Clinical Resources
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Ask the Experts
Tongue Protrusion in an Infant
June 22, 2009
My daughter is now 9 months old, and since birth she came out sucking her tongue with a little of it sticking out. At first I wasn't concerned and thought it was cute. But now at 9 months old she stil... Read More
CPT Codes for Extended Developmental Testing
June 22, 2009
I have recently opened a private practice and am learning about coding for insurance. At my previous employer's clinic, we routinely used the CPT code of 96111 for extended developmental/in-depth test... Read More
Early Intervention
Second Language Acquisition
June 15, 2009
I have a female child age 2 years 6 months who was referred to my clinic by her parents and day care provider. She was born in Honduras and lived there until the age of two, when she was adopted by an... Read More
Cultural and Linguistic Diversity Language Disorder(s)
Reading Disfluency versus Stuttering
June 8, 2009
I recently had a request for an evaluation of a 6th grade student for stuttering. I have not observed any disfluencies or acceptable disfluencies that are observed in everyone's speech during conversa... Read More
Stuttering
Target Sounds for Late Talking Toddlers
June 1, 2009
I am working with an 18 month old girl who has no single words. She babbles little but seems to understand much receptively. She likes shape sorters, can identify some animals and daily objects and ca... Read More
Literacy and Phonological Awareness Early Intervention Articulation, Phonology, and Speech Sound Disorders
Can a Granuloma Be Caused by a Motor Vehicle Accident?
May 18, 2009
Can an auto accident directly or indirectly cause the growth of a granuloma in your vocal fold area? Please give some detail. Read More
Voice and Resonance Disorders
Decreased Epiglottic Movement
May 11, 2009
I received a MBSS report on a patient that reports epiglottis sticking against pharyngeal wall during the swallow and slowly returning back to its position after 2-3 seconds. What would cause this and... Read More
Dysphagia (Adult)
Resources for Professionals Working with Children with Down Syndrome
May 4, 2009
I am returning to full time employment after staying home with my children. I am currently an SLP for the early intervention program in Auglaize County, Ohio. We have had an increase in the number of... Read More
Articulation, Phonology, and Speech Sound Disorders
Differential Diagnosis: Apraxia or Phonological Disorder
May 4, 2009
A new child was recently placed on my caseload. She is in 2nd grade and highly unintelligible. Although there is a family history of hearing loss (not immediate family), hearing loss was ruled out for... Read More
Language Disorder(s) Articulation, Phonology, and Speech Sound Disorders Apraxia
Suggestions for Reducing Stopping of Continuant Sounds
April 27, 2009
I have a question to ask the experts in the area of phonological processing. I have a student who stops all continuant sounds (i.e., t/s, d/z, b/f, d/sh, etc). I've used minimal pair pictures to expla... Read More
Articulation, Phonology, and Speech Sound Disorders
Persistent Articulation Errors in a 4th Grader
April 20, 2009
My son is now in 4th grade and despite having had speech therapy for severe articulation problems from the time he was in preschool to first grade, he continues to be at times incomprehensible. He is... Read More
Articulation, Phonology, and Speech Sound Disorders Apraxia
Encouraging Dialogue in a Child with Turner Syndrome
April 13, 2009
I am currently treating a child with Turner syndrome. She is preschool age, no uvula present (hypernasal), tubes placed, no hearing impairment diagnosed and hearing is functional for her environment.... Read More
Early Intervention AAC - Technology
Remediating Open Mouth Posture in an Infant with Down Syndrome
April 6, 2009
How do you remediate an open mouth posture in an infant with Down syndrome? What may be the cause of the open mouth posture? My son is 6 months old and he has never had swallowing or feeding problems.... Read More
Velopharyngeal Insufficiency and Tonsillectomy
March 30, 2009
My son is 5 years old and has just been referred to an ENT by our school speech pathologist because he demonstrates velopharyngeal incompetencies in speech. He pronounces s,v,z,sh,ch nasally. My son h... Read More
Therapy Techniques for Bilateral Abductor Palsy
March 23, 2009
Can you suggest few speech therapy techniques for a patient with bilateral abductor palsy after a thyroidectomy? His voice is now dysphonic, high-pitched, and strained. Read More
Voice and Resonance Disorders
Myofascial Release and Treatment of Dysphagia
March 16, 2009
What is the current thinking and/or clinical research on the effectiveness of myofascial release when used with dysphagia patients? Read More
Dysphagia (Adult)
NMES and Myasthenia Gravis
March 9, 2009
Would you use Neuromuscular Electrical Stimulation (NMES) as part of oral motor/swallowing therapy with myasthenia gravis? Read More
Dysphagia (Adult)
Treatment Options for Adductor Spasmodic Dysphonia
March 2, 2009
What are the suggested treatment methods for patients with adductor spasmodic dysphonia, 2 weeks post botox injection? Read More
Voice and Resonance Disorders
VitalStim Therapy with Pacemakers
February 23, 2009
Is VitalStim therapy contraindicated in patients who have electronic devices such as pacemakers or internal defibrillators? Read More
Dysphagia (Adult)
Writing Functional Goals for Preschool Children
February 16, 2009
I would really appreciate examples of functional goals for preschool children in the area of speech and language. Read More
Literacy and Phonological Awareness