Kristin Otero, OTR/L, MSOT Kristin Otero, OTR/L, MSOT

Science Behind Repeating Yourself While Wearing a Mask

How many times do you have to ask someone to repeat themselves with a mask on? And how many times have you seen someone pull their mask down to speak in public, instilling fear in the person next to them? It’s a unique time for everyone. Anyone that’s had to order food at a counter, with plexi-glass between staff and customers, and sizzling food/music coming from (Cava’s) speakers understands… our auditory system and attention really gets tested in public now. 

When we have our masks on; the audibility and clarity of speech is impacted, and being 6 feet away from others doesn’t help. But there’s obviously a reason behind why we wear them; 

“Let's consider a little primer on virology and the policies necessary to mitigate the spread of COVID-19. The unique characteristic of this virus is the route of transmission via small droplets ejected from the mouth. The droplets are expelled when a person with COVID-19 coughs, sneezes, or speaks. Interestingly, speaking actually produces more droplets than does coughing (Chao et al., 2009), and louder speech creates a relatively larger quantity of droplets than does softer speech (Anfinrud, Bax, Stadnytski, & Bax, 2020). When a person speaks, he or she releases nearly 200 viral particles per minute! Thus, it would take five minutes of speaking face to face to receive the dose of particles to readily infect a conversation partner.” (Dr. Barbara Weinstein, PhD)

Now with Applied Speech Acoustics: For every doubling of the distance from the sound source in a free field situation, the sound intensity will diminish by 6 decibels. 

“Smply” put:  sound diminishes by approximately 6 dB for each doubling of distance.  

For example: if you are 2' away from someone who is speaking and move to 4' away, the person's voice will be reduced by 6 dB.  

So, health care providers' communication with patients, restaurant staff, daycare staff... will be negatively impacted because of both the social distancing and masking requirements. 

The other factor is that the mask reduces airflow. Typically, when we can’t hear someone, we compensate; as I typically do… we read lips. Impossible to do with the masks. Also, low-frequency vowel sounds are easiest to hear because they are higher in intensity. Consonant sounds are higher in frequency and lower in intensity, and so they are more difficult to identify. So, the consonant sounds which are both weak in intensity and high in frequency are difficult to hear (e.g. /p/), especially without the visual cue of lip reading.

Basically; there’s a science to why we can’t hear each other with our masks on, we’re all just adapting to the times. There’s also this available; The Communicator TM Surgical Mask with a Clear Window (Model FM86000) manufactured by Safe N’Clear is a patented FDA registered device that meets ASTM F2100 Level 1 protection surgical mask standards. https://safenclear.com/product/the-communicator-surgical-mask-with-a-clear-window/

Tips for Families and those working with children:

https://www.aota.org/~/media/Corporate/Files/Practice/back-to-school/Tips-for-Families.pdf

https://www.aota.org/~/media/Corporate/Files/Practice/back-to-school/Supporting-Students-with-Autism.pdf

https://www.aota.org/~/media/Corporate/Files/Practice/back-to-school/Masks-and-Facial-Coverings.pdf

For more information, schedule a free consult with our team!

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Kristin Otero, OTR/L, MSOT Kristin Otero, OTR/L, MSOT

How Sign Language (ASL) Aids in Early Childhood Communication

This might sound either odd, or over ambitious for families to think about using sign language in their own household. Cue in a scene from Meet the Fockers with Little Jack signing a full sentence; Grandpa Jack wasn’t too far off...

So if there are no family members with hearing problems or people with communication disorders; why would you use it? 

Did you know American Sign Language (ASL) is the third most studied language in the US? Outnumbered by only Spanish and French. So why would people use ASL? It’s something I’ve used in practice with children because even before a child can really start verbalizing, they want to communicate! There might be a misconception that if you teach your child sign language, they won’t be as motivated to verbalize or speak, or that it somehow hinders their speech development. Research says just about the opposite; and once kids develop speech, they’ll want to say it! ASL can help kids communicate sooner, possibly as soon as 6 months. Plus, it’s been shown that it can actually accelerate verbalizations and language by being able to put 2 words together sooner than children that didn’t use sign language. 

It helps their basic understanding of language. ASL reinforces verbalizations and language by adding a visual cue with a kinesthetic movement to the auditory speech; targeting different senses for understanding and development of language. Signing also helps books become more interactive; kids thrive on learning through interaction, so when language comes to life (or signing) it makes it more interesting to kids. Babies have a natural tendency to use gestures and their hands, signing also reinforces motor development as they learn new skills. 

For those in bilingual households, ASL can serve as a language bridge for children and adults who speak different languages. 

Looking at the developmental milestones: at 6-7 months typically developing children start improving gross motor skills (bigger movements of the body), and sit independently. Somewhere between 10-14 months, the average baby says their first word. Signing builds upon those earlier developing gross/fine motor skills so that the baby can communicate before saying their first words. It also builds on a baby’s natural tendency to point and start to gesture with their hands to communicate. 

Signing with Special Needs

For those with communication difficulties that continue through the years, sign language increases their opportunity to express themselves and connect with others. Some diagnoses that may benefit are Down Syndrome, Autism Spectrum Disorder, Cerebral Palsy, Expressive language difficulties like Aphasia/Apraxia, Learning Disabilities, Delays secondary to Premature birth, tracheomitized children, short term illnesses, Post-surgical conditions that inhibit speech. 

OT Tips

  • Start with 3-5 signs at first. What do they need most?

  • Create the sign at the same time that you verbalize it.

  • Make eye contact, and create the sign as close to your face as possible. 

  • REPETITION IS KEY. Exaggerated motions might also help, kids are drawn to movement and visual aids. 

  • Be patient. Signing back may not happen for a while, it may take a few months.

  • Once they do sign back, celebrate! Confirm their accomplishment and encourage them to do it more. 

  • It may not look perfect at first, accept approximations. 

  • Let this become a part of your daily routine, to use in everyday context and their routines.

There are also some “made up” signs that might work for your family, which aren’t technically ASL signage, but will help your child communicate. 

Whatever works for your family to help the little ones communicate, and hopefully reduce meltdowns. If you have any other questions, or you want to talk about your child’s development, contact us or schedule a free 30-minute consult!

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