Clinical Resources
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Ask the Experts
Nasal Emissions Post Tonsillectomy
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
Voice and Resonance Disorders
Interpreting Test Scores
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
Language Disorder(s)
Expression of Wants/Needs for Patient with Down Syndrome
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
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
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
Articulation, Phonology, and Speech Sound Disorders
Substitution Error v. Frontal Lisp
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
Articulation, Phonology, and Speech Sound Disorders
Teaching Swallowing Maneuvers
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
Dysphagia (Adult)
Stuttering Therapy with Adults
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
Stuttering
Medical Clearance for Voice Therapy
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
Ethics Voice and Resonance Disorders
Vital-Stim Dysphagia Exercises
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
Dysphagia (Adult)
Top-down v. Bottom-up Processing
May 30, 2005
What is the difference between top-down and bottom-up processing in relation to the auditory system? Read More
Rhinolalia
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
Articulation, Phonology, and Speech Sound Disorders Voice and Resonance Disorders
Speech Therapy Resources for Down Syndrome
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
May 9, 2005
Would the term epiglottal dismotility apply to an aged patient whose swallowing of food aspirates foodbits into her lungs? Read More
Dysphagia (Adult)
Phonological Approach for Vowelized Speech
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
Articulation, Phonology, and Speech Sound Disorders
Speech Sounds Affected by VPI
April 25, 2005
What speech sounds would be affected by poor velopharyngeal closure and what would they sound like instead? Read More
Articulation, Phonology, and Speech Sound Disorders Voice and Resonance Disorders
Differential Diagnosis of Language Disorders and Learning Disabilities
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
Language Disorder(s)
Guidelines for Discontinuing Services
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
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
Apraxia
Therapy for Velopharyngeal Dysfunction
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