The Ethical and Clinical Responsibilities of Speech-Language Pathologists

1498 WordsFeb 19, 20186 Pages
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. NSOMEs focus on non-speech movements of the oral mechanism such as exercise, blowing, and repetitive exercise of different muscle groups such as spreading and rounding the lips. Resistance exercises, including opening and closing of the jaw when pressure is applied, can also be implemented. SLPs often utilize sensory stimulation such as applying vibration to the lips or tongue. It is believed that NSOMEs allow the child to develop motor skills for speech and motor memory of speech productions so he or she can accurately and appropriately move and place the articulators when addressing specific speech sounds (Ruscello, 2008). NSOMEs delineate from phonetic placement and sound modification procedures that are used in traditional articulation therapy due to the fact that they are not directly related to the act of speech (Muttiah, Georges, & Brackenbury, 2011). Phonetic treatments also target
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