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Ask the Experts
Vocalic /r/
January 11, 2010
I have a preschool student who produces vocalic /r/ with more of a [ng] phoneme. Typically, I do not address /r/ at this age but the impact on her intelligibility is significant. Any suggestions? Her... Read More
Articulation, Phonology, and Speech Sound Disorders
Swallowing Therapy - Determining Number of Repetitions
January 11, 2010
I have worked in skilled nursing facilities and with home health clients on a per diem basis in my career. I do get to see how other therapists work with dysphagia, and this raises some questions beca... Read More
Dysphagia (Adult)
Therapy Recommendations for Severe Childhood Apraxia of Speech
December 21, 2009
I have a child with severe CAS and a very limited phonetic inventory (phonological and artic errors) on my caseload. Do you have suggestions on how much time to spend on each sound? Read More
Motor Speech Disorders (Adults)
Obstacles to the Supervisor-Supervisee Relationship
December 21, 2009
What are three obstacles to the supervisory-supervisee relationship? Read More
Supervision
Incidence of Velopharyngeal Insufficiency with Submucous Cleft
December 21, 2009
Are there any statistics on the number of children with a submucous cleft who correspondingly have velopharyngeal insufficiency (VPI)? How many submucous cleft chlidren have absolutely no issue with s... Read More
Developmental Language Disorders Articulation, Phonology, and Speech Sound Disorders Early Intervention
Early Reading First Initiative and Reading First Legislative Initiative
December 14, 2009
Can you explain what the Early Reading First and Reading First Legislative Initiatives are? Read More
Developmental Language Disorders Literacy Development and Phonological Awareness
Duration of Stuttering Modification Strategies
December 14, 2009
How long do you work on stuttering modification strategies you presented in your workshop? Do you introduce them individually and then work on one technique a time? Read More
Fluency, Atypical Disfluency, and Stuttering
Periodic Recurring Disfluency
December 7, 2009
My son is 7 yrs and 7 months old, and has been evaluated twice now, and been involved in some form of speech therapy for 4 years. He has also had his hearing tested, and it is normal. What my speech t... Read More
Fluency, Atypical Disfluency, and Stuttering
Accent Addition
December 7, 2009
Can you explain the concept of "accent addition" and why it is important? Read More
Articulation, Phonology, and Speech Sound Disorders Developmental Language Disorders
Challenges of Supervision
November 30, 2009
What are some of the challenges to being a good supervisor? Read More
Supervision
IDEA Mandates: Articulation Skills for an ESL Student
November 16, 2009
I have a child in my school who is unable to produce the Spanish trilled "r". He speaks English as a second language, and speaks Spanish with parents. He is able to produce all variations of "r" and "... Read More
Cultural Competence Articulation, Phonology, and Speech Sound Disorders
Anterior Open Bite, Jaw Development, and Apraxia
November 16, 2009
My 21 month old son has a vocabulary of +/- 5 words. He still can't imitate animal sounds (except cat, cow and lion and they all sound the same, though the volume differs) or make simple sounds like /... Read More
Early Intervention Developmental Language Disorders Motor Speech Disorders (Adults)
Agenesis of the Corpus Callosum
November 16, 2009
I have a niece who has been diagnosed with agenesis of the corpus callosum. I would like to know what effects this may have on her language performance, written and oral. She is six years old now, and... Read More
Developmental Language Disorders
Use of the Spectrogram in Therapy
November 9, 2009
What types of patients have you had great success with using the spectrogram in therapy? Do you think patients with cochlear implants could benefit from the use of a spectrogram, as well? Read More
Articulation, Phonology, and Speech Sound Disorders
Swallowing and Voice Issues Post Thyroplasty
November 9, 2009
I will be receiving a referral for a speech therapy evaluation of a patient (an inmate in a correctional facility) status/post thyroplasty, presumably for voice and swallowing issues. Can you please t... Read More
Dysphagia (Adult) Voice Disorders
Differences between Stuttering Modification and Fluency-Enhancing Strategies
November 9, 2009
Can you describe the difference between stuttering modification strategies and fluency-enhancing techniques? Read More
Fluency, Atypical Disfluency, and Stuttering
Reasons for Tracheostomy
November 2, 2009
What are some indications and reasons for tracheostomy? Read More
Dysphagia (Adult)
Does a Feeding Tube Interfere with Vocalizations?
November 2, 2009
I am about to evaluate an 8 month old because she is not babbling or really vocalizing at all. She has an NG tube due to refusal behaviors but also drinks formula from a bottle and early purees from a... Read More
Voice Disorders Developmental Language Disorders Dysphagia (Adult)
Challenges of the Lateral Lisp
November 2, 2009
What do you think is the biggest hurdle that a child with a lateral lisp has to overcome in order to produce a correct /s/ production? Read More
Articulation, Phonology, and Speech Sound Disorders
3:1 Service Delivery Model
October 26, 2009
What is the 3:1 Service Delivery Model that is being implemented in the schools? Read More
School-Based Intervention and Collaboration