Below are fifteen simple things that parents can build into their child’s daily routines of dressing, eating, playing, bedtime and bath time that will help build their child’s communication skills. If you have concerns about your child’s speech & language do not hesitate to request an Early Intervention evaluation or Speech Pathologist through your local… read more
Infection control is an important topic for all healthcare workers. Speech-language pathologists need to be aware of how best to reduce the spread of infection. We provide services to patient populations that are vulnerable to common micro‑organisms residing in abundance throughout the clinical environment, making it critical to implement effective infection control procedures. “Infection control… read more
Speech Pathologists should be competent in the tests that they perform, including the video swallow study. The American Speech and Language Association’s (ASHA) Principle of Ethics II Rule B states “Individuals shall engage in only those aspects of the profession that are within their competence, considering their level of education, training, and experience. SLPs providing highly specialized or specialized… read more
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Comparison of the Fiberoptic Endoscopic Evaluation of Swallowing with the Modified Barium Swallow Study FEES is preferable to video swallow study when: A more conservative examination than videofluoroscopy is required because of concerns about aspiration of barium, food, and/or liquid; or Need to assess fatigue or swallowing status over a meal; or Repeat examination… read more
Pharyngeal Stage The SLP will be looking at the function of the swallowing at the oral, pharyngeal and part of the esophageal phase during an MBS. Here are some pharyngeal deficits to look out for when performing an MBS: Inability to initiate the swallow in a timely and coordinated manner- occurs if the bolus rolls… read more
What to Look for During the Video Swallow Study: Oral Phase SLP’s should compare the normal swallow to the patient’s swallowing. Here is a video of the normal swallow. Oral Phase Anterior spillage- Patients may have difficulty containing the liquids in the oral cavity due to poor lip seal. Decreased mastication- due to weakness… read more
Cleft Palate Therapy Techniques to improve hypernasality. Please see Cleft Palate- Indications for Speech Therapy before reading this article to make sure the child is a candidate for therapy. Auditory Feedback Before attempting to decrease nasality, the child needs to be made aware of the difference between nasality and normal speech and resonance. This can be… read more
When is therapy indicated for a child with cleft palate? What is the difference between velopharyngeal dsfunction, insufficiency, incompetence and mislearning? Children with a history of cleft palate or submucous cleft are at risk for resonance and speech problems due to velopharyngeal dysfunction (VPD). These problems include hypernasality (vocal quality with excessive emission of… read more
Cleft lip and cleft palate comprise the most common birth defect in the United States. One of every 600 newborns is affected by cleft lip and/or cleft palate. A cleft lip is a separation of the two sides of the lip. The separation often includes the bones of the upper jaw and/or upper gum. A cleft palate is an opening… read more
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