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Clinical Resources

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

Ask the Experts

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


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

Causes of Retrograde Amnesia

Amy Ogburn Yeager, Ph.D

March 21, 2005

What are all the causes of retrograde amnesia?   Read More

Incorporating Personal Hygiene into Therapy

Mary Anne Nericcio, Ph.D

March 14, 2005

I am working with a 13-year-old boy in a public school setting. He is severely autistic and exhibits behaviors that are very inappropriate and very distracting. This is my first year working with this...   Read More

/r/ and /l/ substitutions

Bridget Russell, Ph.D

March 7, 2005

I'm looking for articles on /r/, /l/ and r-controlled vowel substitutions that may have a neurological base. I'm an SLP with a student exhibiting these error sounds that appear to be resistant to chan...   Read More

Cognitive Disability: Misc Issues, 2nd Grader

Kathleen Fahey, Ph.D,CCC-SLP

February 28, 2005

A new second grade female student has been brought to my attention. She has a primary disability of cognitive disability and she is not hearing impaired. She is not able to verbalize. She makes great...   Read More

Dysfluency: Blocking in a 3 year old

Janet Skotko M.Ed

February 21, 2005

A 3 year old blocks on the initial consonant in the beginning of a sentence and throws his head back as a secondary characteristic. He is not aware of his dysfluencies yet. What is the best method to...   Read More

Nasal Turbulence

Ann Kummer, Ph.D,CCC-SLP

February 14, 2005

I work with a 3 year old girl with Pierre-Robin Sequence, who is 2 years post cleft repair. She is cognitively very bright and has excellent speech and language skills. Her compensatory speech errors...   Read More

Pitch Disorders in Children

Celia Stewart, Ph.D,CCC-SLP

February 7, 2005

Please direct me to information regarding pitch disorders in children - specifically, a parent is concerned about her son who is in first grade and has a noticeably high voice pitch. It doesn't cause...   Read More

Swallowing Therapy with a Premature Infant

Mary Warburton, M.A.,CCC-SLP

January 31, 2005

I have a homehealth patient who is a premature baby just home from the hospital after 4 months whose actual age is 1 month. G-tube is in place, but consumes 2 oz of formula on average per feeding. One...   Read More

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