* Online therapy sessions allow our visits to be held in functional, real life environments, a cost effective benefit than the traditional “table top” therapy model!
“Home Visits” enable us the opportunity to create treatment plans that not only incorporate the home environment and family participation (if required), we can enter into an individual’s work settings where real life, functional communication takes place. Research shows that the ability to collaborate with the client’s caregivers or family, and the ability to make treatment as meaningful and “real life” as possible, promotes carryover between sessions and allows for the greatest amount of therapeutic gain for each patient!
We specialize in services for:
Traumatic Brain Injury (TBI) Recovery
Neuromuscular speech disorders resulting from Multiple Sclerosis, Parkinson’s Disease, Amyotrophic Lateral Sclerosis (Lou Gehrig's Disease) as well as other conditions
Geriatric-related conditions (patient/family education and counseling for Alzheimer’s Disease, dementia)
Other Speech and Swallowing Conditions:
Swallowing Disorders (Dysphagia)
Some Speech Services Include:
Aphasia/Language Therapy (link to the pop-up of “Aphasia Therapy”)
Apraxia Therapy (Link to the pop-up of “Speech Disorders Therapy”)
Auditory Processing Training
Cognitive Retraining for Memory, Attention, Organization and Planning (Link to the pop-up to “Cognitive Therapy”)
Dysarthria Therapy (link to the “Speech Disorders Therapy”)
Dysphagia (Swallowing) Therapy (Link to the pop-up of “Swallowing Therapy”
Memory Therapy (link to the pop-up “Cognitive Therapy”)
Stuttering/Fluency Therapy(link to the pop-up for “Stuttering Therapy”)
Voice Treatment including LSVT LOUD® (Lee Silverman Voice Training)! (link to the pop-up for “Voice Therapy”)
Accent Reduction (Link to the pop-up for Accent Reduction”)
Patient and Family Education
Aphasia is a disorder that results from damage to the parts of the brain that contain language. Aphasia causes problems with any or all of the following: Speaking, listening, reading, and writing. Expressive aphasia refers to people that have trouble using words or sentences. Receptive aphasia refers to people that have difficulty understanding what other people are saying. Global Aphasia refers to people that struggle with both.
Aphasia can be accompanied with other disorders such as dysarthria, apraxia, or swallowing problems.
* We help you find your words again, understand what others are saying, and address reading, writing and other essential skills to improve the quality of your life!
Speech Disorders Therapy:
The term speech disorder refers to a person who is unable to produce speech sounds correctly, clearly or fluently due to mechanical or physical difficulties. Children may experience developmental articulation delays while adults may experience speech difficulties due to neurologic disorders such as stroke, traumatic brain injury, or degenerative neurological conditions.
Apraxia and Dysarthria are two motor speech disorders that are commonly treated:
* Apraxia of speech is caused damage to the parts of the brain associated with speaking. Individuals with apraxia experience difficulty sequencing sounds, syllables, and words.
* Dysarthria occurs when the muscles of the mouth, face, and respiratory system become weak or slow moving. Signs of dysarthria may include slurred speech, speaking softly, slow rate of speech or rapid rate of speech, mumbling, hoarseness, breathiness, and drooling.
* We design an individualized therapy plan to help you to improve your sound production to be better understood and increase your ability to communicate at home, work, and in the community!
Stuttering: Stuttering is a speech disorder in which sounds, syllables, or words are repeated or prolonged, disrupting the normal flow of speech. These speech disruptions may be accompanied by struggling behaviors, such as rapid eye blinks or tremors of the lips. Stuttering can make it difficult to communicate with other people, which often affects a person’s quality of life.
Don’t let stuttering control your life! We will teach you strategies to control your speech, gain confidence and self-esteem and be the communicator you want to be!
Difficulty eating your favorite foods and drinks, frequent coughing or choking during meals, food or pills getting stuck in your throat may all be symptoms of dysphagia (difficulty swallowing). It is a treatable condition!
Swallowing disorders can occur at different stages in the swallowing process:
* Oral phase – sucking, chewing, and moving food or liquid into the throat
* Pharyngeal phase – starting the swallowing reflex, squeezing food down the throat, and closing off the airway to prevent food or liquid from entering the airway (aspiration) or to prevent choking
* Esophageal phase – relaxing and tightening the openings at the top and bottom of the feeding tube in the throat (esophagus) and squeezing food through the esophagus into the stomach.
We design an individualized swallowing treatment plan to increase swallowing safety, nutrition and improve the quality of your life! Treatment options may include:
* Exercises to improve muscle movement and strength
* Positions or strategies to help the individual swallow more effectively
* Specific food and liquid textures that are easier and safer to swallow
Voice disorders are medical conditions when a person’s vocal quality is altered or changed due to trauma, degenerative neurological conditions, vocal abuse and mis-use, gastro-esophageal reflux and chronic food/seasonal allergies. Voice disorders can result
in abnormal pitch, loudness or quality of the sound produced. It is a good idea to visit an ear-nose-throat (ENT) doctor or otolaryngologist prior to a full speech therapy evaluation to determine if there are any medical factors that need to be treated for therapy to be successful. If you would prefer to speak to a speech pathologist first, we provide free consultations!
* We help eliminate voice disorders, improve vocal hygiene with interactive, individualized vocal exercises and education!
* LSVT LOUD® Clinicians at RCT, are not only certified, but have intensive experience with the delivery of LSVT LOUD® (Lee Silverman Voice Training) by telepractice. LSVT eLOUD is an evidence-based therapy following the original LSVT protocol. LSVT LOUD® emphasizes high phonatory-respiratory effort in order to improve voice quality, vocal volume and speech intelligibility for patient with Parkinson’s disease and associated neurological disorders (i.e., Multiple Sclerosis, Stroke, Traumatic Brain Injury, Cerebral Palsy and more). LSVT LOUD® stimulates generalized neural motor activation across the speech production system and related motor systems resulting in improvements in articulation, facial expression, swallowing and limb movements. Click here for an LSVT Brochure:
Cognitive disorders are conditions that cause individuals to have difficulty thinking. Some common problems in cognitive disorders include decreased attention, awareness, perception, sequencing, planning, flexibility with thinking, problem solving and reasoning skills. Memory problems and thought organization are also common deficits in a cognitive disorder.
Memory: RCT uses evidenced based treatment for individuals with mild-severe memory difficulties including meaningful, functional compensatory strategies to enhance cognitive-linguistic function.
Cognitive Disorders can occur after a traumatic brain injury, stroke, concussion, neurological disorder (such as Multiple Sclerosis, Parkinson’s disease) dementia, or as a part of normal aging.
* RCT clinicians devise individual treatment plans utilizing evidence based therapy to help individuals improve cognitive skills so you can fully engage in the activities of daily living!
Accent Reduction, also referred to as Accent Modification, modifies and reduces your foreign or regional accent to make your speech easier to understand. People who receive these types of services include the following:
* Non-native English speakers
* Speakers who want to reduce a regional accent
* Business and medical professionals who want to improve their communication skills because of a foreign or regional accent
* Actors who need to learn a new accent for a role or performance
Young Stroke Support Group! Empowering younger stroke survivors and their families to reclaim their lives and ambitions through active support:
The good news: The overall incidence of stroke is decreasing. The bad news: Strokes are increasing for people between 20 and 54 years of age. Recent studies looking at stroke trends find that this is particularly prevalent in the U.S.. A study was published in in the October 10, 2012, online issue of Neurology® which looked at “first ever strokes” in the Greater Cincinnati area between 1999 and 2005 and was published in in the October 10, 2012. They found that the mean age of stroke decreased from 71 years to 69 years, and the rate of stroke in the 20 to 54 age range increased from about 13 percent to 19 percent.
There are many different suspected links to the physiological reasons for this, but the biggest differences between “old age” strokes and “young age” strokes is recovery. A stroke in a young person can mean a loss of many productive years and a lifetime of recovery since a 30 year old has a better rate of recovery than an 80 years old. Not only physical, but emotional needs are different for this age group compared to "older" strokes. Dating, marriage, intimate relationships, working, raising children are all aspects affected by a stroke in a young person’s life.
Let us help you connect with other young survivors from around the world
to reclaim your life and ambitions! Please contact us for more information!