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Presence Explore - December 2024

Clinical Resources

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

Ask the Experts

Decreased Epiglottic Movement

Kelly Knollman-Porter, M.A.,CCC-SLP

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


Resources for Professionals Working with Children with Down Syndrome

Carole Zangari, PhD, CCC-SLP

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


Differential Diagnosis: Apraxia or Phonological Disorder

Sue Caspari, M.A.,CCC-SLP

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

  


Suggestions for Reducing Stopping of Continuant Sounds

Dawnyale Foster, M.S.,CCC-SLP

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


Persistent Articulation Errors in a 4th Grader

Kathleen Fahey, Ph.D

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

 


Encouraging Dialogue in a Child with Turner Syndrome

Pam Marshalla, M.A.,CCC-SLP

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

 


Remediating Open Mouth Posture in an Infant with Down Syndrome

Carole Zangari, PhD, CCC-SLP

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

Robert Mason Dmd, Ph.D

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

Bridget Russell, Ph.D

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


Myofascial Release and Treatment of Dysphagia

Angela Hein Ciccia, PhD, CCC-SLP

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


NMES and Myasthenia Gravis

Nancye Roussel, Ph.D

March 9, 2009

Would you use Neuromuscular Electrical Stimulation (NMES) as part of oral motor/swallowing therapy with myasthenia gravis?   Read More


Treatment Options for Adductor Spasmodic Dysphonia

George Charpied, M.A.,CCC-SLP

March 2, 2009

What are the suggested treatment methods for patients with adductor spasmodic dysphonia, 2 weeks post botox injection?   Read More


VitalStim Therapy with Pacemakers

Yorick Wijting Pt

February 23, 2009

Is VitalStim therapy contraindicated in patients who have electronic devices such as pacemakers or internal defibrillators?   Read More


Writing Functional Goals for Preschool Children

Nancy Creaghead ., Ph.D

February 16, 2009

I would really appreciate examples of functional goals for preschool children in the area of speech and language.   Read More


Articulation Differences that Reduce Intelligibility

Alejandro Brice, Ph.D,CCC-SLP

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


Echolalia and Normal Speech Development

Lillian Stiegler, Ph.D

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

 


Treatment Strategies for Primary Progressive Aphasia

William Connors ., M.A.

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

  


'Kissing Tonsils' and Velar Sounds

Robert Mason Dmd, Ph.D

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

Judy Montgomery, Ph.D,CCC-SLP

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

 


Therapy Suggestions for Laryngeal Papilloma

Michelle Harmon, Ph.D

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


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