Swallowing

Assessment

Our assessments aim to identify the causes of the swallowing problem. Only when the causes are identified can accurate diagnosis be made which will then lead to better treatment outcome. Assessments will include one or more of the following:-

• Clinical Bedside Evaluation
• Videofluoroscopy (X-ray of Swallowing)
• Fiberoptic Endoscopic Evaluation of Swallowing (FEES)

Treatment

Treatment will be specific in targeting the underlying cause/s of the swallowing problem. There is no one ultimate treatment or solution in treating swallowing difficulties. Our treatment may include a combination of the following approaches:-

• Computerized swallowing therapy (sEMG Biofeedback Assisted Therapy)
• VitalStim Therapy
• Specific swallowing exercises targeting specific swallowing problems
• Prosthetic management

Language Disorders

Assessment

We will conduct thorough assessments on all the language components (which include comprehension, expression (speech), reading and writing) and identify levels of breakdown in the language system.

Treatment

We will target treatment on the identified impaired language components and the levels of breakdown. Compensatory strategies will be taught to the client/caregivers to ensure some form of communication is maintained and encouraged. As our treatment is home based, it makes it easier to facilitate and understand the communication needs of our clients and their caregivers.

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• Medical Quality
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• Modern Technology
• Experienced Doctors

Speech Difficulties

Assessment

There are many types of dysarthria which often time may be misperceived as apraxia of speech. A thorough assessment is needed to accurately diagnose the problem. Our assessment will take into account the underlying medical diagnosis and thorough evaluation of the 5 main components of speech production which include breathing, voicing, articulation, nasality and speech quality.

Treatment

We treat motor speech disorders according to the types that it is presented as this will ensure better treatment outcome bearing in mind that there are specific exercises for each type of the motor speech disorders. Treatment may include one or a combination of the following approaches:

• PROMPT for dyspraxia
• Lee Silverman Voice Therapy
• Specific therapy exercises for specific types of motor speech disorders
• Prosthetic management
• Augmentative and Alternative Communication
• Compensatory strategies to improve on speech productions (This is often time useful especially when muscles are still weak and still undergoing therapy)

Stuttering

Assessment

We will conduct thorough assessments on speech production across different situations taking note of the percentage and type of stutters produced as well as how stuttering is affecting and impacting on day-to-day life.

Treatment

Treatment will focus on how to control stuttering which may include changing the way speech is produced but keeping it as natural sounding as possible across different speaking situations. We believe ultimately that the main therapy aim is working towards more effective communication thus lessening the impact of stuttering when it occurs during interaction with others on a day-to-day basis. As our therapy is not clinic based, we are able to carry over and generalize techniques learnt into real life scenarios and situations “right there and then”.

Voice Disorders

Assessment

We will conduct thorough assessments on voice production components to rule out the cause of the voice problems. A referral to the ENT doctor will be made if necessary.

Treatment

Treatment will be specific to our assessment findings and input from the ENT doctor, if any. Types of treatment may include the following:

• Lee Silverman Voice Therapy (LSVT)
• Specific therapy exercises targeting specific voice productions components

Locum Services

Speech Therapists often work as part of a team, which may include doctors, psychologists, dieticians, physiotherapists, occupational therapists, social workers, teachers and many others.

As such we can provide speech, language and swallowing services in various settings as below, either on ad hoc or contract basis depending on the needs of the organization:-

• Acute hospitals
• Community hospitals
• Day rehabilitation centres
• Nursing homes
• Public and private schools
• Private practice clinics or centres
• Centres for persons with developmental disabilities