Non-Speech Oral Motor Exercise Analysis

Patient will repeat demonstrate four of the five facial exercises to improve his speech intonation

The scope of practice of speech-language pathology describes the ethical and clinical responsibility of clinicians to implement therapy techniques, which contains efficacy that is supported by evidence. Non-speech oral-motor exercises (NSOMEs), in particular have raised controversy among speech-language pathologists (SLPs) and researchers when treating children with articulation and phonological disorders. The use of NSOMEs is a debated issue in the profession due to the lack of evidence based practice (EBP), poor clinical assumptions, and the avoidance of meeting the client’s needs.

The American Speech- Language- Hearing Association (2011) has clearly stated the scope of practice for practicing Speech Language Pathologist as it relates to Augmentative Alternative Communication. It includes:

Watching my friends’ face quiver in disgust after recounting my experience of a videofluoroscopicy and my excitement from viewing the barium travel through the oropharyngeal and pharyngeal phases of swallowing, I realized I wanted to study the extraordinary field of Communication Sciences and Disorders. During my undergraduate career at East Carolina University, my anatomy and physiology class further fostered my enthusiasm for the field when discovering how intricate and complex it is for the human body to perform a simple task such as breathing and swallowing. I was able to utilize my thirst for knowledge of the human anatomy working in Dr. Perry’s Speech Imaging and Visualization Laboratory and enhance my writing skills by reviewing peer reviewed journal articles. Ultimately working and observing lab assistants create 3D anatomical models of the laryngeal mechanism, velopharyngeal mechanism, swallowing mechanism, skull and cranium,

During my interview with Speech Pathologist, Deborah Kirsch, I learned countless details about the Speech Pathology career field. When we first began talking, I learned that Mrs. Kirsch works out of a company called “Professional Therapy Services”, where she is contracted out to work for “Eunice Smith Nursing Home” which is located in Alton, Illinois. She has been working at this facility for about a year. She is a newly found graduate from Southern Illinois University Edwardsville, and she graduated in May 2011. Another thing that I learned about Mrs. Kirsch is that she originally did not go to school to become a speech pathologist, this was a career that she found later in life. After she had graduated from SIUE, the first time with a bachelors in Psychiatry, she started working at a nursing home around this area. She came to know a Speech Pathologist that worked there and she quickly found the field very fascinating. She had always been driven to help others, and she witnessed some of the exercises being done with individuals at the nursing home and decided to go back to school to get her masters in Speech Pathology.

As a Speech Language Pathologist it is my responsibility to provide a means of communication to any individual who has an impairment as it relates to communication. No matter how severe the deficit may be as it relates to cognitive functioning, motor skills,etc.. and any other disability that may impact the traditional means of communication. A Speech language Pathologist who works with individuals who require the use of an Augmentative and alternative communication device, must keep in mind that it is their responsibility to make sure that more than one mode of alternative and or augmentative can be used, monitor the progression of intervention as well as evaluate the individual and most importantly keep up to date with current practice through

At rest and during speech, X showed symmetry in her lips and face. She was a nose breather and showed adequate range of motion for lips and jaw during speech. X demonstrated adequate tongue-jaw and lip-jaw dissociation. She demonstrated sufficient lip strength and was able to produce a tight labial seal. X presented with adequate range of motion of her tongue as noted by her ability to protrude and retract the tongue, create lateral tongue wags, and elevate the tongue tip. She presented with difficulty when fully encircling her lips with her tongue. The client’s dentition was unremarkable.

The participation model begins by identifying the participation patterns and communication needs where the clinician then identifies participation barriers (Beukelman & Mirenda, 2013, p. 108). SLP’s are then taught to differentiate between assessing opportunity barriers and assessing access barriers in the concept that the working clinician evaluates policy, practice, facilitator skill, facilitator knowledge, attitude, and current communication (Beukelman & Mirenda, 2013, p. 108). The client’s current communication assessment includes a full assessment of their possible potential to increase natural abilities, an assessment of potential environmental adaptations, and an assessment of the potential to utilize AAC systems or devices (Beukelman & Mirenda, 2013, p. 108). Once there has been a thorough analysis the speech language pathologist should plan and implement interventions that will span across the present and the future with a follow up to determine how effective the intervention has been in advancing a client’s participation (Beukelman & Mirenda, 2013, p.

The opportunity to observe the work overview of a Speech Pathologist, has tremendously solidified my interest in this field. At the Diana Rogovin Speech Center at Brooklyn College, I observed clients of various ages with different speech language disorders including articulation, language, voice, fluency and accent modification. Observing clinicians at the speech center gave me the opportunity to learn how important client-clinician interaction is for the session and how essential it is to build a good relationship with the client. Although I learned the

Personal Statement My aspiration to become a speech pathologist is the culmination of a life-long interest in science and the human voice. As a sophomore in college I became serious about acting and musical theater and was recruited into the state reparatory acting program at Cal State Fullerton. At Cal State, I continued singing and playing lead parts in productions. I found a particular affinity for manipulating my voice for theatrical dialects, and developing optimal vocal support and projection on stage.

The career of speech pathology offers many opportunities in a variety of different settings. For those who are willing to tackle the challenge of advanced education and have a passion for working with others, speech pathology could be a great career choice. Through my individual research and interaction with other Speech Pathologists,

I plan on pursuing a career as a speech-language pathologist (SLP). As a speech language pathologist, I would be assessing, diagnosing, treating, and helping to prevent communication and swallowing disorders in patients. As a result for my passion to work with children, I became highly interested in psychology and child advocacy. I believe all three fields are interrelated because they share a common interest to understand the basic needs of a child. In addition, these fields help assess the influence of family and other social contexts on children’s’ socio-emotional adjustment, cognitive development, behavioral adaptation and health status. One of the reasons, I decided to pursue a career involving advocating for children, is because children always fascinated me. One of my inspirations is my younger cousin who suffers from hypotonia, which is a poor-muscle tone disorder. Therefore, it affects muscle strength, motor nerves and the brain. As he got older, he needed a SLP to help with the muscles associated with articulation. Before then, I didn’t know much about speech pathology, but I can appreciate the career because I saw how speech therapy helped my cousin. In a professional experience, I am currently volunteering in the Alder Aphasia center in West Orange, helping individuals with aphasia, practice speech therapy. As a result for volunteering, I plan to become a member of the NJ SHA multicultural committee advocating for children and

Some of the duties of a speech pathologist are, but are not limited to, evaluate patients’ levels of speech, language, or swallowing difficulty, identify treatment options, teach patients how to make sounds and improve their voices, work with patients to develop and strengthen the muscles used to swallow, and counsel patients and families on how to cope with communication and swallowing disorders (Duties, www.bls.org, 2015). ‘If the speech-language pathologists work in medical facilities, they work with physicians and surgeons, social workers, psychologists, and other healthcare workers’ (Duties, www.bls.org, 2015).

Various studies regarding LSVT and Dysarthria examined both dysarthria and non-progressive dysarthria as well. The research has indicated that the LSVT program improves elements of voice and motor speech. Although the initial purpose of the program was to improve these elements in individuals with Parkinson’s Disease, research has taken some of the elements that the program provides and apply them to other disorders with voice and motor speech involvement. In addition to the different areas of motor speech and voice, research has been done to evaluate LSVT regarding a variety of diagnoses and areas of motor, sensory, and neurological disorders. The research studies, aside from Parkinson’s Disease, is limited to case studies and single-subject design and findings are limited. (Fox, Morrison, Ramig, & Sapir, 2002). Awareness of sensory processing has increased in research as well as training has been incorporated into the program and the research has discussed that “intensity of treatment (hour-long, high-effort sessions), frequency of clinical contact (four times a week for 1 month), sensory retraining, and simple instructions (“think loud”) are key to the success of the LSVT (Fox et al., 2002). Another strength of the research is that majority of the studies performed a follow up

Evidence-based research is the backbone for virtually every profession. With evidence-based research comes the opportunity to improve nearly any aspect of a profession. Speech-Language Pathologists apply evidence-based knowledge to enhance different aspects of treatment. I would like to be able to contribute to our profession, in this manner, to not only enhance therapy with clients I will work with, but also, to make a difference for other therapists and their clients. My goal is to gain more experience in a research-based setting to continue in future studies striving towards improvements in the methods and manners in which Speech-Language Pathologists deliver treatments.