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Unintelligible Speech, Nasal Emissions, and Poor Breath Support in A Teenager

Janet Skotko M.Ed.

April 14, 2008

My question is about a 13 year old student who had unintelligible speech as a preschooler, has had speech therapy since then, and now is judged as 70% intelligible to a familiar listener. He seems to...   Read More


Bifid Uvula, Submucous Cleft, and Speech Regression Post Adenoidectomy

Robert Mason Dmd, Ph.D

April 7, 2008

When my 2 yr old had her adenoids and 2nd set of tubes done last July it was discovered that she has a "bifid uvula consistent with a submucous cleft palate." Her speech regressed extensively after th...   Read More


Using Oral Directions to Differentiate Between APD and ADD/ADHD

Suzanne Swift, CCC-SLP

March 31, 2008

If a child is having a difficult time following oral directions within the classroom, how can we differentially diagnose APD from ADD/ADHD, without having expensive APD testing done?   Read More


Treating Laryngeal Hyperfunction in Singers

Lori Lombard, Ph.D

March 24, 2008

I am a voice teacher with an interest in voice disorders. Is there a specific protocol used by speech language pathologists in treating laryngeal hyperfunction in singers? If so, what it is?   Read More

VitalStim: Rationale for Treating Patients with Dysphagia

Michael Crary, Ph.D

March 17, 2008

My father has recently suffered a stroke and is currently having Vital Stim therapy used on him. I'm moving him to rehab and have been told he MUST continue with Vital Stim. Other speech therapists ha...   Read More

Infection Control for Methicillin-Resistant Staphylococcus (MRSA)

A. Bankaitis, Ph.D

March 10, 2008

I recently read about a case of Staphylococcus at my child's school. Upon further research on the internet, I have seen news reports that there are "resistant" forms of this bacterium that are causing...   Read More

Increasing Oral Motor Development in an Infant

Donna Scarborough, Ph.D

March 3, 2008

I am currently working with an infant who has a history of seizures, which are controlled through medication. He is 11 months now, with low tone, reduced head control, severe hearing loss bilaterally,...   Read More


Apraxia: Targeting Short i and e Vowel Sounds

Sue Caspari, M.A.,CCC-SLP

February 25, 2008

Hello, I have a 2 1/2 year old son who has apraxia. I am also a speech language pathologist. He is missing the short i and e sounds. Do you have any ideas on how to target these vowels? Thanks so much...   Read More


Atypical Disfluency: Mid-Word Inhalations

Michael Retzinger, M.S.,CCC-SLP

February 18, 2008

I am seeing a 7 year old female patient who takes a quick inhalation in the middle of a single syllable word or multisyllable word. She might say "leap" with a quiet "he" type of inhalation like this:...   Read More


Communication Options for Patients with Anarthria

Heidi Williams, M.S.,CCC-SLP

February 11, 2008

I have a client aged 44 years who has been diagnosed with Anarthria. He lost his ability to speak following stroke a year ago. CT scan had revealed HTN posterior circulation stroke with pontine, cereb...   Read More


Assessment and Goal Planning for Social-Pragmatic Functioning

Angela Sterling-Orth, M.S.,CCC-SLP

February 4, 2008

I have a 12 year old high functioning, verbal Autistic 6th grade student who has been on my caseload this year. I've been working on addressing the IEP goal of identifying and expressing emotions such...   Read More


Computer Programs for Expressive Aphasia Therapy

Joan Green, M.A.,CCC-SLP

January 28, 2008

I am a certified SLP, and have many patients with expressive aphasia. I have tried various techniques to improve their expressive abilities, but not all return to baseline. Do you have any suggestions...   Read More


Velo-Cardial Facial Syndrome and Voice Volume

Michelle Harmon, Ph.D

January 21, 2008

I would appreciate some therapy techniques for a teenage girl (grade 10) with Velo-Cardial Facial Syndrome. She produces speech sounds in connected speech under normal circumstances. Her voice volume...   Read More

Exercises for Unilateral Vocal Fold Paralysis

Bridget A. Russell, PhD, CCC-SLP

January 14, 2008

What can I do to return function to my paralyzed left vocal cord? Are the exercises the same as those suggested in an ATE published on your site in 2004, "U   Read More

Determining Whether Supraglottic Swallow Works Using FEES

Susan Langmore ., Ph.D

January 7, 2008

I am aware of an ENT in my area (CA) who performs FEEST in her office without a speech pathologist. We subsequently did a VFSS on one of her patients for whom she recommended a supraglottic swallow ba...   Read More


My Son Has Difficulties Retelling a Story and Organizing Spoken Language

Elena Zaretsky, Ph.D,CCC-SLP

December 17, 2007

When my son was 4-1/2 yrs old, I thought he was 'behind' in speech development compared to other kids his age. He wasn't forming his sentences as well and had a hard time explaining himself. I had his...   Read More

Laryngeal Spasms

George Charpied, M.S.,CCC-SLP

December 17, 2007

I recently conducted a modified barium swallow study on a patient who complained of severe coughing episodes at the beginning of her meals that subsided as she ate. During the MBS, the patient did cou...   Read More

A Classroom-Based Service Delivery Model for a Child with Autism

Lillian Stiegler, Ph.D

December 17, 2007

I am working with a first grade student who has autism. He is able to leave the large group classroom and walk to the speech therapy room, and participates in all language activities. Yet when we walk...   Read More


Modified Barium Swallow Versus FEES

George Charpied, M.S.,CCC-SLP

December 10, 2007

For SLPs working in an acute care hospital:What does your comprehensive Barium Swallow Evaluation (BSE) consist of? What about with patients who have vents/trach? How often and when do you recommend M...   Read More

Choosing ICD-9 Codes

Nancy Swigert ., M.A.,CCC-SLP

December 3, 2007

Which ICD-9 code should be used for the primary diagnosis? For example, if an individual who has Down Syndrome comes in for speech therapy, do we code the Down Syndrome (or medical diagnosis) as the p...   Read More

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