Visual cueing systems which pair hand gestures and signs with motor speech movements to help your child pair the motor pattern needed for a speech sound with the visual cue. Visual cueing techniques are often used in concert with tactile kinesthetic cueing systems such as PROMPT. Visual cueing is especially helpful in children who are not ready or do not tolerate PROMPT (e.g., with some sensory disorders children feel pain and/or have significant tactile defensiveness). This may include medically fragile children and children with significant sensory system disorders. Many children can be desensitized to touch; however, this requires a trained person to ensure that tactile defensiveness is decreased rather than increased.