words with k speech therapy

20 Best K Words Speech Therapy Printables and Games

Looking for a fun way to engage kids in speech therapy using games? This FREE K Words Speech Therapy for initial sounds printable game with dot markers is perfect! 

Looking for a great way to practice target words in k initial position sounds?

Find a word list of k words below too.

Activities for correct speech sounds

Speech-language pathologists are always on the lookout for new and fun ways to help practice speech therapy in a fun way!

This printable game targets the k sound initials and encourages children to produce correct production of sounds.

See fun game ideas and printables for the full list of K Words Speech Therapy below too!

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The k sound is made using the back of the mouth and in the soft palate. This is why sometimes children struggle to make this sound.

Pick up this FREE printable set for working on initial K words at the bottom of this post!

The final position in k sounds is also tricky, that’s why I included a list of games below you could use to target these sounds.

A child’s speech only develops at certain years of age. As children begin to understand how to make sounds using the back of the mouth, they then begin to produce correct specific sounds.

Don’t forget to get these free printable fox themed games for ‘s’ sounds in all positions!

Kids will find super fun favorite board games below to target these sounds, if your set of primary or elementary students are also struggling with it!

Sound disorders and sound errors

It’s important to note that there are specific differences in these two when it comes to a speech therapist working with young children. Speech students often think of these are linked, but really sometimes, it’s a slow progress in getting the phonological process working correctly.

Variety of home practice sheets for k sounds:

See a list of printables you can use for at home practice below.

FREE: Busy Homework for Speech Therapy for K and G Sounds: This freebie has been created to support SLPs needing to provide homework and speech practice to families who are out of school due to the current situation happening our country.

K and G Speech Sound Articulation Homework : Practice K and G sounds in the initial, medial, and final position of words with this NO PREP speech sound articulation homework packet.

Free Feed the Shark Medial K Sound Articulation Boom Cards | Speech Therapy: Feed the Shark Articulation is a no print, no prep interactive game where you feed the shark speech sound pictures as you practice your speech.

Articulation / Speech Sound Picture Search (K Initial) Freebie ! This product is a picture search for the /k/ initial sound. Use it in your speech sessions to keep students engaged or send it home for homework!

it’s important to note that giving out appropriate homework to practice speech and correct sound articulation is important. With soem guidance and practice, kids can begin to form the correct sound.

It’s not a once off practice. That’s why having a speech pathologist outline whether it’s a sound development delay or an articulation disorder is important.

Snowman themed s sound speech therapy snowman game.

A child’s tongue develops across many years, especially in the early years.

Final k words printables and games

Speech Therapy: Final /k/ and /g/ words go fish homework. These homework sheets are for articulation practice for final /k/ and final /g/ words. There are twelve words per page and two pages for each sound. 

Word Final /K/ Truck Activity: Students practice saying the /k/ sound in the final position of single-syllable words by cutting out target words and gluing them on to a truck.

CVC final k words clothes pin activity. This activity targets a variety of language skills including CVC word production, velar sounds in the final position of words, promoting letter learning, etc. 

K Words Speech Therapy PDF Game

Download your FREE set below. Please note however that:

• This is for  personal  and  personal classroom  use  (to share this resource, please direct others to this post to grab their own free copy)
• This may NOT be sold, hosted, reproduced, or stored on any other site (including blog, Facebook, Dropbox, etc.)
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• Graphics Purchased and used with permission

K Words Speech Therapy Shark Game

Input your email to get a direct link to this printable pack!

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Initial K Sound Words for Speech Therapy

Free initial k sound words for speech therapy printable flashcards featuring words with the "k" sound can be a useful tool for improving pronunciation and vocabulary. some of the flashcards included in this worksheets are:- car, cup, key, cake, cat, kangaroo, kite, king, kitchen, cactus, camera, cookie, castle and coat..

Download Printable Free Initial K Sound Words Articulation Flashcards

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Targeted Word Lists for Speech Therapy Practice

The speech therapy word lists are perfect for anyone who needs practice with speech and language concepts . For any type of practice...

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Now I don't know about you, but when I need to think of targeted words to use...

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Each list of articulation sounds contains words with the target sound in the beginning, middle, and end position, including blends when applicable, as well as words that...

• are common and functional (words we use all day...everyday)
• are mostly 1 syllable (multi-syllabic words are more difficult)
• have a phonemic context that don't interfere with production of the target sound (most words)

If "R" is the problem sound using the word "Rope" makes saying the "R" sound harder because the "O" sound is considered a round vowel.

A round vowel is one where you round your lips to say it. Go ahead...try it by saying "O" as in "boat". You rounded your lips didn't you? I thought you might.

Children who have difficulty with the "R" sound tend to say the "W" sound...they say "Wabbit" instead of "Rabbit".

The "W" sound is considered a rounded sound too. Try saying the "W" sound without rounding your lips...you can't because that is how the sound is made.

So by pairing the "R" sound with the "O" sound like in the word "Rope", this makes the word extra difficult for a child who has a problem saying the "R" sound because the "O" that follows the "R" will naturally make them want to round there lips.

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I created these free speech and language worksheets so you can easily download and print them out to use as part of your speech therapy program.  Just scroll down the page to view the worksheets by topic.  You will find free speech therapy worksheets for articulation, vocabulary , grammar, holiday articulation and language games…and lots of other miscellaneous speech therapy creations that I love!  If you would like more information on what articulation therapy is you might like to read a post I have written called  Teaching Speech Sounds: The Process of Traditional Articulation Therapy

Parents:  If you are a mommy or a daddy (or grandma or grandpa) who wants to work with your child at home, you can use these speech therapy activity pages for extra practice.  Just choose the sound position to work on (initial, medial, or final) and click on the corresponding link to view and print the worksheets.  To help make practice more fun, you can print out two of the same page so you have pairs, cut them out, and use them to play a game of memory or go fish. You can also use them as flashcards.  You will find free speech therapy worksheets by sound and at a variety of levels; word level, phrase level and sentence levels!

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50+ Best K and G Speech Therapy Activities (Free and Fun)

K and g speech therapy activities: effective techniques for articulation improvement.

If you are a speech therapist working on articulation therapy for the K & G sounds, then you are at the right place. In this blog post, we want to provide you with activities that specifically target the production of the ‘K’ and ‘G’ sounds. Articulation disorders and errors are common for these target sounds. These errors can affect a child’s speech, impacting their ability to communicate effectively. 

A great way to address these specific sounds in your speech practice, is to use a variety of techniques and tools. From one speech therapist to another, I wanted to make your therapy sessions easier, so in this blog post we will review how to correctly produce these speech sounds, give you a list of over 50 fun activities to do to practice correct sound production of ‘K’ and ‘G’ in your therapy sessions, as well as provide you with a great ‘K’ and ‘G’ articulation bundle freebie to start practicing these target sounds today!

K and G Sound Articulation Techniques

We’ll focus on effective speech therapy techniques that aid in the correct articulation of K and G sounds. Our approach is segmented into understanding tongue placement, engaging in activities to enhance back sound articulation, and utilizing the minimal pairs approach to distinguish between target sounds. 

First, let’s review some basics.

Speech Sound Fundamentals

Understanding and working with speech sound production is critical in speech therapy. Key components we attend to are:

• Tongue Placement : Crucial for accurate articulation. For example, for back of the mouth sounds, the back of the tongue rises towards the soft palate.
• Back of the Tongue : This is important for producing sounds like “k” and “g”, which are formed at the back of the mouth .
• Soft Palate : The soft part at the back of the roof of the mouth must be manipulated correctly for certain sounds.
• Vocal Folds : We ensure they function properly for voiced sounds.

We can use tools such as a tongue depressor to facilitate correct tongue placement and exercises that help strengthen the muscles involved in speech.

Tongue Positioning for K and G Sounds

Proper tongue placement is crucial for the correct production of K and G sounds, which are back sounds. For the K sound , the back of the tongue elevates to touch the soft palate, creating a burst of air when released. For the G sound , this placement is similar, but the vocal cords vibrate.

• Raise back of the tongue to the soft palate.
• Create tension before releasing a burst of air.
• Ensure vocal cord vibration for G sound.

Activities for Back Sound Articulation

Speech therapy activities geared towards K and G sounds involve exercises that encourage the correct placement of the tongue for back of the mouth sound articulation.

• Articulation Bundle : A sequence of targeted exercises that focus on sound production.
• Mirror Exercises : Practicing in front of a mirror helps visually confirm tongue placement.
• Blowing Activities : Use activities like blowing bubbles to strengthen muscles necessary for the burst of air required in these sounds.

Minimal Pairs Approach

The minimal pairs approach is a technique that contrasts words differing by only one sound to refine articulation. This method helps individuals distinguish between similar-sounding words, enforcing the correct placement and production of K and G sounds.

• “Come” vs. “Gum”
• “Card” vs. “Guard”
• “Back” vs. “Bag”

Using these pairs in practice drills aids in reinforcing the relative tongue placement and sound articulation for each word.

Specific Techniques for K and G Sounds

When addressing the pronunciation of K and G sounds, it’s crucial to incorporate techniques that engage multiple senses to solidify learning. We’ll explore tactile and kinesthetic strategies as well as methods for enhancing auditory discrimination.

Tactile and Kinesthetic Methods

Tactile and kinesthetic approaches involve physical touch and movement to teach the correct placement and motion for the K and G sounds, which are back sounds. Here are specific strategies:

• Place a finger on the throat : Children feel the vibration of their own voices, discerning between voiced (G sounds) and voiceless pairs of sounds (K sounds).
• Use a mirror : Watching their own tongues can help children understand where the back of the tongue needs to raise to make the K and G sounds.
• Quick movement exercises : Guide children to move their tongues quickly to the correct position, reinforcing the muscle memory required to produce these specific sounds.

Auditory Discrimination for K and G Sounds

Auditory discrimination is crucial for distinguishing between similar sounding phonemes. For K and G sounds, which are front sounds, we can employ the following activities:

• Minimal Pairs : Introduce pairs of words that only differ in the K or G sound (like “cold” and “gold”) to sharpen listening skills.
• Phoneme Isolation : Practice saying words that contain the target sounds, emphasizing the K or G sound so 

K & G Resources and Activities

Below you will find a comprehensive list of over 50 ‘K’ and ‘G’ Sound Articulation Activities and Resources! 

K & G Initial Sounds

• Initial g and k words speech “fishing” homework freebie by Saidi Marshal is a set of homework sheets with 12 words per page. This is a fun way to practice K and G at the word level!
• FREE Initial K & G Articulation Sound-Loaded Sentences Worksheet by the Speech Spot Creations is a speech therapy worksheet that has target words that start with K and G. Start practicing your students phonological process with this highly rated freebie!
• ARTICULATION CARDS Students can color & keep: Initial K & G FREE! By The Beachy Therapist is a resource with single words and a letter name on a card for students to practice their articulation skills with initial K & G!

BONUS: Our shop store has some amazing articulation bundles! Grab this bundle of over 20 sound decks of cards (Initial, Medial and Final K & G included) for $14. We love sending these home for students to color as homework, then using the deck of cards to play a ton of different articulation games in their speech therapy session. Or have them play those games with family at home!

K & G Final Position

• English & Spanish Articulation K & G Sound Spring Printable for Speech Therapy by Bilingial SLP LLC is a fun spring themed printable to practice final K & G. We recommend this resource for your elementary students. 
• Speech Therapy: Final /k/ and /g/ words “fishing” homework by Saidi Marshall is a great resource to have students practice k and g sounds at the end of the word.
• Frog and Pond Speech Therapy Game with Final G Articulation Cards by Speech Sprouts is an engaging final g drilling activity that students love!

Activities with Visual Cues

• Speech Sound Cue Cards – FREEBIE by Lauren Walters is a great resource to have that reminds children with visual cues what theirs mouth should look like as they say a letter sound.
• Final Consonant Deletion: Boat Theme by Speech With Miss Chelsea is an engaging articulation game with the sounds K & G included. Students are given multiple visual cues such as they boat and sentence strips as they practice K & G sounds and build in complexity level.
• Articulation and Speech Sounds visual support BUNDLE (FREE) by Free Speech Goodies is a pack of 11 pages with visual cues on how to pronounce multiple sounds including K and G.

Tactile Activities 

• Shape and Say Articulation: Winter Theme Free by Miss Gardenia’s Speech Room is an engaging activity that has students build pictures with shape tiles as they practice their language skills. This activity includes lots of letter sounds including K & G!
• Counting Bears Early Sounds Articulation Mats FREEBIE by Panda Speech is a bundle with multiple sounds that has students practice articulation as they cover mats with counting bears. This is a highly rated hands on activity!
• Dough Articulation: K, G, F, S by Jenna Rayburn Kirk is an activity that younger elementary students love! Print out these mats with the name of the letter K & G and have students use playdough or clay as they practice articulation. We also recommend having students make a play dough ball to build into the pictures on the mats starting with that target sound.
• Magnet Tiles Speech FREE Sample for /k/ and /g/: Articulation Toy Companion by Panda Speech is a favorite hands on activity! Students use magna-tile blocks to build letters and objects with their target sounds and words.

FOR YOU! We love hands on games, so we created a bundle of articulation fortune teller oragamis for students to practice their articulation skills! My students have loved cutting and folding these and then moving their hands around as they practice their target sounds. K & G are included in this bundle, but there are more than 20 sounds! Scroll to the bottom for a free sample of the origami fortune tellers for K and G!

Articulation Games

• ARTICULATION WHEELS: K, G, T, & D FREE! By The Beachy Therapist is such a fun and easy to play game to practice K & G! This is a low prep activity for many different years of age students!
• Go Gumballs Game! Articulation G Initial, Medial and Final! By Now We’re Talkin is a highly rated articulation game for younger elementary students that has a cute, gum ball themed gameboards!
• Ugly Sweater Laundry – Articulation Game by The Urban SLP is a fun articulation game that has students laughing and engaged.

PRO TIP! We love original and creative articulation games, but there is also something to be said about the classics! At our Speech Therapy Store Shop , you will find articulation bundles to go with classic games such as our  Articulation Apple to Apple Game , Articulation Connect Four , and Articulation Bingo! Check them out!

Articulation Cards

• HAM Articulation by Speech Me Maybe is a great articulation game with over 72 articulation cards to practice with! This deck focuses on K and G.
• Monkey Match Articulation – k & g by SLPfromCLE is a highly rated articulation cards game that engages students with silly monkeys and written symbols. 
• Animal Photo Articulation Flashcards by Busy Miss Lizzy Speech is a set of flashcards for K and G articulation with engaging animal photos on them!

SLPS LOVE IT! Our articulation Go Fish Deck Bundle is a favorite! This deck of articulation cards has something for everyone on your caseload!

Interactive Games

• Build a K and G Articulation Sentence Scene No Print Freebie by Beth Sies Creation for SLPs is a fully interactive game that has students build single words into a short sentence! This is great for students who are at sentence level articulation practice!
• Track The Turkey Articulation – K and G (Lite Version) by Thought Bubble Therapist is an engaging game that has students practice  Kand G articulation as they track a turkey in a picture search scene. 
• Speech Sounds: S, K, G, F, SH, CH, T, D, P, B by Kristen Leer is a great resource for younger elementary students that prompts them to drag and match single words to pictures.

SEE ALSO: 21 Best Reinforcement Games for Speech Therapy

• FREE SAMPLE Silly Sentences K and G Boom Cards™ Speech Therapy Articulation by Pinwheel Speech Source is a great resource that uses silly sentences to practice K and G at sentence level!
• Boom Digital Cards Articulation K,G Sounds by Badger State Speechie is an interactive boom card set to practice high frequency k and g words!
• Back to School K & G Sounds Boom Cards™ – Sticker Book – Articulation by Michelle’s Communication Corner is a highly rated boom card set that is interactive and fun for elementary students!

Minimal Pairs

• Final /k/ and /g/ Minimal Pairs by the Curious SLP is a great resource for speech students with different types of speech sound disorders. Practice final K and G minimal pairs with a visual cue in this freebie!
• Fronting & Backing Minimal Pairs (/k/ /t/ and /g/ /d/) by Rachel’s Speech Goodies is a 5 page set of minimal pairs flashcards that target the phonological process of k and g fronting.
• Articulation: Minimal Pairs K and G, T and D, CH and SH by Miss Gardnia’s Speech Room is a spring and butterfly themed minimal pairs articulation card set.
• /K/ and /G/ Sound Battleship Word List by Savvy Speech is a complete K and G wordlist that prompts a battle ship game.
• Initial K and G Word List FREE for Speech Therapy Practice by Karina Kurlz is a word lists for K and G with clear and engaging pictures.
• Father’s Day Word List: K & G by The Speech Spot Creations is a set of Initial and Final K and G Words with a Father’s Day theme.

BONUS: Visit our blog for an extensive list of articulation word lists and flashcards , as well as articulation freebies! Here are the highly rated K Word Blog Posts!

Younger Students

• K and G Speech Sound Articulation Homework by Speech Language Lady is a K and G homework bundle created for younger elementary students! 
• K and G Fall Trees Printable Articulation Activity Speech Therapy FREEBIE by Pinwheel Speech Resources is a hands on activity for younger students that has them color or dot leaves as they practice their articulation target words.
• No Prep K & G Articulation Fronting Game Boards by Britney Adams – SLP is a fun fall themed game boards for younger students to play on and practice the K and G sounds.

Sentences and Conversational Level

• Encanto Articulation K and G by Jacelyn Kieffner is an older elementary favorite! Students use the movie Encanto to practice K and G articulation at sentence level.
• Build a K and G Articulation Sentence Scene No Print Freebie by Beth Sies Creation for SLPS is a highly rated free resource to practice building sentences with K and G articulation.
• G Flashcards and K Flashcards at sentence/convo level by Speech Therapy Store are a great way to practice articulation at word/phrase/sentence level. Use the flashcards to practice the WH- Questions for conversational level articulation practice too!

High School Students

• Articulation Tower K/G Edition by Speech with Sharon is an engaging game similar to jenga that is great for older students to practice their K and G articulation in a fun way. 
• Fry Words Articulation Card Deck- VELARS (Freebie!) by Voices Ablaze is a great resource that helps incorporate more articulation words into literacy sessions for high school students.
• At Home Word Lists for Articulation and Phonology for SLPs – Freebie by Natalie Snyders is an organized word list to practice K and G articulation with your older students! Send this home to practice as homework. 

Ready to Go Worksheets

• Spring Themed Articulation K & G Sounds Coloring Work Sheets Print & Go! By Sparkly Speech Girl are no prep, print and go coloring worksheets to practice K and G with your speech students!
• FREEBIE! Valentine’s Day No Prep /K/ & /G/ Articulation by Speachin -n -teachin are fun valentines themed worksheets to practice K and G.
• FREEBIE Articulation Bones – initial /k/ and initial /g/ by a Spoonful of Speech is a no prep set of worksheets for you to use in your therapy room to practice K and G!

SEE ALSO: Free Articulation Games for Speech Therapy

Picture scenes.

• K & G Summer Articulation Folding Surprise Craft by Jeannie’s Speech room is a highly rated craft that opens into a picture scene for students to practice K and G articulation. This is great to send home as homework as well!
• FREE No Print Final Consonant Deletion Picture Scenes for Speech Therapy by Teach Speech 365 is a no print picture scene for your students to practice lots of articulation words including K and G!
• Christmas Search and Find Articulation Homework by Old Speech School is a highly rated free resource! Students search, find and color the target K and G articulation words in a picture scene.

Seasonal Activities

• Free Thanksgiving Baking Articulation Activity (K & G Sounds) by Lil Mae’s Speech is a great set of boom cards with a Fall and Thanksgiving theme!
• Spring Freebie: Articulation /k/ and /g/ by Tale of Two Speechies is a bundle of Spring themed K and G articulation worksheets. This is highly rated!
• Initial /K and G/ Fall Leaves – Articulation Craft FREEBIE by Let’s Get Speechie

Books and Short Stories

• Goodnight Moon by Margaret Wise Brown is perfect for articulation therapy goals on your caseload. The repetitive text with the “g” sounds helps children with speech disorders to anticipate what might come next in the story. 
• Articulation K and G: Pictured Silly Stories & Word Lists by Speech2u is a highly rated game that uses K and G silly words to make K and G short and silly sentences! 
• G Sound Mini Articulation Activity Book Initial Medial Final Words and Phrases by Pep Talk is an engaging mini book to build with your students to practice the G sound.

For You! Grab our Articulation Reading Passages to practice your articulation goals with your students! This is a bundle of 266 reading passages with 6 stories per sound, and 20 articulation words per passage. 

SEE ALSO: 279+ Free Speech Therapy Digital Materials

Reinforcement Games

• Free Sample! /k/ and /g/ Articulation Coloring pages by Easy Peasy Lemon Speechie is a great reinforcement game with high instances of hitting the target sound.
• K & G Articulation Dots FREEBIE! By Linden Speech is a great worksheet that is engaging and reinforcing for students practicing their K and G articulation.
• Hugs and Kisses: Articulation K and G by a Speechie World is a fun and silly game that students love to play! It has one game board and 2 mats.

We hope this list of resources to use when practicing K and G articulation is inspirational and helpful for you! There are so many ways to teach K and G, and making the speech therapy session engaging and fun for our students is a high priority! 

To help make your sessions fun, but also easy for you to plan, we compiled this bundle of a K and G preview of some of our most popular articulation games! Enter your info below to grab a preview of our Articulation Fortune Tellers and Articulation Tic Tac Toe for the K and G sounds. Find more of our Articulation Game Bundles on our Speech Therapy Store Shop! 

<< FILL OUT THE FORM BELOW TO DOWNLOAD A MINI BUNDLE OF K & G ARTICULATION ACTIVITIES! >>

Grab your mini bundle of k and g articulation activities, frequently asked questions.

In addressing these frequently asked questions, we aim to provide specific, evidence-based answers that will be useful for speech therapists, parents, and educators involved in helping children practice and improve their articulation of K and G sounds.

What activities can help children practice K and G sounds in speech therapy?

We often use engaging activities like blowing bubbles to encourage the production of the /k/ sound, as it closely resembles the mouth shape required to say “k.” For the /g/ sound, we might incorporate games involving animals, like gorillas or geese, as they naturally elicit the /g/ sound in a fun context.

How does using minimal pairs in therapy assist with correcting K and G sound errors?

Using minimal pairs, such as “coat” and “goat,” assists in enhancing phonological awareness. We find that this contrastive approach helps children discern the difference between sounds, thereby improving their articulation accuracy for K and G.

What are some age-appropriate K and G speech activities for preschoolers?

We use play-based activities such as “kitchen” stations for the /k/ sound or “garden” themes for the /g/ sound. These relevant, enjoyable activities help preschoolers practice the sounds without the drills feeling like work.

How effective are loaded sentences in the remediation of K and G sounds?

Loaded sentences, which are packed with target sounds, have proven very effective in our work. This repetitive and contextual practice encourages the child to use K and G sounds in a sentence-level format, fostering generalization to natural speech.

What types of ‘Would You Rather’ questions could be used to reinforce K and G sounds in therapy sessions?

We may use questions such as “Would you rather have a pet kitten or a pet kangaroo?” to practice the /k/ sound. For the /g/ sound, we might ask, “Would you rather grow grapes or play a game?” These choices invoke more natural speech and frequently repeat the targeted sounds.

At what age should a child typically be able to pronounce K and G sounds correctly?

Children typically master the K and G sounds by the age of three to four years. However, we observe variations in development, and we emphasize the value of early intervention if a child is showing signs of difficulty with these sounds.

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Health | sentara deploys music therapy to help stroke survivors regain lost speech by singing.

“Yep” was all he could say, said Pamela Jenkins, his caregiver and partner of 24 years.

Like many survivors, Hart, 62, can understand what’s said to him almost as well as he could before the stroke, but it’s still hard for him to form complete sentences.

Now, though, a year after adding music therapy to his rehabilitation schedule, he can sing them.

“I’ve got sunshine on a cloudy day,” he sang during a recent session at Sentara Fort Norfolk Plaza, relief and pride glowing on his face as the pent-up words escaped. “What can make me feel this way? My girl!”

Jenkins urged medical professionals to consider including music therapy in their rehabilitation recommendations as a panelist in Friday’s Stroke Symposium hosted by Sentara in Williamsburg.

“That therapy, we have found, has helped him more than anything else,” she said.

Hart sees Tracy Bowdish, the only music therapist Sentara employs. Bowdish had worked with a task force to help pass music therapy licensure legislation in Virginia in 2020.

Despite its effectiveness for stroke survivors, Parkinson’s and Alzheimer’s patients and others with various types of cognitive deficit, music therapy is generally not covered by insurance, Bowdish said.

To make it accessible, Sentara takes a loss on the program and charges patients a $40 fee for each session. That amount hasn’t increased in Bowdish’s 12 years with the hospital system.

“I’m inherently skeptical by nature, so I know people look at music therapy and think it looks all fluffy,” Bowdish said.

But neurologic music therapy engages various parts of the brain, involving emotion, rhythm, memory and language, she said. When functional magnetic resonance imaging emerged, she added, practitioners thought they’d be able to find where music lives in the brain. It turned out, though, that unlike speech, which is controlled from the brain’s left hemisphere, music shows up all over the place.

“We use more of our brain when we sing than we do when we speak,” she said.

Dr. Alexander Grunsfeld, Sentara’s medical director for neuroscience and the director of Friday’s conference, said the power of music has always fascinated him.

“Everything else that moves you as a human being, you can correlate that with some value for survival,” Grunsfeld said. From love to fear, there’s a clear relationship, he said, but music doesn’t seem to have the same obvious correlation.

“I’ve always been really curious about that,” he said. “Why is music so powerful?”

The neurologic reasons music therapy helps after a stroke are a bit easier to understand, he said. A stroke is caused by an interruption of blood flow to the brain, usually caused by a blood clot. Those clots, in turn, are often caused by damaged blood vessels, Grunsfeld said, adding that significant increases in stroke rates over the past several decades are associated with metabolic syndrome in a Western diet and sedentary lifestyles.

“It’s very difficult to change lifestyle,” he said. “But for people who really don’t want to have a stroke, the best option for them is to eat healthy and to engage in physical activity.”

Since clots usually occur in a limited area, they also cut off blood flow to the brain in a limited area.

“The brain is unlike any other organ in that it cannot last for more than a few minutes without oxygen,” Grunsfeld said. “If the blood was interrupted long enough, the neuron cells will die, and then that part of the brain will no longer be able to function normally.”

Recovery or improvement after a stroke typically depends on other neurons growing new connections to take over the functions of the brain cells that died, he said, but overall understanding of recovery has changed dramatically over the past decade — especially the assumption that recovery is only possible for the first six months after a stroke.

“What we found out is that is not true, and it was a bit of a self-fulfilling prophecy,” Grunsfeld said. “People should know that if anyone tells them that ‘you’re just never going to get better than this,’ that isn’t accurate.”

“The more you use your brain, even as you get older and even after a stroke, your brain has the ability to adapt and to improve,” he said. “And so I would say that recovery or improvement is possible at any stage. You just have to do the hard work.”

Music therapy can make that work a little less hard, Grunsfeld and Bowdish both said, simply because it’s fun.

“Obviously, we know what we should do,” Bowdish said. “We know we should exercise more. We know we should put down the cigarettes. We know we should do things, but that doesn’t mean we do them.”

The same is true for therapy, she said, which requires both efficacy, meaning the therapy really works, and compliance, meaning the patient actually completes it. It’s hard for someone to keep a frown on their face and sing along glumly with their favorite songs, she said.

Bowdish, who has been completely blind since birth, said the occasional patronizing attitudes she encounters have affected how she treats her patients.

“I don’t ever want to be condescending or have low expectations for people,” she said. “Just because somebody had a stroke, that doesn’t automatically define who they are now.”

“Yeah!” Hart interjected emphatically, paying close attention to Bowdish’s passionate comments.

“Yeah, say it!” Bowdish responded, laughing. “That’s just one day that one thing happened. It definitely changes the rest of your life, but it’s not necessarily a major part of somebody’s identity unless they choose for it to be.”

Have a health care or science story, question or concern? Contact Katrina Dix, 757-222-5155, [email protected] .

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