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Clinical Resources

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Initiating Swallowing Therapy after Prolonged Tube Feeding

Mary Warburton, M.A.,CCC-SLP

November 19, 2007

I am working with a 15-month-old boy who has been on a feeding tube since he was born. His doctors have said that he is ready to start trying to take foods/drinks orally. I work for an education agenc...   Read More

Normal Tongue Placements in Infants

Robert Mason Dmd, Ph.D

November 12, 2007

My daughter, aged 3 months, has a submucosal tongue tie. It does not affect her nursing - she latches on very well. But her tongue seems to be long and usually sticks out between her lips, especially...   Read More


Early Phonological Intervention

Shelly Velleman, Ph.D

November 5, 2007

Is there a typical age to begin phonology treatment in young children? I just started working with a birth-to-three program and have been seeing a 30 month old child for phonology treatment of frontin...   Read More

What the SLP Needs to Know Regarding Intervention with Chorea

Amy Meredith, Ph.D,CCC-SLP

October 29, 2007

I have just been notified that a student in our school will require speech services because of a sudden onset of chorea. This student is 14 years old, and up until a month ago, was in good health. I h...   Read More

'Scripting' in Children with Autism Spectrum Disorder

Darcy Leoni ., M.S.,CCC

October 22, 2007

My 7 year old son has PDD. He had echolalia when he was first diagnosed around age 3. He would repeat the last word we said-especially when we asked him a question. This is not so much a concern anymo...   Read More


Unusual Speech Pattern: Language or Fluency Problem

Craig Coleman, M.A.,CCC-SLP

October 15, 2007

I am an SLP who recently observed a 5 year old whose speech pattern is highly unusual. He speaks at a loud and high level of excitation most of the time, often accompanied by hand flapping, and a "pre...   Read More


Speech Therapy for Patients with Myasthenia Gravis

Patrick Coppens, Ph.D

October 8, 2007

What should be the main focus of speech and language therapy for patients with myasthenia gravis?   Read More

Oral Feeding Problems in a Premature Infant

Jeanne Saavedra Mhs, CCC-SLP

October 1, 2007

My granddaughter was born October 5th, 2006. She was not due until Jan 1st, 2007. She was released from the hospital in January, but still will take almost no bottles. She has a gastric tube, but we a...   Read More


Medicare Paying for Cochlear Implants?

Tony Arnold Vp Product Mangement Marketing For Advanced Bionics

September 24, 2007

Will Medicare pay for bilateral CIs? For replacing an existing CI with a newer internal device? For a new BTE?   Read More

Team Approach to Assessing APD

Stephanie Tarrant Martin, Ph.D

September 17, 2007

I am a speech language pathologist who is currently not practicing. I strongly suspect that my four year old has an auditory processing problem. He was evaluated. The speech therapist looked at his re...   Read More

Reporting Raw Test Scores

Shelly Velleman, Ph.D

September 10, 2007

Is there any reason to report raw scores on comprehensive evaluation reports? I typically report the standard score and percentile rank, as well as a ratings equivalence (i.e., average, below average,...   Read More

Tips for Working with Velar Fronting

Sandra Uhl, M.A.

September 3, 2007

My question concerns a six year old girl who has velar fronting for /k/ and /g/ and a frontal lisp on /s/ and /z/. I am a student beginning to work on my own cases and am having some trouble with this...   Read More

Voice Therapy Post Surgical Removal of Polyps

Bridget Russell, Ph.D

August 20, 2007

I have a patient who is going to have surgery to remove a polyp from the vocal cords. How soon after the surgery can she receive voice treatment? And do you have any suggestions about exercises? I am...   Read More

The Relationship Between Aphasia Therapy and Cognitive Strengths

Laura Murray, Ph.D,CCC-SLP

August 13, 2007

Do you know of any updated research on aphasia therapy within the realm of neuroanatomy and memory tracing? It's intriguing to me and I'm incredibly interested in this field! Any info provided would b...   Read More

Nasal Speech: Phoneme Specific Errors

Michelle Harmon, Ph.D

August 6, 2007

I have a six year old little girl with very nasal speech. She has seen an ENT and he has said that her oral mechanism looks OK with no areas of concern. The ENT stated that tonsils were normal, he cou...   Read More


Anoxic Incident in a 10-month Old

Cheryl B.Gerard, Ph.D

July 30, 2007

I'm working with a 10-month old infant who suffered an anoxic incident due to near drowning. She has little cause and effect awareness, no volitional vocalizations, and delayed latch to nipples. Her s...   Read More


Listening Age for Implanted Children

Margaret Fish, MS, CCC-SLP

July 23, 2007

I am looking for research that focuses on implants and listening age. For example if a child was implanted at the age of 3 1/2 and has been in school, and intelligence appears age appropriate, should...   Read More

Interrupted Oral and Silent Reading

Leslie Holzhauser-Peters, M.A.

July 16, 2007

I am working with a student whose oral reading is constantly interrupted by an unusual amount of breaths taken in the middle of words. Thus his comprehension of the subject matter is compromised. Does...   Read More

Facilitating A Home Program for Nutrition and Speech

Lynn Marty Grames, M.A.,CCC-SLP

July 9, 2007

I am an RN and I do some home care for a 3 year old boy. This young child was born at 23 weeks gestation due to abruption of the placenta. He had some rough months in the NICU and then went home on a...   Read More


Early Intervention for Tongue Thrust

Juli Webster ., M.S.,CCC-SLP

July 2, 2007

I am a grandmother, R.N., and do most of the childcare for my 19 mo. old grandson. Both his parents are dentists, one being a Pedodontist. The problem is that my grandson has had a tongue protrusion s...   Read More


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