Muscle-Based Articulation Client’s Name: ________________________ Therapist:_____________________

Date:__________________________ Chronological Age: ___________________

3420 N. Dodge Blvd.., Suite 148,
Tucson, AZ, 85716 Assessment Form Client Status: Initial Program Plan _____ Probe # _____ Discharge Summary ____
(520) 795-8544

CONSONANTS MUSCLE CHARACTERISTICS PHONATION PRODUCTIONS COMMENTS

T M F Jaw Height Lips Tongue Y* R* Tactile Cue Syllable Word Conversation

1 p High ________ Closed _______

Blade Ret No ____ Oral ____ I M F I M F I M F I M F

2 m High________ Closed _______

Blade Ret Yes ____ Nasal ____ I M F I M F I M F I M F
Blade Ret.
3 n High________ Open ________
TT Elev Yes ____ Nasal ____ I M F I M F I M F I M F

4 w Medium _____ Rounded______

Blade Ret Yes ____ Oral ____ I M F I M F I M F I M F

5 h Low ________ Open ________

Blade Ret No ____ Oral ____ I M F I M F I M F I M F

6 b High________ Closed _______

Blade Ret Yes ____ Oral ____ I M F I M F I M F I M F
Blade Ret, T-Back Elev
7 g Low ________ Open ________
Blade/Tip Dep Yes ____ Oral ____ I M F I M F I M F I M F
Blade Ret, T-Back Elev
8 k Low ________ Open ________
Blade/Tip Dep No ____ Oral ____ I M F I M F I M F I M F
Lower Lip
9 f High________ Retracted Blade Ret No ____ Oral ____ I M F I M F I M F I M F
Blade Ret.
10 d High________ Open ________
TT Elev Yes ____ Oral ____ I M F I M F I M F I M F
Blade Ret, T-Back Elev
11 ŋ Medium_____ Open ________
Blade/Tip Dep Yes ____ Nasal ____ I M F I M F I M F I M F
Blade Ret
12 High________ Open ________
B-T SS Yes ____ Oral ____ I M F I M F I M F I M F
Blade Ret.
13 t High________ Open ________
TT Elev No ____ Oral ____ I M F I M F I M F I M F

14 ʃ Medium_____ Rounded______
B-T SS No ____ Oral ____ I M F I M F I M F I M F
Blade Ret.
15 tʃ High________ Rounded______
Back-T-SS Yes ____ Oral ____ I M F I M F I M F I M F
Blade Ret.
16 l Medium_____ Open ________
TT Elev Yes ____ Oral ____ I M F I M F I M F I M F
Lower Lip Blade Ret.
17 r Med/High____ Retracted Back-T-SS Yes ____ Oral ____ I M F I M F I M F I M F
Lower Lip B/Tip Elev,
18 ʤ High________ Retracted B-T SS Yes ____ Oral ____ I M F I M F I M F I M F

19 θ Medium_____ Open ________

Blade Prot No ____ Oral ____ I M F I M F I M F I M F
Lower Lip
20 v High________
Retracted Blade Ret Yes ____ Oral ____ I M F I M F I M F I M F
Blade Ret
21 s High________ Open ________
T-T Elev/Dep No ____ Oral ____ I M F I M F I M F I M F
Blade Ret
22 z High________ Open ________
T-T Elev/Dep Yes ____ Oral ____ I M F I M F I M F I M F

23 ð Medium_____ Open ________

Blade Prot Yes ____ Oral ____ I M F I M F I M F I M F
VOWELS MUSCLE CHARACTERISTICS PHONATION PRODUCTIONS COMMENTS
T M F Jaw Height Lips Tongue Y* R* Tactile Cue Syllable Word Conversation
Blade Ret,
1 e Medium _____ Open ________
Lax B-T SS Yes ____ Oral ____ I M F I M F I M F I M F

2 ʌ Medium _____ Open ________

Blade Ret Yes ____ Oral ____ I M F I M F I M F I M F

3 u Medium _____ Rounded______

Blade Ret Yes ____ Oral ____ I M F I M F I M F I M F

4 ə Medium _____ Open ________

Blade Ret Yes ____ Oral ____ I M F I M F I M F I M F

5 ɔ Medium _____ Rounded______

Blade Ret Yes ____ Oral ____ I M F I M F I M F I M F
Blade Ret,
6 ɪ High________ Retracted______
Lax B-T SS Yes ____ Oral ____ I M F I M F I M F I M F

7 a Low ________ Open ________

Blade Ret Yes ____ Oral ____ I M F I M F I M F I M F

8 ɒ Low ________ Rounded______

Blade Ret Yes ____ Oral ____ I M F I M F I M F I M F
Blade Ret, Tense B-T
9 i High________ Retracted______
SS Yes ____ Oral ____ I M F I M F I M F I M F
Blade Ret,
10 ʊ High________ Rounded______
Lax B-T SS Yes ____ Oral ____ I M F I M F I M F I M F
Blade Ret,
11 æ Low ________ Open ________
Lax B-T SS Yes ____ Oral ____ I M F I M F I M F I M F
Low Open Blade Ret,
12 aʊ Medium Rounded Lax B-T SS Yes ____ Oral ____ I M F I M F I M F I M F
Medium 5
13 oʊ Medium 4
Rounded______
Blade Ret Yes ____ Oral ____ I M F I M F I M F I M F
Medium Open Blade Ret,
14 ei High Retracted Lax B-T SS Yes ____ Oral ____ I M F I M F I M F I M F
Low Open Blade Ret
15 ai High Retracted Lax B-T SS Yes ____ Oral ____ I M F I M F I M F I M F
Low Rounded Blade Ret
16 ɔi High Retracted Lax B-T SS Yes ____ Oral ____ I M F I M F I M F I M F

BLENDS
High Blade Ret Blade Ret,
1 pl Medium
Closed
Open T-T Elev
Yes ____ Oral ____ I M F I M F I M F I M F
Low Blade Ret, T-Back Elev
2 gl Medium Open ________ Blade/Tip Dep Blade Yes ____ Oral ____ I M F I M F I M F I M F
Ret, T-T Elev
Lower Lip Retracted Blade Ret Blade Ret,
3 fl
High
Medium Open T-T Elev
Yes ____ Oral ____ I M F I M F I M F I M F
Closed Lower Blade Ret Blade Ret,
4 br
High
Medium/High Lip Tension B-T SS
Yes ____ Oral ____ I M F I M F I M F I M F

High Blade Ret,

5 st Medium Open ________ T-T Elev/Dep Blade Yes ____ Oral ____ I M F I M F I M F I M F
Prot

Key: “ ” + Correct Production “-” Incorrect Production “/” = Not Targeted

I = Initial Position M = Medial Position F = Final Position
V = Voicing R = Resonation DNA = Did Not Attempt
Blade Ret = Blade Retraction B-T SS = Back of Tongue Side Spread TT Elev = Tongue Tip Elevation
Blade Prot = Blade Protrusion T Back Elev = Tongue Back Elevation TT Dep = Tongue Tip Depression
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