smaller the gap between classes, the higher the effectiveness. However, daily repetition can also lead to rejection.



For massage, you should purchase massage oil or plant oils, having first checked them for allergic reaction. To avoid infections, use gloves and a mask, this is important especially for infants. You may also need ammonia in case of loss of consciousness, which happens extremely rarely.

Technique at home

Many people believe that a mother will not be able to cope with speech disorders at home. However, this is a big misconception. All speech therapists talk about the need to practice at home, otherwise it is difficult to consolidate the results obtained from each lesson.

It is better to start massaging from the entire face, which will relieve hypertonicity and general tension of the baby. Starting from the forehead, gradually stroke down to the chin. The movements are soft, from the center of the face to the edge, horizontally. Forehead - temples, eyebrows - hairline, eyelids, cheeks - from nose to ear, from lips to ear. You can repeat them 2-3 times.


If the child is uncomfortable or simply doesn’t want to, then you should limit yourself to light stroking, gradually moving on to the complex.

Language

Performed from the tip of the tongue to its root.

  1. Grabbing the end of the tongue, you need to move it up and down, left and right, back and forth.
  2. Stroking the tongue with your thumb, and you need to support it from below, movements are made from the center, in a circle or longitudinally.
  3. Stroking the top and bottom of the tongue with your thumb and middle finger.
  4. Creating vibration. Gently rock the tongue, tap lightly with your finger.
  5. Massage the frenulum of the tongue with up and down movements.
  6. Fabric different textures stroke your tongue.
  7. We use a soft toothbrush, brushing it along the tongue and drawing out the letters.



Without preparation, these exercises are not so easy to do. Many training videos for tongue massage will help beginners.

Another important condition is that the child must control salivation; if this turns out poorly, you can put a napkin under the tongue and change it as it gets wet.

Lips

This also includes the chin and nasolabial fold.

  1. Rubbing lips with fingers.
  2. We move our fingers in a circular motion from one corner to another.
  3. We massage both lips in opposite directions, the upper one to the left, the lower one to the right and change direction.
  4. Tingling of lips and surrounding area.
  5. Pressing on the lips with circular movements.
  6. Light finger spanks.



This complex is repeated several times in one session.

Hands

The fingers and the entire surface of the palm are worked on separately. The fingers are massaged from tip to base. It's best to start with the little finger.

  1. Massaging your fingers, pressing on the pads, increasing the pressure.
  2. The poem “The White-sided Magpie”, familiar from childhood, will help you work out your entire palm. Offer your child self-massage in verse.
  3. Draw a spiral on your palm with your finger, from the center to the edge.
  4. Stock up on a rubber ball with spikes (su-jok) and roll it over the baby’s palm, invite him to roll it between his palms. You can also use a special “Hedgehog” brush to work on nerve endings.
  5. Pour cereal into a plate different sizes and dip your fingers into it.


Speech disorders are common among preschool children. They come in varying degrees of difficulty. Treatment of young patients is based on correcting the pronunciation of sounds, and for this purpose speech therapy massage is performed, which helps to achieve good results in a short time. Massaging is indicated for all types of correction. It is especially important in the first stages of treatment.

General information

Speech therapy massage is an intervention that helps correct speech defects. The massage therapist stimulates the points of nerve endings, and muscle activity appears. The tongue, skin around the lips, and cheeks are stimulated, making sounds easier to pronounce.

Initial sessions take 3 minutes. After the speech organs adapt to the load, the procedure time is increased. Whether to visit a specialist or not depends on the impairment of speech skills. The standard number of sessions is 10, but severe cases increases.

The speech therapist corrects pronunciation skills with massage, restores breathing rate and voice timbre. Massage actions are a condition for restoring speech skills.

The child’s oral cavity is put in order before the session. It is recommended to eat two hours before the session. The baby is washed, paying special attention to the skin around the lips. During massage, the hands of the speech therapist should be without damage, and the nails should be cut short. During the procedure, all jewelry is removed from the hands.

Massages are carried out by specialists. These include:

  • Speech therapist.
  • Defectologist.

Purposes of massage

Correcting a child’s pronunciation errors is the primary task of a speech therapist, but not the only one. In children with delayed speech development or who do not speak at all, concomitant deviations are observed. Impact on certain points of the face and tongue helps to cope with the following problems:

  • Less saliva is produced.
  • Muscle tone is normalized.
  • The coordination of the speech organs is restored.

Massage improves blood circulation and metabolic processes at the tissue level. Relieves tension in children with psychological complexes due to correct speech.

Indications and contraindications

A specialist is involved in identifying deviations for which speech therapy procedures are indicated. The speech organs are examined to prescribe treatment. For each child it is carried out individual approach. Factors in the course of the disease and severity are taken into account. A personal program of health activities is drawn up for one month.

Massage is prescribed for problems such as:

  • stuttering;
  • dysarthria;
  • pronunciation disorder;
  • voice defects (complete or partial loss).

The percentage of children with various speech disorders increases every year. Pathology of the development of the speech apparatus is not an independent disease: it is accompanied by disorders of the central nervous system. Children must be observed by a neurologist.

Along with speech defects, the child’s attention, memory, and thinking suffer. A reluctance to communicate with peers and leave the house develops. Treatment of speech pathology is an important requirement for the future social activity of a small person.

According to statistics, up to 30% of kindergarten-age children have speech defects.

Common violations:

  • dysarthria;
  • dyspalia;
  • rhinolalia;
  • underdevelopment of phonetic and phonemic skills.

The speech therapist conducts correctional classes individually with each child. Proper massage procedures improve the motor skills of the articulatory organs. Stimulating blood vessels increases the flow of oxygen to the brain, which improves alertness and memory.

Massage is carried out when the muscles of the tongue become stronger or weaker. The specialist massages the hands, head, earlobes, and tongue.

Procedures cannot be performed if:

  • high temperature;
  • skin rashes;
  • viral diseases;
  • inappropriate mental behavior.

Child's pose during massage

The correct posture helps to achieve the greatest effect from exercise. Breathing becomes easier, and the work of the speech pathologist becomes easier.

  • The child is placed on the couch in a lying position. Place a pillow or a special cushion under your head. The head is tilted back, the arms are located along the body. Legs are bent at the knees or lie loose.
  • The child is in a semi-sitting position in a chair with a headrest.
  • Infants under one year of age are in a stroller half-sitting.
  • Children experiencing fear are allowed to sit on an adult's lap in a semi-sitting position.

The massage therapist sits behind the child’s head or to the right of him, depending on the area being massaged.

Types of logomassage:

Exist special methods massaging. They are classified into separate types:

  • Acupressure.

Individual areas associated with speech disorders are massaged.

  • Classic massage.

Using rubbing, stroking, kneading, problem areas of the speech apparatus are massaged. Speech therapists use a toothbrush to achieve results.

  • Hardware massage.

Massaging is carried out using special devices.

  • Massaging based on various techniques.

Self-massage

The child performs self-massage at home. These are certain movements of the tongue that are learned in classes with a speech therapist and repeated at home to consolidate skills. The goal of the speech pathologist is to teach parents basic massaging techniques. The importance of classes for speech development is explained.

Speech therapy massage at home is carried out using household items. Use a spoon or toothbrush. Toothbrush selected with soft bristles. Cotton pads are placed under the child's tongue. They are changed every three minutes due to the strong secretion of saliva. Before the procedure, the tongue must be relaxed. You need to rub it with a brush carefully. The movements are circular, spiral, without strong pressure. Using a brush, make weak blows on the tongue. Massaging is recommended to be done as a game.

Speech therapy massage for dysarthria at home is permitted only after consultation with a speech therapist. This is due to the specifics of the disease. Massage methods depend on the presence or absence of tongue tone.

For additional familiarization with speech correction methods, parents are recommended to study information from the book by O.I. Krupenchuk. "Lessons from a speech therapist."

Massage techniques

There are basic techniques for speech therapy massage:

  • Stroking.

The speech therapist's hand glides freely over the skin without moving it into folds. The degree of pressure depends on the area being massaged. Has a calming and relaxing effect. Performed with the palm of your hand, without tension. Used for facial and tongue massage. This procedure begins and ends the session.

  • Trituration.

The speech therapist displaces, shifts, and stretches the skin. Blood flow to the affected areas increases, oxygen supply to tissues improves, and contractile function increases. Active rubbing reduces nervous excitability. Used for massaging the face and limbs. The specialist’s movements do not depend on the direction of lymph flow.

  • Kneading.

The defectologist grabs the skin with his hands: squeezes, compresses and rolls it out. The tissues come nutrients, muscle activity increases. Used for tongue and hand massage. The massage session is carried out carefully and smoothly. The force of impact is increased gradually.

  • Vibration.

Mechanical impact causing oscillatory movements. Performed with fingertips. Apply on the face, tongue, hands.

The head, neck, and shoulders are indirectly affected by the massage. The main emphasis is on muscle tissue speech apparatus, since the lips, tongue, cheeks and palate are responsible for the reproduction of sounds.

Massage is prescribed after visiting a neurologist. A certificate is issued indicating the degree of speech development delay. The speech therapist prescribes additional diagnostics before the massage to determine muscle tension. It is impossible to delay diagnosis and treatment.

Dysarthria is a speech disorder associated with diseases of the nervous system: it is difficult for a child to pronounce whole words. Without correction, difficulties with reading and writing appear in the future. Constructing sentences is difficult. The disease occurs in five percent of children. Pronunciation is difficult due to the inactivity of the palate, tongue, and lips.

The cause of the disease is the difficult course of pregnancy and trauma during childbirth. These include:

  • Rhesus conflict in a pregnant woman.
  • Fetal hypoxia.
  • Premature birth.
  • Toxicosis.

The nervous system of the fetus is affected during gestation due to the complex course of pregnancy. Dysarthria can be acquired.

Diseases suffered in infancy cause deviations in speech development. These include:

  • Brain infections.
  • Head injuries.
  • Hydrocephalus.

The risk of dysarthria after illness increases. The child's condition is monitored by the parents and pediatrician. The first symptoms of the disease appear in early age. These include:

  • Quiet voice.
  • Confused pace of speech.
  • Indistinct pronunciation of sounds.
  • Hesitant breathing.
  • Not the child's emotionality.
  • Spasm or hypotonia of the tongue muscles.

An infant with dysarthria does not produce age-appropriate sounds. There is no babbling, sucking is difficult. The baby often gags and spits up.

After identifying the disease, speech therapy massage is prescribed. It helps to change the pronunciation of sounds and correct speech errors. The defectologist selects a massage complex of measures to normalize the motor skills of the speech organs and restore swallowing. With the help of massage procedures, combined muscles with low contractility are stimulated.

Logomassage has a general healing effect on the body, and not only eliminates speech defects. The massage therapist activates the nervous and muscular systems, increasing their performance.

Corrective massage for dysarthria is divided into two types:

  • Spot. Certain biological points are affected.
  • Segmented. It is carried out near problem areas.

Before the session, the child is calmed down and relaxed in order to avoid stress state. Infectious or skin diseases are not allowed during massage. Therapy is postponed until recovery.

Massage procedures are divided into periods. Up to 20 sessions are performed every other day. Then they take a break for one month and continue treatment as indicated. Very rarely, when the speech apparatus is damaged, the number of procedures is increased. Initial sessions last up to six minutes, and final sessions take 20 minutes. Duration depends on age and degree of speech defects.

Do not cause pain during massage. Forceful massaging aggravates the disease. If children are afraid and anxious, then the session time is reduced. Gentle treatment methods are used. Use the technique of stroking the facial muscles and stretching the fingers. Children adapt to massage techniques and stop feeling discomfort. Distractive techniques are used: the speech therapist reads fairy tales and poems, showing his good disposition.

Dysarthria involves massaging only areas with excited muscle tone.

Massage for different forms of dysarthria

For a deep impact, we have developed special massage programs for different forms of the disease.

  • Spastic dysarthria.

Muscle contraction increases, blood flow normalizes. Use a stroking technique in the direction of the lymphatic ducts. Rubbing is done pointwise. Vibration and kneading are eliminated. Massaging is carried out by a specialist with good knowledge of muscle anatomy.

  • Hyperkinetic dysarthria.

A light stroking technique is used. Before the session, breathing exercises are performed. The treatment regimen is drawn up by a speech therapist individually for each patient.

A tonic massage is carried out to reduce muscle excitation and create primary pronunciation skills. Movements are carried out along the eyebrow line and head. Then the direction is changed - from the forehead to the neck and shoulders. The last stage relax the muscles around the lips. After the manipulations, they begin to train the tongue.

A toning massage forms the gradual pronunciation of sounds. Good results treatments appear in the early stages of correction.

Massage for spasms of the vocal apparatus

Pronunciation defects are associated with imperfections in the nervous system. They are manifested by the inability to control the jaw and pronounce syllables. Severe cases cause paralysis of the facial muscles.

Children have problems:

  • The chewing process is disrupted, which is associated with disorders of the systems responsible for jaw movement.
  • Due to spasm, the mouth takes on unnatural shapes.
  • Speech is impaired.
  • The child is unable to keep his mouth open.

The muscles responsible for jaw movement are massaged. The cheeks are massaged from the inside and outside, whiskey, oral cavity. Then the procedures are extended to the muscles that are indirectly responsible for the motor ability of the jaw.

The facial muscles are subject to spasms: the emotional state is not reflected on the face. The group muscles of the mouth are massaged. The method of exposure is developed by a specialist, taking into account the degree of damage to muscle tissue.

The tongue has a unique muscle structure. Because of this specificity, massaging occurs using a special method.

The root of the tongue is deep and is not subject to massage. The speech therapist draws up a program for massaging those muscles that suffer the most. Massaging techniques are associated with stimulation of the tongue muscles. The tongue turns in an arc when there is excessive tension. Touching causes vomiting. The massage begins from the cavity under the tongue. After relaxation, they move on to massaging it.

Weak tone of the tongue muscles requires starting massage from them. After performing manipulations on the affected area, move on to the indirect muscles. The result of the correction depends on the sequence of actions.

Speech therapy hand massage

It has been proven that hand motor skills affect speech development. The massage therapist stimulates the fingertips and palms. The methods of stroking and kneading are used. Massaging the palms is carried out using ballpoint pen. The child rotates the pen between her hands and fingers. At the end of the procedure, exercises are performed for the limbs.

Massage with probes

The massage technique using probes was developed by speech therapist E.V. Novikova. Probes are devices for massaging the tongue. There are 8 of them in total, and they are used strictly according to the established order. Each device develops a specific zone. The procedure is performed for dyslalia. This disease is characterized by a severe speech defect in the child.

Principles of using speech therapy massage

A specialist who uses the corrective method of influence must have a good understanding of the methodology of massage procedures, the physiology and anatomy of the speech apparatus, and competently draw up a program of massage techniques. It takes into account the state of muscle tone. On this basis, a sequence of manipulations is developed. Compliance with the principles of treatment allows you to achieve restoration of pronunciation.

Massage speech therapy procedures are one of the methods of corrective intervention for various forms speech development disorders. Speech therapy massage has a beneficial effect on the human body and stimulates the muscular and nervous systems, which is important for the speech-motor process. It can be part of a complex of medical and pedagogical rehabilitation for adults after strokes, children, and adolescents who are diagnosed with speech disorders and disorders (including stuttering).

Why do speech therapists prescribe massage?

Speech therapy massage is mechanical irritation (stroking, kneading) in the muscle areas of the upper shoulder girdle, neck, head, especially the area of ​​the tongue, soft palate, cheeks and lips. In practice, the physical procedure shortens the period of formation and normalization pronunciation side speech under the influence of a speech therapy nature, helps to improve the condition of the voice, speech breathing, and stabilizes the emotional background of a person. This procedure is considered one of the tools for speech development - this is how you can characterize what speech therapy massage (LM) is.

But the reasons for speech that is incomprehensible to others can be not only violations of the tone of the organs of articulation (mobility of the muscle tissue of the lips, tongue), but also problems with the grammatical structure of speech and syllable structures of words, and underdevelopment of phonemic hearing. Consequently, a systematic approach is necessary to correct general and speech development.

The main objectives of speech therapy massage include activation and normalization of the peripheral speech and articulation apparatus, strengthening the pharyngeal reflex, stimulation of speech development, and reduction of drooling

About indications and contraindications for massage

There are certain indications for speech therapy massage related to articulatory motor disorders. These include:

– a state of dysarthria – when there are disturbances in the innervation (supply of nerves) to the muscles of the speech apparatus;

– mechanical dyslalia (shortened hyoid ligament);

– rhinolalia (impaired speech pronunciation due to defects in the structure of the speech apparatus).

To do this, a speech therapist examines the patient, excluding contraindications:

– conditions with acute inflammatory processes and elevated temperature bodies;

– presence of epilepsy, seizures;

– infectious diseases of the oral cavity;

– herpes rashes on the lips, skin diseases on the head;

– tendency to nosebleeds;

– vomiting, nausea;

– conjunctivitis.

There are cases of prescribing LM to a child with autism, motor alalia, or delayed speech development (SDD). Speech therapy massage for mental retardation is a dubious purpose, since it helps to correct sound pronunciation, and in this case the child does not speak. Therefore, it can not be used as the main method of correction, but only in combination with other methods.

Types of massage

It is necessary to understand for what purpose the massage course is prescribed, whether it will be activating or relaxing, and with what accompaniment it will be carried out (sound production, articulation gymnastics).

Types of speech therapy massage are classified into:

– classic – with a standard set of manual techniques;

– point – impact on bioactive points;

– hardware – a technique using vacuum and vibration devices;

– probe – massage using a special instrument according to the method of Novikova E.V.;

– massage developed by E.A. Dyakova – systematized and generalized methodology for various types of speech disorders;

– segmental-reflex – performed using the classic technique with segmental division into zones (face-head – cervical region – collar area).

About therapeutic classical massage

The traditional type of massage is performed on the damaged area of ​​the body directly or next to it, and the reflex effect is not taken into account. The procedure involves performing LM of the face and tongue, as well as gymnastics for the respiratory and articulatory apparatus. Classic massage techniques are used.

Speech therapy massage in pictures can be seen below.

  1. Working on the frontal part of the face: stroking movements from the middle of the forehead to the temple, to the hair from the eyebrows and light kneading of the frontal area.

  2. Cheek area: kneading, stretching along the cheeks from the corners of the mouth to the temporal part of the face, to the lower part of the chin from the cheekbones.

  3. Part of the nose: stroking and stretching movements of the wings of the nose, then stroking to the corners of the mouth.

  4. Mouth area: the lower and upper lips are stroked alternately with a stretch towards the corners.

  5. Chin area: work through stroking and kneading techniques from the center to the periphery.

This speech therapy facial massage for a child can be done at home. After this, massage the lingual muscles and, if necessary, gymnastics.

Briefly about acupressure

The effectiveness of acupressure largely depends on the correct determination of the localization of the points of influence during palpation; pulsation is often noted on the face in such places. You should start a massage course by working on no more than four points, with a gradual increase in their number.

Acupressure speech therapy massage is carried out using complexes of bioactive points (BAP), depending on the goals pursued by the procedure (for example, to normalize articulatory muscles or tension in the muscle tissue of the vocal apparatus). Massaging of symmetrical points is performed simultaneously and in pairs, points of local and general action are worked out. Sessions are conducted every other day with a course of treatment determined by the doctor.

Probe massage method

The method of probe massage of the tongue was developed by Novikova E.V. The author created special techniques and special tools - a set of eight probes. Each of the probes used is intended for a specific area of ​​the soft palate, cheeks, lips, tongue and contributes to the gradual resuscitation of the treated area. During the examination, the doctor determines the degree of damage to the child’s facial muscles and the number of sessions required.

Such children's speech therapy massage at home can be performed subject to special training for parents. Carrying out probe LM requires training and experience, therefore it should be carried out by an experienced massage therapist-speech therapist. It is important that the child does not experience discomfort during this. This procedure is contraindicated for infants under six months.

About massage according to the method of Dyakova E.A.

Speech therapists use the method developed by E.A. Dyakova. She was able to systematize and present a description of the methods and techniques of LM, as well as justify the feasibility of its use in various forms of speech disorders.

In the book “Speech therapy massage” by E.A. Dyakova. outlined in detail the physiological aspects of the complex of massage procedures, the procedure for diagnostic examination of patients, detailed methods of differentiated and acupressure LM and the basic techniques of speech therapy massage.

With slow, light exposure, tissue excitability decreases, which has a relaxing effect. And with rapid movements, tissue irritability increases, therefore, muscles contract. The use of differentiated massage techniques helps to increase muscle tone in case of hypotension and decrease it in case of spasticity of the articulatory muscles.

Reduced muscle tone: techniques and massage techniques

Decreased muscle tone can be caused by Down syndrome, rickets, and other diseases that require activation of muscle groups. Speech therapy massage for low tone of the tongue is carried out using the classical technique, starting with the face. Each technique is repeated up to ten times.

The techniques of stroking and rubbing are performed, and finally tapping and pinching are used. A feature of the procedure will be an increasing pressure force, while the child should experience a comfortable sensation. Special attention is given to the muscles of the lips: each lip is massaged separately, the nasolabial folds are carefully worked out.

Massage for increased muscle tone: basic techniques and methodology

Increased muscle excitation caused by hypoxia and birth injuries is relieved by a relaxing massage technique. Of the classical techniques, preference is given to stroking and vibration.

Speech therapy massage for increased tongue tone begins in the collar area, moves to the shoulders, then to the face, tongue and lips. To relax the tongue, lightly massage the neck with head turns left and right, counterclockwise and clockwise.

The massage is performed with slightly pressing, smooth, light movements. A series of smoothing techniques is carried out in the areas of the forehead, cheeks, eyes, chin, moving to the neck-clavicle area and returning to the face (earlobes).

A relaxing speech therapy massage involves working out the muscles of the tongue using swaying up and down and left and right, smoothly stroking the edges and center. The direction of movement along the tongue is towards the root from the tip. At the end of the session, the tongue is extended forward and movements are performed to the sides.

The procedure for performing massage of the tongue muscles

Massage of the tongue muscles should be done in a lying position two hours before or after meals. The procedure begins by working the gums with horizontal movements, then the movements along the gums change to vertical.

From the midline, the palate is massaged with a finger; during this technique, the child can pronounce the sounds E and A. The exercise is duplicated up to 15 times.

Speech therapy massage of the tongue is carried out with the fingers of one hand, and the phalanges of the second hand hold the massaged organ itself. To do this, they use the techniques of stroking, patting, as well as rubbing, vibration, tingling with a special probe, and spreading the tongue using an enema-syringe.

To relax the muscle tissue of the tongue, make vibrating movements under the lower jaw with the index finger in the area of ​​the submandibular fossa and at the angles of the jaw - 15 seconds each. Movements along the lingual muscles can be straight, circular, spiral, the directions of their movement are indicated in the figure.
Speech therapy massage of the mouth is a mandatory stage of preparation before starting tongue massage.

About speech therapy massage using spoons

A technique that uses ordinary spoons as a tool for LM is effective for the process of speech formation in a child. The procedure involves working on the surfaces of the face and neck with the convex side of spoons using stroking and rubbing techniques.

Speech therapy massage with spoons can be performed with children in a playful way. At the same time, massaging, which is performed by the child himself, has a pleasant effect, since the baby will not hurt himself. Different spoon temperatures can be used for stimulating or relaxing massage effects.

This method can serve preparatory stage for probe and classical massages, for articulatory gymnastics. Also, during the procedure, the child learns the names of parts of the face and develops fine motor skills.

Once familiarized with the technique and rules of massage using spoons, parents will be able to perform it themselves at home, in particular if speech therapy massage is prescribed for two-year-old children.

Briefly about massage techniques for dysarthria

When eliminating dysarthria caused by damage to the nervous system, massage procedures on the lingual muscles and correction of sound pronunciation using articulatory and breathing exercises. LM will help normalize muscle tone and pronunciation of words, and help eliminate voice disorders. It is recommended to use differentiated speech therapy massage.

For dysarthria, massage sessions activate and strengthen the labial muscles using acupressure techniques. Before massaging the tongue, passive gymnastics is performed to relax and stretch the muscular basal tissues of the tongue. The duration of the procedure depends on the degree of the disease and the age of the patient.

Features of massage for alalia and rhinolalia

The group of speech disorders called alalia includes conditions in which a child’s speech appears with a severe delay (not formed). LM techniques will effectively help stimulate speech zones. To do this, the patient's face and hands are massaged to develop fine motor skills associated with speech function and brain activity.

Speech therapy massage for alalia begins with working on the face using classical techniques: frontal part - eye sockets - cheeks - interbrow space. Then the areas of the nose, mouth and tongue are massaged. After this, the hands are warmed up, starting from the back of the hand from the bottom up along the phalanges, moving to the inner side.

In case of changes in voice timbre with distortion of sound pronunciation caused by disturbances in the resonator function of the nasal cavity, massage procedures are also prescribed. Speech therapy massage for rhinolalia is aimed at activating the soft palate. To do this, using the index finger, stroking and rubbing are performed at the border of the soft and hard palate to reflexively contract the muscles of the palate and pharynx. Next, they make zigzag and point movements across the sky from right to left and back. Already in early period it is necessary to do speech therapy massage for infants and breathing exercises aimed at normalizing the muscle tone of the articulatory and respiratory organs. It is important to choose the optimal training program for the child and the position for manipulation.

Typically, differentiated relaxing LM is performed for the face and articulation apparatus. Using the method of light smoothing, the facial muscles and lips are worked out, including using acupressure and hardware (vibration) massages. To relax the neck, they resort to passive movements of the head, and this partially relieves tension from the root of the tongue.

Speech therapy massage for children with cerebral palsy is aimed at strengthening and activating the muscles of the tongue. To do this, use a wooden spatula, which makes stroking and vibrating movements.

Basic massage techniques are shown in the pictures.

During a relaxing massage, to enhance this effect, you can put a warm compress on the patient’s face five minutes before the procedure, for example, a towel soaked in 45℃ water and wrung out thoroughly.

You need to use tools and equipment correctly. This requires consultation with speech therapists where speech therapy massage is performed. The instrumental method is often used to massage the tongue, complementing manual massage techniques. But it is not worth replacing them completely, since only a speech therapist can determine the state of muscle tone, relying on his feelings during the procedure.

Speech therapist. Defectologist. Speech therapy massage of the face and organs of articulation: Video

Speech therapy massage refers to one of the speech therapy techniques and is a method of mechanical action that improves the condition of the peripheral speech apparatus.

For severe speech disorders, speech therapy massage is used. It allows you to correct sound pronunciation, improves the condition of the voice, normalizes the tone of the muscles of the speech apparatus, and reduces the time for the formation of pronunciation speech. Even with severe neurological symptoms, the use of speech therapy massage gives good results.

Focus on the muscles of the cheeks, lips, tongue and soft palate. To choose treatment tactics, before the session, the massage therapist must palpate the muscles and pay attention to the condition of the muscles of the shoulder girdle, neck, tongue, cheeks and lips.

Speech therapy massage has the following goals:

  • Stimulation of spoken language in children with developmental delays
  • Reducing excessive salivation
  • Reduced hypertonicity of the muscles involved in articulation.
  • Activation of muscles with insufficient contractility.
  • Stimulation of kinesthetic sensations.
  • Reducing the degree of muscle motor disorders during conjugal movements, hyperkinesis, and impaired coordination of movements.
  • Creating conditions for the development of voluntary movements of the articulatory apparatus.
  • Increasing the elasticity of muscle fibers and contractile function.

Speech therapy massage for children

Position of the child during the session

Before performing a speech therapy massage, to normalize muscle tone, you should choose the correct position for the child. The most optimal:

  1. The child is placed on his back, with a small bolster or flat pillow placed under his neck. The head should be tilted back slightly.
  2. You can massage in a chair with a high headrest.
  3. Small children are massaged in a stroller in a semi-sitting position.
  4. It is advisable to sit children who are afraid on their mother’s lap.

Massage for low muscle tone

Speech therapy massage begins with the area of ​​the upper shoulder girdle and neck. In this area, all movements are soft, light, and embracing. At the same time, the purpose of the massage is to activate the muscles that are associated with the muscles of the tongue and floor of the mouth. Movements must necessarily involve the floor of the mouth, since these muscles are directly connected to the root of the tongue.

When moving on to the articulatory muscles, one should take into account the area that is less active in children. The emphasis in the work concerns those muscles that do not allow the child to make certain articulatory movements. For example, movement disorders can be localized in the area of ​​the masticatory muscle, zygomatic muscles, and buccal muscles. It is necessary to carry out movements quite actively in these areas.

The direction of massage movements is from the center to the periphery. Classic massage techniques are used. The force of pressure should increase gradually. The pressure should not cause pain in children.

Massage technique

  1. Forehead area: longitudinal and transverse stroking.
  2. Stroking the upper border of the eye sockets.
  3. Stroking from the wings of the nose to the ears.
  4. Stroking the lower jaw from the chin to the ears.
  5. Spiral kneading of the zygomatic muscle.
  6. Kneading the cheek muscle (pinching, spiral movements).
  7. Treatment of the buccal muscle on both sides. The massage therapist kneads the muscle from the inside with one finger, and the outside with the other fingers.
  8. Treatment of the labial muscles. Directions of movement: from the middle of the lip to the corners. The upper and lower lips are treated separately. Stroking and pinching of lips are used.
  9. Treatment of the nasolabial fold.
  10. Application of vibration techniques (manual or hardware method).

In children with convulsive syndrome, vibrations are contraindicated!

Massage for increased muscle tone

Relaxing speech therapy massage is prescribed for children with increased tone of articulatory muscles. When performing this, the child chooses a position in which tonic reflexes would manifest themselves to a lesser extent.
Muscle relaxation is achieved by light massage movements from the periphery to the center with a slight pressure force. All movements are sliding. Lightly pressing. Repeat each 8 times. Slow movements reduce tissue excitability.

Massage technique

Begin by relaxing the muscles of the neck and shoulder girdle. Massage and passive head movements are performed. Holding the child's head, turn the head clockwise, then in the opposite direction. Slowly turn your head in one direction and the other. Relaxing the neck muscles helps reduce the tone of the tongue root.

Relaxing massage of facial muscles:

  • Longitudinal and transverse stroking of the forehead
  • Stroking the eye socket area.
  • Stroking from the bridge of the nose along the upper edge of the eye sockets to the temples.
  • Stroking from the forehead to the cheeks, chin, neck to the collarbones.
  • Stroking from the earlobes to the wings of the nose.
  • Forceps-like stroking of the lower jaw.
  • Pressing from the beginning of hair growth down over the entire surface of the face.

Relaxation of the lip muscles:

  • Stroking the upper and lower lips from the corner to the center.
  • Each lip is processed separately.
  • Stroking the upper lip from top to bottom.
  • Stroking the lower lip from bottom to top.
  • Treatment of nasolabial folds in the direction from the wings of the nose to the corners of the mouth.
  • Press on the lips with light rotational movements.
  • Tapping lips with fingertips.
  • Differential massage

In children, a mixed pattern of muscle tone disorders is often observed. In some muscle groups the tone is increased, in others it is decreased. In this regard, differential speech therapy muscle massage is performed.


Conditions for speech therapy massage

The room should be comfortable and warm. Special requirements for the hands of a massage therapist. They should be warm, clean, without any inflammatory diseases, without decorations, with short-cropped nails. The massage is carried out 2 hours after eating. Before the session, the child’s mouth should be cleaned of crumbs and food debris.

Massage is prescribed in a course of 20 sessions. It is advisable to do it every day. After a month's break, it is advisable to repeat the course. With severe speech impairments in children, the duration of treatment increases.

Depending on the severity of the speech apparatus disorders and the age of the child, the session time can be from 5 to 25 minutes. The first session lasts 5 minutes. In the future, the duration of the massage is increased.

When performing a massage, the child should be calm and not feel pain or discomfort. Every child needs an approach. You should not place it in a horizontal position from the first procedures. It is better to do the first session in a sitting position. Over time, children become accustomed to massage.

If the child is in a negative mood, during the first procedure, perform only light massage movements on the facial muscles. You can conduct massage sessions in the presence of your mother. Massage is effective only if children develop a sense of trust.

Contraindications for massage

Massage is not prescribed for the following diseases:

  • ARVI, acute respiratory infections.
  • Herpes on the lip, face
  • Inflammatory eye diseases
  • Oral inflammation

Massage children with convulsive syndrome with caution. If the child cries, struggles and screams, the massage should be stopped and the child calmed down.

Speech therapy tongue massage for children

If the tone of the tongue is increased, a speech therapy massage for children is performed using a relaxing technique; if the tone decreases, a strengthening massage is performed. For hypotension, the techniques are more intense and active. If you have increased tone, it is advisable to hold a warm herbal infusion in your mouth for some time before the procedure.

Tongue massage for children can be done with a finger through a gauze pad or with special probes. The finger must be in a fingertip. You can massage using a wooden or metal spatula.

Before you begin massaging the tongue, you should determine the boundary of the gag and pharyngeal reflex. The first sessions should treat the tongue muscles without reaching this border. With each subsequent session, an increasingly larger surface of the tongue is treated.

The procedure cannot be carried out immediately after feeding. The child's mouth should be open with his tongue protruding. The massage therapist fixes the tongue with a gauze napkin.

Speech therapy massage technique

  1. Gentle stroking is carried out in various directions.
  2. Impact on the longitudinal muscles from the root to the tip of the tongue.
  3. Impact on the transverse muscles of the tongue from the center to the edges.
  4. The movements are circular and spiral across the entire surface of the tongue.
  5. Patting the entire surface of the tongue.
  6. Pressure on the longitudinal muscles.
  7. Massage of the frenulum of the tongue. The direction of movement is from top to bottom.
  8. Massage through a gauze napkin. Perform rubbing movements.

Speech therapy massage at home

Before giving your child speech therapy massage at home, you should consult with a speech therapist. Professional speech therapy massage includes language treatment, which is performed using special probes. These devices can easily injure the delicate mucous membranes of the mouth. It is best to use a spatula or toothbrush at home.

For children with significant speech disorders (alalia, dysarthria, dyslalia caused by a shortened hyoid frenulum, etc.), articulation and breathing exercises alone are not enough to correct sound pronunciation. Speech therapy massage is required.

Taking the massage system of E.F. Arkhipova as a basis. for children with cerebral palsy and the knowledge gained from regular therapeutic massage courses, I have prepared detailed material, both for specialists, teachers, and for parents of children with severe speech impairments. This will greatly facilitate the correction of sound pronunciation and allow you to achieve certain results.

Currently, to correct speech disorders in my classes I use different kinds logomassage. I introduce parents to the methods and techniques of speech therapy massage for further massage at home. The recommendations also provide indications for the use of massage for various speech disorders, and systematize speech therapy massage techniques.

Massage of the articulatory apparatus and articulatory
exercise not only improves motor function
lagging brain systems, but also involve in work
nearby brain systems.
M. E. Khvattsev

About speech therapy massage

active method mechanical action that changes the condition of muscles, nerves, blood vessels and tissues of the peripheral speech apparatus. Speech therapy massage is one of the speech therapy techniques that helps normalize the pronunciation side of speech and emotional state persons suffering speech disorders.

Massage is used for dysarthria (impaired muscle tone), including its erased forms, stuttering, and voice disorders.

Benefits of massage

Massage has a beneficial physiological effect on the body. Massage improves the secretory function of the skin, activates its lymph and blood circulation. And therefore, it improves her nutrition and increases metabolic processes. Under the influence of massage, capillaries expand, gas exchange between blood and tissues increases ( oxygen therapy fabrics). Rhythmic massage movements facilitate the movement of blood through the arteries and accelerate the outflow of venous skin.

Massage has a reflex effect on the entire lymphatic system, improving the function of lymphatic vessels. The state of the muscular system changes significantly under the influence of massage. First of all, the elasticity of muscle fibers, the strength and volume of their contractile function, muscle performance increase, and their activity is restored after exercise.

The differentiated use of various speech therapy massage techniques makes it possible to reduce tone in case of muscle spasticity, and, on the contrary, increase it in case of flaccid paresis of articulatory muscles. This helps the formation and implementation of active voluntary, coordinated movements of the organs of articulation.

Speech therapy massage is carried out after.

There is a complex relationship between the force of massage and the body's response. With light, slow stroking, the excitability of the massaged tissues decreases.

The effectiveness of speech therapy massage

Speech therapy massage has a general positive effect on the body as a whole, causing favorable changes in the nervous and muscular systems, playing a major role in the speech-motor process.

In children with speech disorders receiving speech therapy massage, the following is observed:

  • Normalization of muscle tone of general, facial and articulatory muscles,
  • Reducing the manifestation of paresis and paralysis of the muscles of the articulatory apparatus,
  • Reduction of pathological motor manifestations of the muscles of the speech apparatus (synkinesis, hyperkinesis, convulsions, etc.),
  • Increasing the volume and amplitude of articulatory movements,
  • Activation of those muscle groups of the peripheral speech apparatus that had insufficient contractile activity,
  • Formation of voluntary coordinated movements of articulation organs.

Objectives of speech therapy massage

The main objectives of speech therapy massage are:

Normalization of muscle tone of the articulatory apparatus (in more severe cases, a decrease in the degree of manifestation of motor defects of the articulatory muscles: spastic paresis, hyperkinesis, ataxia, synkinesis);

Activation of those muscle groups of the peripheral speech apparatus in which there was insufficient contractility (or inclusion in the process of articulation of new muscle groups that were previously inactive);

Stimulation of proprioceptive sensations;

Preparing conditions for the formation of voluntary, coordinated movements of the organs of articulation;

Reducing hypersalivation;

Strengthening the pharyngeal reflex;

Afferentation into the speech zones of the cerebral cortex (to stimulate speech development with delayed speech formation).

Contraindications for speech therapy massage

Contraindications for speech therapy massage are infectious diseases (including ARVI, influenza), skin diseases, herpes on the lip, stomatitis, conjunctivitis. Massage should be used with great caution in children with episyndrome (convulsions), especially if the child cries, screams, breaks out of his hands, his nasolabial “triangle” turns blue or there is a tremor of the chin.

Logomassage is performed in a warm, well-ventilated room. Typically, massage is recommended to be carried out in cycles of 10-15-20 sessions, preferably every day or every other day. After a break of 1-2 months, the cycle can be repeated. Under certain circumstances, when massage cannot be done often and regularly, it can be carried out for a longer time, but less frequently.

The duration of one procedure may vary depending on the age of the child, the severity of the speech-motor disorder, individual characteristics etc. The initial duration of the first sessions is from 1-2 to 5-6 minutes, and the final duration is from 15 to 20 minutes. At an early age, massage should not exceed 10 minutes, in junior preschool - 15 minutes, in older preschool and school age - 25 minutes.

Correct body position during speech therapy massage

Before starting a massage session, the child’s body must be brought into the correct position. Correct posture helps normalize muscle tone (usually relaxation) and makes breathing more free.

For speech therapy massage, the following positions are most optimal:

  1. In the supine position, a small cushion is placed under the child’s neck, allowing him to slightly raise his shoulders and tilt his head back; arms extended along the body; the legs lie freely or are slightly bent at the knees (you can also place a cushion under the child’s knees);
  2. The child is in a half-sitting position in a chair with a high headrest;
  3. Child - in a semi-sitting position in a reclining highchair or a wheelchair.

Main types of speech therapy massage:

Classic manual massage.

Therapeutic classic massage– is used without taking into account reflex effects and is carried out close to the damaged area of ​​​​the body or directly on it. The main techniques of manual classic massage are: stroking, rubbing, kneading and vibration.

To perform these techniques when massaging the tongue, speech therapists often use soft-bristled toothbrushes, spatulas, pacifiers, etc.

Acupressure– a type of therapeutic massage, when locally a relaxing or stimulating effect is applied to biologically active points (zones) according to the indications for a disease or dysfunction.

Hardware massage carried out using vibration, vacuum and other devices.

Probe massage(according to the method of Novikova E.V.)

Novikova E.V. created her own set of probes and developed a special massage of the tongue, lips, cheeks, cheekbones, and soft palate with their help. The purpose of probe massage is to normalize speech motor skills. The method is simple and effective. It makes it possible to purposefully influence the affected areas of the articulatory organs, activating and restoring their activity. Normalization of sound pronunciation is faster.

Self-massage.

The definition of massage follows from its name. The child does the massage himself. This can be either a facial massage with your hands or, for example, a tongue massage with your teeth ( articulation exercise“Comb the tongue” when the child forcefully pushes the tongue through the closed teeth).

Recommendations for performing speech therapy massage

1. Relaxing massage of articulatory muscles.

It is used in case of increased tone (spasticity) in the speech muscles (facial, labial, lingual muscles).

Carrying out facial massage contributes not only to the formation of facial means of communication, but also to the development of the oral sphere, which is necessary for the child’s normal nutrition and subsequent speech development.

Important: Place the child in positions in which pathological tonic reflexes would manifest themselves minimally or not at all.

Relaxation of the neck muscles (passive head movements).

Before starting a relaxing massage of the articulatory muscles, especially in the case of a significant increase in muscle tone of the upper shoulder girdle and neck, it is necessary to relax these muscles.

The position of the child is on the back or half-sitting, the head hangs slightly back:

a) support the child’s neck from behind with one hand, and with the other make circular movements of the head, first clockwise, then counterclockwise;

b) with slow, smooth movements, turn the child’s head in one direction and the other, rock it forward (3-5 times).

Relaxation of the neck muscles causes some relaxation of the root of the tongue. Relaxation of the oral muscles is achieved by lightly stroking and patting the muscles of the face, lips, neck, and tongue. Movements are carried out with both hands in the direction from the periphery to the center. Movements should be light, sliding, slightly pressing, but not stretching the skin. Each movement is repeated 5-8 times.

Relaxation of facial muscles:

Stroking from the middle of the forehead to the temples;
stroking from the eyebrows to the scalp;
stroking from the forehead line around the eyes;
stroking the eyebrows from the bridge of the nose to the sides to the edge of the hair, continuing the eyebrow line;
stroking from the forehead line down across the entire face along the cheeks, chin and neck;
stroking from the lower edge of the auricle (from the earlobes) along the cheeks to the wings of the nose;
light pinching movements along the edge of the lower jaw;
Pressure massage of the face from the hair roots down.

Relaxation of the labial muscles:

Stroking the upper lip from the corners of the mouth to the center;
stroking the lower lip from the corners of the mouth to the center;
stroking the upper lip (movement from top to bottom);
stroking the lower lip (movement from bottom to top);
stroking the nasolabial folds from the wings of the nose to the corners of the lips;
acupressure lips (light rotational movements clockwise);
lightly tapping your lips with your fingers.

In case of asymmetry of the facial muscles, we perform articulation massage with hypercorrection of the affected side, that is, perform it on it larger number massage movements.

2. Stimulating massage of articulatory muscles.

It is carried out in case of muscle hypotonia in order to strengthen muscle tone.

Techniques: Energetic and fast movements.

Massage movements are carried out from the center to the periphery. Strengthening the facial muscles is carried out by stroking, rubbing, kneading, pinching, vibration. After 4-5 light movements, their strength increases. They become pressing, but not painful. The movements are repeated 8-10 times.

Strengthening facial muscles:

Stroking the forehead from the middle to the temples;
stroking the forehead from the eyebrows to the hair;
stroking eyebrows;
stroking the eyelids from inner to external corners eye and to the sides;
stroking the cheeks from the nose to the ears and from the chin to the ears;
squeezing the chin with rhythmic movements;
kneading the zygomatic and buccal muscles (spiral movements along the zygomatic and buccal muscles);
rubbing the cheek muscle (index finger in the mouth, the rest outside);
pinching cheeks.

Strengthening the labial muscles:

Stroking from the middle of the upper lip to the corners;
stroking from the middle of the lower lip to the corners;
stroking the nasolabial folds from the corners of the lips to the wings of the nose;
tingling lips;
slight tingling of lips.

3. Massage of the lingual muscles.

Perform the massage lying down before meals or 1.5-2 hours after meals for 5 minutes.

Gum massage begins with movements in a horizontal direction on one side of the gum. This increases salivation, so after 2-4 weakening movements the child should be given the opportunity to swallow saliva. Then a similar massage is carried out on the other side of the gum. Next, the gums are massaged with vertical movements.

The palate is massaged with a finger along the midline, starting from the front with a slight lifting of the soft palate. This movement is repeated 10-15 times. During the massage, the child can pronounce the vowels A and E.

The tongue is massaged from front to back until the gag reflex occurs. This involves stroking, light patting, and vibration for 15 seconds.

Massage to relax the tongue muscles:

Acupressure in the area of ​​the submandibular fossa, which is carried out for 15 seconds, vibrating movements with the index finger under the lower jaw;

Vibration with two index fingers of both hands at the angles of the jaw (15 seconds).

The movements used are straight, spiral, circular, while holding the tongue with the fingers of one hand, and performing massage movements with the fingers of the other. They should be sent:

From the middle of the tongue to its tip and back.
- From the center of the tongue to the left and right (“herringbone”),
- From the left edge of the tongue to the right and vice versa (across the tongue),
- Rolling a finger over the tongue in different directions,
- Pinching and stretching of the edges of the tongue.
- Stroking the tongue from the hyoid frenulum to the tip of the tongue and back.

Working to overcome drooling

1. Teach children to chew well - first with their heads thrown back.

2. Teach how to suck up saliva and often swallow saliva with one push,
especially before doing exercises.

3. Rotate your tongue in front of your mouth, then swallow saliva.

We wish you success!!!

Speech therapy massage of the lingual muscles with speech accompaniment

Tongue massage We accompany you by reading nursery rhymes, tongue twisters, and poems. Finger movements imitate events and actions occurring in the poem. This distracts the child from possible unpleasant sensations.

“Rain”: point tapping with the index finger along the edges of the tongue clockwise, then counterclockwise.

Rain, rain, more fun
Drip, drip, don't be sorry!
Just don't kill us!
Don't knock on the window in vain
- Splash more in the field:
The grass will become thicker.

“Road”: hold the tip of the tongue with the thumb and forefinger of one hand, and slide up and down along the lateral edges of the tongue with the thumb and forefinger of the other hand.

From the city the road is uphill,
And from the city - from the mountain.
From the village there is a road from the mountain,
And to the village - up the mountain.

“Legs and legs”: point pressure with the index finger (slightly vibrating) on ​​the tongue from the root of the tongue to the tip, then from the tip to the root.

Big feet
We walked along the road: Top, top, top, Top, top, top.
Little feet
They ran along the path: Top, top, top, Top, top, top.

“Firewood”: with the index finger lying horizontally, perform transverse chopping and patting movements.

There is grass in the yard,
There is firewood on the grass:
One firewood, two firewood, three firewood.
Don't chop wood
On the grass of the yard!

“Wolf”: the tongue is raised on the upper lip. Using your thumbs, massage (knead, press) the sublingual area.

The rain is pouring and pouring.
The wolf hid under the horsetail.
Tail under the tail,
And myself in the rain.

“Puppy”: rub the side edges of the tongue longitudinally between the index and thumb of one hand.

I'm cleaning the puppy with a brush.
I tickle his sides.

“Soap”: rub your tongue between your thumb and forefinger in a circular motion.

Dear Mila
I washed myself with soap.
Lathered up, washed off
- This is how Mila washed herself.

“Chatter”: perform spiral movements with your index finger from the middle of the tongue to the edges clockwise, then counterclockwise; then the same movements from the edge of the tongue to its middle in different directions.

Little chatterbox
The milk was chatting, chatting,
She chatted, she chatted,
I didn’t blurt it out.

“Ram”: hold the front edge of the tongue with your thumbs and index fingers. Perform turns (twisting) of the tongue left - right.

The ram has horns
Twisted - twisted,
Turned over - overturned.

“Accordion”: use your index fingers and thumbs to hold the side edges of your tongue. Stretch (flatten) the tongue simultaneously in different sides, then squeeze towards the middle - imitation of playing the harmonica.

Merry Paramoshka
Plays the harmonica.

“Wasp”: press the index finger on the middle of the tongue 8 - 10 times.

The wasp stung the snake.
I really feel sorry for him.

“Snake”: perform snake-like movements with the index finger from the root of the tongue to its tip, then from the tip to the root.

A snake crawls through the grass
The snake brings gifts:
Snake and snake
Green pants.

“Drum”: perform longitudinal patting movements with horizontally lying index fingers.

The ram is happy
- The ram has a drum,
And the ram drums on the drum,
A ram drums on a drum.
And the ram rattled and knocked
- Suddenly the drum broke!

“Lightning”: move your index finger from side to side longitudinally and in a zigzag manner from the root of the tongue to the tip, and vice versa, from the tip of the tongue to the root.

Lightning flashes brightly,
Clouds of arrows are being sent.
The sky glows with fire
Sparks rain down.

“Grapes”: use your thumb and index fingers to perform sliding movements along the edges of the tongue from root to tip and back.

On Mount Ararat
Varvara tears grapes.

“Broom”: use your index finger to perform “sweeping” movements to the right, then to the left.

Valya sweeps with a broom,
Valya sings a song:
- I sweep, sweep, sweep,
I don't want to be a slob!

“Pies”: the child smiles, inserts the wide, flat tip of his tongue between his front teeth, and slightly bites his tongue from the tip to the middle.

Ate well done
Thirty three
Pirogue,
Yes, everything with cottage cheese.

“Herringbone”: use your thumbs and index fingers to perform sliding movements in a “herringbone” pattern from the center of the tongue to the edges from top to bottom.

The Forest Raised a Christmas Tree,
She grew up in the forest.
Slim in winter and summer
It was green.

“Geese”: pinch the tongue with your thumb and forefinger.

Spanking in single file
Gander after gander.
Looked down on
Gander on gander.
Oh, it will pluck the sides
The gander is at the gander.

Combination of several massage movements

“Chicken”: perform movements in accordance with the text of the poem.

The chicken went out for a walk,
Pinch some fresh grass. Point tingling of the tongue with the index finger.
And behind her are chickens
- Little guys.
- Co-co-co, co-co-co,
Don't go far.
Row your paws,
Look for grains.
Sliding scraping movements from the middle of the tongue to the edges.

“Borsch”: perform movements in accordance with the text of the poem.

Borya cooked and cooked borscht
I didn't finish cooking it. Circular movements with the index finger in the center of the tongue.
Borya salted borscht, salted it
Yes, I didn't add enough salt. Pinching the tongue with the index finger and thumb of one hand.
Tolya cooked and cooked borscht
Yes, I digested it. Circular movements with your finger.
Tolya salted the borscht, salted it
Yes, I over-salted it. Tongue tingling.

Massage aimed at stretching the hyoid frenulum

“Mole”: perform movements in accordance with the text of the poem.

There is a slide in the yard. Using your index fingers and thumbs, pull your tongue down by the tip.
There is a mink under the mountain. Use your index fingers and thumbs to pull your tongue upward by the tip.
In this hole
The mole is guarding the mink. With your index finger, forcefully stroke the hyoid frenulum from bottom to top, stretching it.

Teryokhina Elena Alexandrovna, ( 7 liked it, average score: 4,86 out of 5)