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Adult Speech Therapy

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Specialized in Treating

  • Voice Disorders

  • Dysarthria

  • Acquired Apraxia of Speech

  • Aphasia

  • Cognitive-Communication Impairment

  • Dysphagia

Voice & Motor Speech Therapy

  • ​Lee Silverman Voice Therapy (LSVT LOUD®): Intensive protocol for Parkinson's disease and motor speech disorders.

  • Vocal Function Exercises (VFE): Systematic physiological exercises designed to strengthen and rebalance the laryngeal musculature.

  • Semi-Occluded Vocal Tract (SOVT) Exercises: Utilizes tools like straw phonation to ease vocal fold adduction and reduce laryngeal effort.

  • Manual Circumlaryngeal Therapy: Hands-on massage and laryngeal manipulation to release muscle tension dysphonia.

  • Expiratory Muscle Strength Training (EMST): Calibrated pressure threshold training to improve breath support for vocal intensity and coughing.

Cognitive-Communication Strategies

  • Spaced Retrieval Training: Memory intervention that prompts recall of target information over progressively longer time intervals.

  • Errorless Learning: Structured intervention minimizing incorrect responses during the acquisition of new skills or information.

  • Systematic Instruction: Step-by-step teaching methods tailored for complex cognitive-communicative routines.

  • Person-Centered Care: Collaborative goal-setting aligning clinical targets with individual client values and lifestyle preferences.

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Speech-Language Pathology

Aphasia & Language Rehabilitation

  • Semantic Feature Analysis (SFA): Structured approach to improve word retrieval by targeting conceptual networks.

  • Response Elaboration Training (RET): Encourages generalized conversational speech and expansion of natural language.

  • Word Retrieval & Cuing Strategies: Personalized hierarchical strategies to improve naming and expressive language.

  • Script Training: Practice of functional, highly specific conversational phrases for daily life interactions.

  • Life Participation Approach to Aphasia (LPAA): Consumer-driven service delivery model prioritizing re-engagement in life activities.

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Dysphagia & Swallowing Therapy

  • Masako Maneuver (Tongue-Hold Exercise): Exercises the pharyngeal muscles by holding the tongue between the teeth during a swallow, promoting stronger posterior pharyngeal wall movement to compensate for reduced base-of-tongue retraction.

  • Mendelsohn Maneuver: Prolongs hyolaryngeal elevation at the peak of the swallow to expand and maintain opening of the upper esophageal sphincter (UES), facilitating safer bolus passage.

  • Effortful Swallow (Hard Swallow): Recruits increased lingual and pharyngeal force to maximize tongue-to-palate pressure, driving bolus clearance and reducing post-swallow residue.

  • Supraglottic & Super-Supraglottic Swallow Maneuvers: Voluntary breath-holding techniques that enforce glottal closure before and during the swallow to safeguard the airway against aspiration.

  • Tongue-Pressure Resistance Training: Targeted lingual isometric protocols (utilizing tools like tongue depressors or the IOPI) to rebuild force generation necessary for oral manipulation and bolus propulsion.

  • Expiratory Muscle Strength Training (EMST): Calibrated pressure-threshold resistive breathing that strengthens hyolaryngeal movement, enhances cough effectiveness, and aids airway protection.

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Cognitive-communication 

Cognitive-communication includes word finding, attention, memory, executive functioning, and many more skills that allow us to perform activities of daily living.

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Dysarthria

Dysarthria is an acquired motor speech disorder that can be characterized by low vocal volume, imprecise articulation, and slow or rapid rate of speech. 

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Dysphagia

Dysphagia is an acquired swallowing disorder characterized by difficulty chewing and/or swallowing. Untreated dysphagia can lead to aspiration, pneumonia, hospitalization, and even untimely death.

Aphasia

Aphasia is an acquired language disorder characterized by difficulty understanding and/or expressing language. 

Some adults may be able to write and read despite difficulty verbally communicating.

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© 2020 by Suffield Speech Therapy, LLC. 

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Contact Information

Mary Drenzek, MS CCC-SLP

mdrenzek@suffieldspeechtherapy.com

(860) 292-0376

suffieldspeechtherapy.com

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