Clinical Resources
Search archived articles, review expert clinical advice, and access helpful professional links and information.
Ask the Experts
Hypernasality in the Absence of Cleft
July 7, 2008
I am an SLP who works mainly with adults in the hospital setting. I am also starting to treat children privately for primarily articulation problems. Recently, a mom in my community has been asking me... Read More
School Intervention and Collaboration in Schools
Addressing Speaking Volume in Individuals with Autism
June 23, 2008
Can you please suggest a strategy for encouraging an adolescent male with autism to speak louder? The young man in question is or will soon be 21 and is indeed verbal. Up until roughly 4 years ago he... Read More
Voice and Resonance Disorders Autism Spectrum Disorders (ASD)
Transient Tic Disorder and Stuttering
June 16, 2008
My son just turned 7 years old and as an SLP I have been monitoring his speech for inconsistent disfluencies over the years. Until this year, I felt his disfluencies were normal. However, last year he... Read More
Stuttering
Goldenhar Syndrome and Eating/Swallowing Issues
June 9, 2008
My son is 23 months old and has Goldenhar syndrome with cervical fusion. He was 6 weeks premature and in the NICU for 4 months due to aspirating Gerd. He has a GT and Nissen and a safe swallow. Speech... Read More
Dysphagia (Adult)
Sign Language and Other Options for Children with Tracheotomies
June 2, 2008
My baby currently has a trach. She has been seeing a SLP at the hospital. I was wondering if there is any more the SLP can do besides sign language. She is not ready for a speaking valve. Read More
AAC - Technology
Articulation: Addition of an Extra Sound in the Final Position
May 19, 2008
I am writing in regard to a 4 year old boy who I evaluated last week, following teacher and parent complaints of him adding the /j/ sound to the end of most words. They expressed concern regarding oth... Read More
Stuttering Early Intervention Articulation, Phonology, and Speech Sound Disorders
Improving Inferencing Skills in Children
May 12, 2008
I am a student clinician in Dr. S R Chandrashekar Institute of speech and hearing and providing speech therapy for a child (5.5years) to improve his inferencing skills. I need your help in doing so -... Read More
Autism Spectrum Disorders (ASD) Language Disorder(s) School Intervention and Collaboration in Schools
Efficacy of Speech Therapy in a 14-year Old with Apraxia and Autism
May 5, 2008
I work with 14 yr old nonverbal Autistic child with Apraxia. He uses chat box to communicate and some gestures. He produces some repetitive strings of some sounds through the day. He is not able to ph... Read More
Autism Spectrum Disorders (ASD) AAC - Technology Apraxia
Therapy Approaches for Corticobasal Degeneration
April 28, 2008
Recently a patient was admitted to our rehabilitation department with a diagnosis of corticobasal degeneration. She presents with dysarthria, resembling that of ataxic dysarthria and mild apraxia (ora... Read More
Voice and Resonance Disorders Apraxia
Spelling Errors and Language Disorders
April 21, 2008
My 10 year old son has been diagnosed with "Moderate Language Processing Disorder." Please explain this to me. I can't find much information on it. Also, is this a direct link to his spelling? No one... Read More
Language Disorder(s) Literacy and Phonological Awareness
Unintelligible Speech, Nasal Emissions, and Poor Breath Support in A Teenager
April 14, 2008
My question is about a 13 year old student who had unintelligible speech as a preschooler, has had speech therapy since then, and now is judged as 70% intelligible to a familiar listener. He seems to... Read More
Voice and Resonance Disorders Stuttering Articulation, Phonology, and Speech Sound Disorders
Bifid Uvula, Submucous Cleft, and Speech Regression Post Adenoidectomy
April 7, 2008
When my 2 yr old had her adenoids and 2nd set of tubes done last July it was discovered that she has a "bifid uvula consistent with a submucous cleft palate." Her speech regressed extensively after th... Read More
Early Intervention School Intervention and Collaboration in Schools
Using Oral Directions to Differentiate Between APD and ADD/ADHD
March 31, 2008
If a child is having a difficult time following oral directions within the classroom, how can we differentially diagnose APD from ADD/ADHD, without having expensive APD testing done? Read More
Language Disorder(s) Early Intervention Central Auditory Processing Disorder (CAPD)
Treating Laryngeal Hyperfunction in Singers
March 24, 2008
I am a voice teacher with an interest in voice disorders. Is there a specific protocol used by speech language pathologists in treating laryngeal hyperfunction in singers? If so, what it is? Read More
Voice and Resonance Disorders
VitalStim: Rationale for Treating Patients with Dysphagia
March 17, 2008
My father has recently suffered a stroke and is currently having Vital Stim therapy used on him. I'm moving him to rehab and have been told he MUST continue with Vital Stim. Other speech therapists ha... Read More
Dysphagia (Adult)
Infection Control for Methicillin-Resistant Staphylococcus (MRSA)
March 10, 2008
I recently read about a case of Staphylococcus at my child's school. Upon further research on the internet, I have seen news reports that there are "resistant" forms of this bacterium that are causing... Read More
Increasing Oral Motor Development in an Infant
March 3, 2008
I am currently working with an infant who has a history of seizures, which are controlled through medication. He is 11 months now, with low tone, reduced head control, severe hearing loss bilaterally,... Read More
Dysphagia (Adult) Articulation, Phonology, and Speech Sound Disorders
Apraxia: Targeting Short i and e Vowel Sounds
February 25, 2008
Hello, I have a 2 1/2 year old son who has apraxia. I am also a speech language pathologist. He is missing the short i and e sounds. Do you have any ideas on how to target these vowels? Thanks so much... Read More
Articulation, Phonology, and Speech Sound Disorders Apraxia
Atypical Disfluency: Mid-Word Inhalations
February 18, 2008
I am seeing a 7 year old female patient who takes a quick inhalation in the middle of a single syllable word or multisyllable word. She might say "leap" with a quiet "he" type of inhalation like this:... Read More
Stuttering Early Intervention
Communication Options for Patients with Anarthria
February 11, 2008
I have a client aged 44 years who has been diagnosed with Anarthria. He lost his ability to speak following stroke a year ago. CT scan had revealed HTN posterior circulation stroke with pontine, cereb... Read More
AAC - Technology Aphasia