Clinical Resources
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Ask the Experts
Unintelligible Speech With a Pharyngeal Flap
November 7, 2005
I have a new student on my caseload. She is 5 years old and was born with a submucous cleft. The cleft has been repaired and she had a pharyngeal flap in November 2004. She did receive speech therapy... Read More
Articulation, Phonology, and Speech Sound Disorders Voice and Resonance Disorders
Therapy for Early Vocal Nodules in Children
October 31, 2005
I'm a school speech pathologist working with a 4 year old boy who has been diagnosed with a thickening of the anterior one-third of his vocal chords which, according to his MD, is a prenodule state pr... Read More
Voice and Resonance Disorders
Therapy References for Children with Cerebral Palsy
October 24, 2005
I am a speech and language therapist. I was wondering whether you could recommend any books about speech and language intervention in children with cerebral palsy. Read More
My Child Has a Unilateral Hearing Loss
October 17, 2005
My son is now one year old and was diagnosed with unilateral hearing loss when he was born. Now that he is starting to talk, I wonder is there anything I can do to help him with his speech. He does no... Read More
Palatal Lift Exercises for VPI
October 10, 2005
I am working with a six-year-old male with inconsistent velopharyngeal incompetency and motor speech disorder best characterized as dysarthria.Surgical intervention or a prosthetic appliance were not... Read More
Evaluation and Treatment Recommendations for a Child with Dyspraxia - a Complicated Case
October 3, 2005
I am presently working with a 6.4yr. old (semi) verbal male who attends a private Kindergarten three days a week. He has received private Sp. therapy for 2 yrs. and was labeled as dyspraxic. I have wo... Read More
Apraxia Language Disorder(s)
Improving Cadence with Dyspraxia
September 26, 2005
What can be done to improve the cadence of a student with resolving dyspraxia... this student is a second grader with few remaining speech sound errors (distortion of /r/ and f/th substitution)...but... Read More
Apraxia
Reimbursement for Dysphagia Treatment
September 19, 2005
Is esophageal dysphagia therapy reimbursable for Medicare in a Skilled Nursing Facility? If a resident is having chewing difficulty only, does this warrant a dysphagia evaluation, and is it paid for b... Read More
Dysphagia (Adult)
Assessing Pragmatic Use of Language
September 12, 2005
I am searching for a useful checklist or assessment tool in determining a student's pragmatic use of language. I realize that this may not be a "qualifying" tool for services but we need to describe s... Read More
Language Disorder(s) Autism Spectrum Disorders (ASD)
Reducing Laryngeal Tension During Stuttering
September 5, 2005
I have three middle school students who are severe stutterers, whose greatest challenges appear at the laryngeal level. Two of them cannot get enough airflow during blocks to permit phonation and have... Read More
Stuttering
Voice Change Post Tonsillectomy
August 29, 2005
I am a SLP in a public school and a 6th grade girl just came to me about her voice change since her tonsillectomy recently. Not sure how long it's been since the surgery, but I'm guessing not long. Is... Read More
Voice and Resonance Disorders
Therapy for Frontal Lisp
August 22, 2005
I have a client with a frontal lisp. He has already made significant improvement during therapy for /sh/, /j/, /ch/. The only sound left is /s/ and he can retract the tongue to produce an "okay&q... Read More
Articulation, Phonology, and Speech Sound Disorders
Bi-Lingual Cochlear Implant Users
August 15, 2005
My daughter Danielle was diagnosed with profound bilateral hearing loss at one month of age. She was implanted at 10 months. She hears the grass grow. Her receptive speech is about age appropriate, ex... Read More
Cultural and Linguistic Diversity
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)