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Clinical Resources

Search archived articles, review expert clinical advice, and access helpful professional links and information.

Ask the Experts

Palatal Lift Exercises for VPI

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

October 10, 2005

I am working with a six-year-old male with inconsistent velopharyngeal incompetency and motor speech disorder best characterized as dysarthria.Surgical intervention or a prosthetic appliance were not...   Read More


Evaluation and Treatment Recommendations for a Child with Dyspraxia - a Complicated Case

Margaret Fish, MS, CCC-SLP

October 3, 2005

I am presently working with a 6.4yr. old (semi) verbal male who attends a private Kindergarten three days a week. He has received private Sp. therapy for 2 yrs. and was labeled as dyspraxic. I have wo...   Read More

 


Improving Cadence with Dyspraxia

Michelle Godfrey Harmon, Ph.D

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


Reimbursement for Dysphagia Treatment

Sue Curfman, M.A.,CCC

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


Assessing Pragmatic Use of Language

Mary Anne Nericcio, Ph.D

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

 


Reducing Laryngeal Tension During Stuttering

Craig Coleman, M.A.,CCC-SLP

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


Voice Change Post Tonsillectomy

Lori Lombard, Ph.D

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


Therapy for Frontal Lisp

Cheryl Gerard, PhD

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


Bi-Lingual Cochlear Implant Users

Nancye Roussel

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


Nasal Emissions Post Tonsillectomy

Rosalie Unterman ., Ph.D,CCC

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


Interpreting Test Scores

Shelley Velleman, Ph.D

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


Expression of Wants/Needs for Patient with Down Syndrome

Lauren Nelson, Ph.D

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

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

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

Dee Lance, Ph.D,CCC-SLP

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


Substitution Error v. Frontal Lisp

Mary Beth Armstrong, Ph.D,CCC-SLP

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


Teaching Swallowing Maneuvers

Michael Crary, Ph.D

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


Stuttering Therapy with Adults

Craig Coleman

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


Medical Clearance for Voice Therapy

Michelle Harmon, Ph.D

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

 


Vital-Stim Dysphagia Exercises

Michael Crary, Ph.D

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


Top-down v. Bottom-up Processing

Judy Duchan Speech-Language Pathologist

May 30, 2005

What is the difference between top-down and bottom-up processing in relation to the auditory system?   Read More


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