In Dynamic Temporal and Tactile Cueing therapy, how are cues managed over time?

• A. Cues are graded and progressively faded as speech improves
• B. Cues remain constant throughout the therapy
• C. Cues are randomly varied without progression
• D. Cues are removed immediately at the start

Answer: (A)

In Dynamic Temporal and Tactile Cueing therapy, prompts are introduced with strong support and then gradually reduced as the client’s accuracy improves. You start with clear, immediate cues—timing cues to pace speech and tactile or manual prompts to help position the articulators—and model the target sequence. As correct productions become more reliable, those cues are faded: prompts occur less often, the physical prompts are lightened or removed, and the client is guided toward initiating and monitoring speech more independently. This gradual decrease helps solidify the motor plan and encourages fluent, accurate speech without over-reliance on prompts.

Keeping cues constant would keep the learner dependent on prompts and slow independence. Randomly varying cues without a gradual progression would disrupt learning, making it harder to form stable speech patterns. Removing cues right away would deprive the learner of necessary guidance to establish correct articulatory movements.