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Every Special Child - July 2024

Clinical Resources

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

Ask the Experts

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


Rhinolalia

Ann Kummer, Ph.D

May 23, 2005

Hello, I work as an SLP in the public school system. Just recently a PreK student was referred for therapy. His speech and language skills were within normal limits. However, he has been diagnosed wit...   Read More

 


Speech Therapy Resources for Down Syndrome

Dr. Shari Robertson

May 16, 2005

What are some helpful resources for speech therapists working with the Down syndrome population (ages 2-5)?   Read More


Dysphagia Complicated by Aging Dementia

Kathy Thayer, M.A.

May 9, 2005

Would the term epiglottal dismotility apply to an aged patient whose swallowing of food aspirates foodbits into her lungs?   Read More


Phonological Approach for Vowelized Speech

Nancy Creaghead, Ph.D

May 2, 2005

As an SLP, I am the primary teacher of two 3hr/day preschool programs for children ages 3-5, diagnosed with primary communication disorders. My younger children seen in the mornings include several se...   Read More


Speech Sounds Affected by VPI

Amy Skinder Meredith, Ph.D,CCC-SLP

April 25, 2005

What speech sounds would be affected by poor velopharyngeal closure and what would they sound like instead?   Read More

 


Differential Diagnosis of Language Disorders and Learning Disabilities

Elena Zaretsky, Ph.D

April 18, 2005

I am looking for information about differential diagnosis between language disorders and learning disabilities. I have been receiving questions regarding diagnosis and services and how to distinguish...   Read More


Guidelines for Discontinuing Services

Angela Sherman Slp.D, CCC-SLP

April 11, 2005

The school I work at has a unit where the students have severe to profound communication disabilities and are dependent for total care. Cognition is very poor and expressive abilities are left to the...   Read More


Apraxia v. Dyspraxia

Megan Malone

April 4, 2005

I have a 5 year old son who was diagnosed at the age of 3 with apraxia. Since then he has been diagnosed with PDD (I also have a son 7 years old with PDD..verbal). The school's speech therapist now sa...   Read More


Therapy for Velopharyngeal Dysfunction

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

March 28, 2005

I am working with a kindergarten student who was diagnosed with weak velopharyngeal closure. I haven't been able to obtain the etiology and the mother said that was the diagnosis. There was no report...   Read More


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