Clinical Resources
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Ask the Experts
Computer Programs for Expressive Aphasia Therapy
January 28, 2008
I am a certified SLP, and have many patients with expressive aphasia. I have tried various techniques to improve their expressive abilities, but not all return to baseline. Do you have any suggestions... Read More
Aphasia Early Intervention Telehealth and Telepractice
Velo-Cardial Facial Syndrome and Voice Volume
January 21, 2008
I would appreciate some therapy techniques for a teenage girl (grade 10) with Velo-Cardial Facial Syndrome. She produces speech sounds in connected speech under normal circumstances. Her voice volume... Read More
Voice and Resonance Disorders
Exercises for Unilateral Vocal Fold Paralysis
January 14, 2008
What can I do to return function to my paralyzed left vocal cord? Are the exercises the same as those suggested in an ATE published on your site in 2004, "U Read More
Voice and Resonance Disorders
Determining Whether Supraglottic Swallow Works Using FEES
January 7, 2008
I am aware of an ENT in my area (CA) who performs FEEST in her office without a speech pathologist. We subsequently did a VFSS on one of her patients for whom she recommended a supraglottic swallow ba... Read More
Dysphagia (Adult) School Intervention and Collaboration in Schools
My Son Has Difficulties Retelling a Story and Organizing Spoken Language
December 17, 2007
When my son was 4-1/2 yrs old, I thought he was 'behind' in speech development compared to other kids his age. He wasn't forming his sentences as well and had a hard time explaining himself. I had his... Read More
Laryngeal Spasms
December 17, 2007
I recently conducted a modified barium swallow study on a patient who complained of severe coughing episodes at the beginning of her meals that subsided as she ate. During the MBS, the patient did cou... Read More
A Classroom-Based Service Delivery Model for a Child with Autism
December 17, 2007
I am working with a first grade student who has autism. He is able to leave the large group classroom and walk to the speech therapy room, and participates in all language activities. Yet when we walk... Read More
School Intervention and Collaboration in Schools Language Disorder(s) Autism Spectrum Disorders (ASD)
Modified Barium Swallow Versus FEES
December 10, 2007
For SLPs working in an acute care hospital:What does your comprehensive Barium Swallow Evaluation (BSE) consist of? What about with patients who have vents/trach? How often and when do you recommend M... Read More
Dysphagia (Adult)
Choosing ICD-9 Codes
December 3, 2007
Which ICD-9 code should be used for the primary diagnosis? For example, if an individual who has Down Syndrome comes in for speech therapy, do we code the Down Syndrome (or medical diagnosis) as the p... Read More
Initiating Swallowing Therapy after Prolonged Tube Feeding
November 19, 2007
I am working with a 15-month-old boy who has been on a feeding tube since he was born. His doctors have said that he is ready to start trying to take foods/drinks orally. I work for an education agenc... Read More
Dysphagia (Adult)
Normal Tongue Placements in Infants
November 12, 2007
My daughter, aged 3 months, has a submucosal tongue tie. It does not affect her nursing - she latches on very well. But her tongue seems to be long and usually sticks out between her lips, especially... Read More
Language Disorder(s) Early Intervention Articulation, Phonology, and Speech Sound Disorders
Early Phonological Intervention
November 5, 2007
Is there a typical age to begin phonology treatment in young children? I just started working with a birth-to-three program and have been seeing a 30 month old child for phonology treatment of frontin... Read More
Articulation, Phonology, and Speech Sound Disorders
What the SLP Needs to Know Regarding Intervention with Chorea
October 29, 2007
I have just been notified that a student in our school will require speech services because of a sudden onset of chorea. This student is 14 years old, and up until a month ago, was in good health. I h... Read More
'Scripting' in Children with Autism Spectrum Disorder
October 22, 2007
My 7 year old son has PDD. He had echolalia when he was first diagnosed around age 3. He would repeat the last word we said-especially when we asked him a question. This is not so much a concern anymo... Read More
Autism Spectrum Disorders (ASD) Language Disorder(s)
Unusual Speech Pattern: Language or Fluency Problem
October 15, 2007
I am an SLP who recently observed a 5 year old whose speech pattern is highly unusual. He speaks at a loud and high level of excitation most of the time, often accompanied by hand flapping, and a "pre... Read More
Stuttering Language Disorder(s)
Speech Therapy for Patients with Myasthenia Gravis
October 8, 2007
What should be the main focus of speech and language therapy for patients with myasthenia gravis? Read More
AAC - Technology
Oral Feeding Problems in a Premature Infant
October 1, 2007
My granddaughter was born October 5th, 2006. She was not due until Jan 1st, 2007. She was released from the hospital in January, but still will take almost no bottles. She has a gastric tube, but we a... Read More
Early Intervention Dysphagia (Adult)
Medicare Paying for Cochlear Implants?
September 24, 2007
Will Medicare pay for bilateral CIs? For replacing an existing CI with a newer internal device? For a new BTE? Read More
Hearing and Hearing Loss
Team Approach to Assessing APD
September 17, 2007
I am a speech language pathologist who is currently not practicing. I strongly suspect that my four year old has an auditory processing problem. He was evaluated. The speech therapist looked at his re... Read More
Central Auditory Processing Disorder (CAPD)
Reporting Raw Test Scores
September 10, 2007
Is there any reason to report raw scores on comprehensive evaluation reports? I typically report the standard score and percentile rank, as well as a ratings equivalence (i.e., average, below average,... Read More
Language Disorder(s)