
Adult Speech Therapy

Specialized in Treating
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Voice Disorders
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Dysarthria
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Acquired Apraxia of Speech
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Aphasia
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Cognitive-Communication Impairment
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Dysphagia
Voice & Motor Speech Therapy
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​Lee Silverman Voice Therapy (LSVT LOUD®): Intensive protocol for Parkinson's disease and motor speech disorders.
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Vocal Function Exercises (VFE): Systematic physiological exercises designed to strengthen and rebalance the laryngeal musculature.
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Semi-Occluded Vocal Tract (SOVT) Exercises: Utilizes tools like straw phonation to ease vocal fold adduction and reduce laryngeal effort.
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Manual Circumlaryngeal Therapy: Hands-on massage and laryngeal manipulation to release muscle tension dysphonia.
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Expiratory Muscle Strength Training (EMST): Calibrated pressure threshold training to improve breath support for vocal intensity and coughing.
Cognitive-Communication Strategies
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Spaced Retrieval Training: Memory intervention that prompts recall of target information over progressively longer time intervals.
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Errorless Learning: Structured intervention minimizing incorrect responses during the acquisition of new skills or information.
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Systematic Instruction: Step-by-step teaching methods tailored for complex cognitive-communicative routines.
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Person-Centered Care: Collaborative goal-setting aligning clinical targets with individual client values and lifestyle preferences.
deserves
Everyone
a voice.
Speech-Language Pathology
Aphasia & Language Rehabilitation
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Semantic Feature Analysis (SFA): Structured approach to improve word retrieval by targeting conceptual networks.
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Response Elaboration Training (RET): Encourages generalized conversational speech and expansion of natural language.
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Word Retrieval & Cuing Strategies: Personalized hierarchical strategies to improve naming and expressive language.
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Script Training: Practice of functional, highly specific conversational phrases for daily life interactions.
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Life Participation Approach to Aphasia (LPAA): Consumer-driven service delivery model prioritizing re-engagement in life activities.
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Dysphagia & Swallowing Therapy
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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.
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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.
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Effortful Swallow (Hard Swallow): Recruits increased lingual and pharyngeal force to maximize tongue-to-palate pressure, driving bolus clearance and reducing post-swallow residue.
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Supraglottic & Super-Supraglottic Swallow Maneuvers: Voluntary breath-holding techniques that enforce glottal closure before and during the swallow to safeguard the airway against aspiration.
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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.
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Expiratory Muscle Strength Training (EMST): Calibrated pressure-threshold resistive breathing that strengthens hyolaryngeal movement, enhances cough effectiveness, and aids airway protection.


