Clinical Resources
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Ask the Experts
Improving Cadence with Dyspraxia
September 26, 2005
What can be done to improve the cadence of a student with resolving dyspraxia... this student is a second grader with few remaining speech sound errors (distortion of /r/ and f/th substitution)...but... Read More
Apraxia
Reimbursement for Dysphagia Treatment
September 19, 2005
Is esophageal dysphagia therapy reimbursable for Medicare in a Skilled Nursing Facility? If a resident is having chewing difficulty only, does this warrant a dysphagia evaluation, and is it paid for b... Read More
Dysphagia (Adult)
Assessing Pragmatic Use of Language
September 12, 2005
I am searching for a useful checklist or assessment tool in determining a student's pragmatic use of language. I realize that this may not be a "qualifying" tool for services but we need to describe s... Read More
Language Disorder(s) Autism Spectrum Disorders (ASD)
Reducing Laryngeal Tension During Stuttering
September 5, 2005
I have three middle school students who are severe stutterers, whose greatest challenges appear at the laryngeal level. Two of them cannot get enough airflow during blocks to permit phonation and have... Read More
Stuttering
Voice Change Post Tonsillectomy
August 29, 2005
I am a SLP in a public school and a 6th grade girl just came to me about her voice change since her tonsillectomy recently. Not sure how long it's been since the surgery, but I'm guessing not long. Is... Read More
Voice and Resonance Disorders
Therapy for Frontal Lisp
August 22, 2005
I have a client with a frontal lisp. He has already made significant improvement during therapy for /sh/, /j/, /ch/. The only sound left is /s/ and he can retract the tongue to produce an "okay&q... Read More
Articulation, Phonology, and Speech Sound Disorders
Bi-Lingual Cochlear Implant Users
August 15, 2005
My daughter Danielle was diagnosed with profound bilateral hearing loss at one month of age. She was implanted at 10 months. She hears the grass grow. Her receptive speech is about age appropriate, ex... Read More
Cultural and Linguistic Diversity
Nasal Emissions Post Tonsillectomy
August 8, 2005
I'm a school speech pathologist looking for suggestions on remediating articulation errors that are produced with nasal emission. The errors produced with nasal emission are s, z, sh, ch, j. The stude... Read More
Voice and Resonance Disorders
Interpreting Test Scores
August 1, 2005
Note: The following information pertains only to test scores that are "normally distributed" (i.e., form a bell-shaped curve), as is the case with tests that report standard scores. As a middle school... Read More
Language Disorder(s)
Expression of Wants/Needs for Patient with Down Syndrome
July 25, 2005
I have a 12-year-old patient with Down Syndrome. He is performing on a 2-year-old level according to the evaluation completed in November, 2004. The parent expressed concerns regarding his articulatio... Read More
Early Intervention for Young Children with Cleft Lip and Palate
July 18, 2005
I will soon begin seeing two young children with repaired complete clefts of lip and palate. These children were evaluated for the First Steps program so a therapist other than myself performed the in... Read More
Techniques for Producing Glides
July 11, 2005
What are some clinical techniques and cues for treating children that cannot produce the /j/ phoneme? Also, how would you describe to the child the phonetic placing and shaping required for this phone... Read More
Articulation, Phonology, and Speech Sound Disorders
Substitution Error v. Frontal Lisp
July 4, 2005
What is the distinction between a substitution error of th/s and a frontal lisp, which I've heard is not necessary to remediate (unless the client requests it) . To me many of them sound like /th/ and... Read More
Articulation, Phonology, and Speech Sound Disorders
Teaching Swallowing Maneuvers
June 27, 2005
I'm struggling with how to teach patients such maneuvers such as supraglottic swallow, supersupraglottic, and Mendelsohn, can you help? Read More
Dysphagia (Adult)
Stuttering Therapy with Adults
June 20, 2005
I just began to work with an adult with a very strong stuttering (sometimes till 30 seconds before saying a word, with totally no eye contact and very contracted muscles). He was a short time with a s... Read More
Stuttering
Medical Clearance for Voice Therapy
June 13, 2005
Is it always necessary to get a medical clearance before any voice therapy can be undertaken? It was my understanding that a medical exam was necessary only in the cases where the individual had a voc... Read More
Ethics Voice and Resonance Disorders
Vital-Stim Dysphagia Exercises
June 6, 2005
I have been referred a patient for vital-stim dysphagia exercises. I am the only speech therapist in a remote area of Idaho and do not have a lot of request for dysphagia. Is vital-stim the same or si... Read More
Dysphagia (Adult)
Top-down v. Bottom-up Processing
May 30, 2005
What is the difference between top-down and bottom-up processing in relation to the auditory system? Read More
Rhinolalia
May 23, 2005
Hello, I work as an SLP in the public school system. Just recently a PreK student was referred for therapy. His speech and language skills were within normal limits. However, he has been diagnosed wit... Read More
Articulation, Phonology, and Speech Sound Disorders Voice and Resonance Disorders
Speech Therapy Resources for Down Syndrome
May 16, 2005
What are some helpful resources for speech therapists working with the Down syndrome population (ages 2-5)? Read More