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Using the Game UNO in Pediatric Speech Therapy Sessions



UNO is not only a fun and engaging card game, but it also offers a wealth of opportunities to target various speech and language therapy goals. Leveraging UNO’s structure and gameplay in a therapeutic setting can make sessions both fun and productive. Here’s how to use UNO to target key speech therapy objectives based on evidence-based practices:


Turn-Taking and Social Pragmatics

Turn-taking is an essential social communication skill that children must learn for conversational exchanges. UNO, being a turn-based game, naturally provides a platform to practice this skill.

  • Goal: Improve conversational turn-taking and understanding of social cues.

  • Strategy: Throughout the game, emphasize waiting for a turn, recognizing whose turn it is, and using language to acknowledge when others play (e.g., "It's my turn!" or "Your turn!").


    Studies show that games involving structured turn-taking, like UNO, help children practice these skills in a low-pressure environment .


Following Directions

UNO involves simple, yet varied, rules (e.g., matching colors, numbers, and action cards). This makes it an ideal tool for targeting receptive language skills like following multi-step directions.

  • Goal: Improve the ability to follow one- and two-step directions.

  • Strategy: Gradually increase the complexity of directions. For example, ask the child to "pick a green card" or “pick a card, and if it’s blue, play it.” Over time, add additional steps or conditions to the directions to challenge the child.


    Therapy interventions that include following game-based instructions can improve receptive language abilities in children with language delays .


Speech Sound Production

You can adapt UNO to target speech sound production by pairing each turn with an articulation exercise. For instance, if a child is working on producing a particular sound, they must say a word with that sound before they play a card.

  • Goal: Improve articulation of specific speech sounds.

  • Strategy: For every card played, the child says a word with their target sound, such as a /s/ sound if they're working on “s-blends” (e.g., “snow,” “sand”). This repetition helps reinforce correct sound production in a fun, gamified way.


    Repetition is key in improving articulation, and embedding it in games increases engagement and reduces the risk of frustration .


Vocabulary Building

UNO’s different colored and numbered cards offer the opportunity to target vocabulary development, especially for younger children or those working on expanding their descriptive language skills.

  • Goal: Increase vocabulary and descriptive language.

  • Strategy: Use each turn to ask descriptive questions like "What color is that card?" or "How many cards do you have now?" You can also encourage children to describe their cards using more detailed adjectives like “large,” “tiny,” or “bright.”


    Evidence-based practices recommend increasing a child's exposure to descriptive language to strengthen their vocabulary and expressive language .


Cognitive Flexibility and Problem Solving

The rules and strategies of UNO require cognitive flexibility, as children must adjust their actions based on the cards they have and what is being played.

  • Goal: Enhance cognitive flexibility and problem-solving.

  • Strategy: Encourage children to explain their reasoning for playing certain cards or to predict what card their opponent might play next. This fosters cognitive reasoning and strategic thinking, which are critical for executive functioning.


    Games that require planning and strategy, such as UNO, are associated with improved executive functioning skills in children .


Color and Number Recognition

UNO’s foundational elements—colors and numbers—can be used to help children practice recognition of basic concepts. This is particularly useful for children with speech delays who may also have difficulty identifying or naming numbers and colors.

  • Goal: Improve basic concept recognition (colors and numbers).

  • Strategy: Reinforce color and number identification by prompting the child to say the color and number of each card as they play it. You can also incorporate a brief pause to encourage naming before each play.


    Practice with games like UNO improves a child’s ability to recognize and articulate early academic concepts like colors and numbers .


UNO is an adaptable and enjoyable tool to use in pediatric speech therapy, offering a range of opportunities to meet diverse therapeutic goals. From building social skills and vocabulary to improving articulation and cognitive flexibility, this simple card game can be customized for a variety of speech and language targets, helping children make progress in a fun, interactive way. The evidence supporting game-based interventions in speech therapy makes it clear: children learn best when they are engaged and having fun.

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