Clinical Resources
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Decreased Epiglottic Movement
May 11, 2009
I received a MBSS report on a patient that reports epiglottis sticking against pharyngeal wall during the swallow and slowly returning back to its position after 2-3 seconds. What would cause this and... Read More
Dysphagia (Adult)
Resources for Professionals Working with Children with Down Syndrome
May 4, 2009
I am returning to full time employment after staying home with my children. I am currently an SLP for the early intervention program in Auglaize County, Ohio. We have had an increase in the number of... Read More
Articulation, Phonology, and Speech Sound Disorders
Differential Diagnosis: Apraxia or Phonological Disorder
May 4, 2009
A new child was recently placed on my caseload. She is in 2nd grade and highly unintelligible. Although there is a family history of hearing loss (not immediate family), hearing loss was ruled out for... Read More
Language Disorder(s) Articulation, Phonology, and Speech Sound Disorders Apraxia
Suggestions for Reducing Stopping of Continuant Sounds
April 27, 2009
I have a question to ask the experts in the area of phonological processing. I have a student who stops all continuant sounds (i.e., t/s, d/z, b/f, d/sh, etc). I've used minimal pair pictures to expla... Read More
Articulation, Phonology, and Speech Sound Disorders
Persistent Articulation Errors in a 4th Grader
April 20, 2009
My son is now in 4th grade and despite having had speech therapy for severe articulation problems from the time he was in preschool to first grade, he continues to be at times incomprehensible. He is... Read More
Articulation, Phonology, and Speech Sound Disorders Apraxia
Encouraging Dialogue in a Child with Turner Syndrome
April 13, 2009
I am currently treating a child with Turner syndrome. She is preschool age, no uvula present (hypernasal), tubes placed, no hearing impairment diagnosed and hearing is functional for her environment.... Read More
Early Intervention AAC - Technology
Remediating Open Mouth Posture in an Infant with Down Syndrome
April 6, 2009
How do you remediate an open mouth posture in an infant with Down syndrome? What may be the cause of the open mouth posture? My son is 6 months old and he has never had swallowing or feeding problems.... Read More
Velopharyngeal Insufficiency and Tonsillectomy
March 30, 2009
My son is 5 years old and has just been referred to an ENT by our school speech pathologist because he demonstrates velopharyngeal incompetencies in speech. He pronounces s,v,z,sh,ch nasally. My son h... Read More
Therapy Techniques for Bilateral Abductor Palsy
March 23, 2009
Can you suggest few speech therapy techniques for a patient with bilateral abductor palsy after a thyroidectomy? His voice is now dysphonic, high-pitched, and strained. Read More
Voice and Resonance Disorders
Myofascial Release and Treatment of Dysphagia
March 16, 2009
What is the current thinking and/or clinical research on the effectiveness of myofascial release when used with dysphagia patients? Read More
Dysphagia (Adult)
NMES and Myasthenia Gravis
March 9, 2009
Would you use Neuromuscular Electrical Stimulation (NMES) as part of oral motor/swallowing therapy with myasthenia gravis? Read More
Dysphagia (Adult)
Treatment Options for Adductor Spasmodic Dysphonia
March 2, 2009
What are the suggested treatment methods for patients with adductor spasmodic dysphonia, 2 weeks post botox injection? Read More
Voice and Resonance Disorders
VitalStim Therapy with Pacemakers
February 23, 2009
Is VitalStim therapy contraindicated in patients who have electronic devices such as pacemakers or internal defibrillators? Read More
Dysphagia (Adult)
Writing Functional Goals for Preschool Children
February 16, 2009
I would really appreciate examples of functional goals for preschool children in the area of speech and language. Read More
Literacy and Phonological Awareness
Articulation Differences that Reduce Intelligibility
February 9, 2009
Several of my students have articulation differences that are common to their culture. However, not having the sounds makes the student difficult to understand in English. I see a couple of Spanish-sp... Read More
Articulation, Phonology, and Speech Sound Disorders
Echolalia and Normal Speech Development
January 26, 2009
My 31 month old son who is getting speech therapy is starting to repeat what is asked of him. He won't do it with things he already knows like his name or how old he is. His speech therapist tells me... Read More
Early Intervention Autism Spectrum Disorders (ASD)
Treatment Strategies for Primary Progressive Aphasia
January 19, 2009
What exercises can be done at home to help my husband with Primary Progressive Aphasia (PPA) find words to communicate? He is going to Speech and Language Therapy but I would like to have a procedure... Read More
Autism Spectrum Disorders (ASD) AAC - Technology Aphasia
'Kissing Tonsils' and Velar Sounds
January 12, 2009
I have a five-year-old client who has extremely large tonsils (i.e. they almost touch at midline). She has difficulty with production of velars in all positions, as well as a slight tongue protrusion.... Read More
Strategies for Improving Expressive Language in a Child with Fetal Alcohol Syndrome
January 5, 2009
I recently have been working with an 8 year old who has had an abusive 1st 4 years of life, and a loving, ideal second 4 years. He has stuttering, articulation, and expressive language issues. He was... Read More
Stuttering Language Disorder(s)
Therapy Suggestions for Laryngeal Papilloma
December 22, 2008
What are some suggestions for working with a child who has laryngeal papilloma, and the physician is advising speech therapy? However, the child is only 4, and continues to have surgeries. What is the... Read More
Voice and Resonance Disorders