Wednesday, October 5, 2011

Speech Therapy and ViSHA Therapy and Consulting Centre


SPEECH LANGUAGE THERAPY

In a recent parent-teacher conference, did the teacher express concern that your child may have a problem with certain speech or language skills. Or perhaps while talking to your child, you noticed an occasional stutter.

Could your child have a problem? And if so, what should you do?

It's wise to intervene quickly. An evaluation by a certified speech-language pathologist can help determine if your child is having difficulties. Speech-language therapy is the treatment for most kids with speech and/or language disorders.


Speech Disorders and Language Disorders

A speech disorder refers to a problem with the actual production of sounds, whereas a language disorder refers to a difficulty understanding or putting words together to communicate ideas.

Speech disorders include:

  • Articulation disorders: difficulties producing sounds in syllables or saying words incorrectly to the point that listeners can't understand what's being said.

  • Fluency disorders: problems such as stuttering, in which the flow of speech is interrupted by abnormal stoppages, repetitions (st-st-stuttering), or prolonging sounds and syllables (ssssstuttering).

  • Resonance or voice disorders: problems with the pitch, volume, or quality of the voice that distract listeners from what's being said. These types of disorders may also cause pain or discomfort for a child when speaking.

  • Dysphagia/oral feeding disorders: these include difficulties with drooling, eating, and swallowing.

Language disorders can be either receptive or expressive:

  • Receptive disorders: difficulties understanding or processing language.

  • Expressive disorders: difficulty putting words together, limited vocabulary, or inability to use language in a socially appropriate way.


When does a child need speech therapy?

Speech-language pathologists work with people:

  • who cannot produce speech sounds, or cannot produce them clearly;

  • who cannot produce speech sounds, or cannot produce them clearly;

  • who have problems with speech rhythm and fluency, such as stuttering;

  • who have voice disorders, such as inappropriate pitch or harsh voice;

  • who have problems with understanding and producing language;

  • who wish to improve their communication skills by modifying an accent;

  • who have cognitive communication impairments, such as attention, memory, and problem solving disorders.

  • who have swallowing difficulties.

Speech, language, and swallowing difficulties can result from a variety of causes including developmental delays or disorders, learning disabilities, cerebral palsy, cleft palate, voice pathology, mental retardation, hearing loss, stroke, brain injury or deterioration, or emotional problems. Problems can be congenital, developmental, or acquired.

The practice of speech-language pathology involves:

  • Providing prevention, screening, consultation, assessment and diagnosis, treatment, intervention, management, counseling, and follow-up services for disorders of:

    • speech (i.e., articulation, fluency, resonance, and voice including aeromechanical components of respiration);

    • language (i.e., phonology, morphology, syntax, semantics, and pragmatic/social aspects of communication) including comprehension and expression in oral, written, graphic, and manual modalities; language processing; preliteracy and language-based literacy skills, including phonological awareness;

    • swallowing or other upper aerodigestive functions such as infant feeding and aeromechanical events (evaluation of esophageal function is for the purpose of referral to medical professionals);

    • cognitive aspects of communication (e.g., attention, memory, problem solving, executive functions).

    • sensory awareness related to communication, swallowing, or other upper aerodigestive functions.

  • Collaborating in the assessment of central auditory processing disorders (CAPD) and providing intervention where there is evidence of speech, language, and/or other cognitive communication disorders.

  • Speech-language pathologists in schools collaborate with teachers, special educators, interpreters, other school personnel, and parents to develop and implement individual or group programs, provide counseling, and support classroom activities.

  • Speech-language pathologists can also conduct research on how people communicate.

  • Speech-language pathologists design and develop equipment or techniques for diagnosing and treating speech problems.


    How do they work?

    Speech-language pathologists provide services to individuals with disorders often along with physicians, social workers, psychologists, and other therapists. Speech-language pathologists use qualitative and quantitative assessment methods, including standardized tests, as well as special instruments, to analyze and diagnose the nature and extent of speech, language, and swallowing impairments. Speech-language pathologists develop an individualized plan of care, tailored to each patient's needs. For individuals with little or no speech capability, speech-language pathologists may select augmentative or alternative communication methods, including automated devices and sign language, and teach their use. They teach these individuals how to make sounds, improve their voices, or increase their oral or written language skills to communicate more effectively. They also teach individuals how to strengthen muscles or use compensatory strategies to swallow without choking or inhaling food or liquid. Speech-language pathologists help patients develop, or recover, reliable communication and swallowing skills so patients can fulfill their educational, vocational, and social roles. They counsel individuals and their families concerning communication disorders and how to cope with the stress and misunderstanding that often accompany them. They also work with family members to recognize and change behavior patterns that impede communication and treatment and show them communication-enhancing techniques to use at home. Speech-language pathologists keep records on the initial evaluation, progress, and discharge of clients. This helps pinpoint problems and track client progress.


    Speech Language Pathologist: Ms. Vidhi Sanghvi.

    Masters in Audiology and Speech language Pathology (M.A.S.L.P)

    ViSHA Therapy and Consulting Centre

    contact@visha.co.in

    +91-7666103448.


Friday, September 23, 2011

What is Autism ?

What is Autism?

Autism is known as a ‘spectrum disorder,’ because the severity of symptoms ranges from a mild learning and social disability to a severe impairment, with multiple problems and highly unusual behavior. The disorder may occur alone, or with accompanying problems such as mental retardation or seizures. Autism is not a rare disorder, being the third most common developmental disorder


What is a person with autism like?

A child with high functioning autism may have a normal or high I.Q., be able to attend a regular school and hold a job later in life. However, this person may have difficulty expressing himself and may not know how to mix with other people. Moderately and more seriously affected children with autism will vary tremendously. Some autistic children do not ever develop speech, while others may develop speech but still have difficulty using language to communicate. Often, there is an unusual speech pattern, such as echoing whatever is said to them, repeating a word over and over, reversing "you" and "I" when asking for something, and speaking only to express needs, rather than emotions.

A child with autism looks just like any other child, but has distinctive behaviour patterns. A child who is autistic may enjoy rocking or spinning either himself or other objects, and may be happy to repeat the same activity for a long period of time. At other times, the child may move very quickly from one activity to another, and may appear to be hyperactive. Many autistic children have sensitivity to certain sounds or touch, and at other times, may appear not to hear anything at all. Autistic children may have very limited pretend play; they may not play appropriately with toys or may prefer to play with objects which are not toys. Autistic children may be able to do some things, like sing songs or recite rhymes very well, but may not be able to do things requiring social skills very well.

What are early indicators of Autism ?
  • no babbling or pointing by age 1
  • no single words by 16 months or two-word phrases by age 2
  • no response to name
  • loss of language or social skills
  • poor eye contact
  • excessive lining up of toys or objects
  • no smiling or social responsiveness

What are Later indicators include ?
  • impaired ability to make friends with peers
  • absence or impairment of imaginative and social play
  • stereotyped, repetitive, or unusual use of language
  • restricted patterns of interest that are abnormal in intensity or focus
  • preoccupation with certain objects or subjects
  • inflexible adherence to specific routines or rituals

What Should Parents Do If They See These Signs in Their Child?

It's important to understand that no one or two or these symptoms alone is an indication that your child is autistic. What's more, it can be very tough for a parent to determine, for example, how much "lining up of toys" is excessive, or how much smiling is normal. There is also the possibility that some of these symptoms can be caused by physical issues; for example, not responding to a name could very well be a symptom of a hearing impairment.
To properly diagnose autism, professionals use a set of specific tests that actually measure a child's symptoms. They may also decide that your child should undergo testing for hearing impairment or speech issues that are unrelated to autism. For that reason, parents who are concerned about their child should take their concerns to their pediatrician. If their pediatrician is not able to help, and parents still have worries, it may be time to make an appointment with a developmental pediatrician or other diagnostician.



Web: http://www.visha.co.in/
Contact : Dr. Deesha Ponda.
Phone : +91-7666103448.
Email : deesha.b@gmail.com

Occupational Therapy

For those of you who are new to all of this, you might be wondering... What IS Occupational Therapy? Many people have heard about occupational therapy, "OT" as we like to call it, but often don't  fully understand.
Our profession is somewhat complex, but I will do my best to define occupational therapy and help you understand it.

What Is Occupational Therapy?...Technically, it is defined as

"The therapeutic use of work, self-care, and play activities to increase development and prevent disability. It may include adaptation of task or environment to achieve maximum independence and to enhance the quality of life."

"Occupation" means being occupied or engaged in a task at a given point of time.
A person or a child may be engaged in following occupations:

1. Self care: eating, dressing, grooming, bathing, toilet activities.

2. Work/Productivity:
Productive work as business/job for an adult,
School / learning / play for children
Housework for housewives.

3. Leisure / Play: engaging in occupations which give joy and pleasure like watching tv, listening to music, hobbies, socialising, travelling, reading etc.

4. Sleep.

Thus, our entire day comprises of sequence of occupations. Even a simple thing like watching tv or sleeping is termed occupation as per occupational therapists.

It is when proper time is given to all the above mentioned occupations that a person is said to be
"occupation Ally BALANCED" OR "HEALTHY AND FIT"

"Therapy" means intervention or getting the optimal functioning of an individual with or without assistive devices

"Occupational Therapy" comes into picture when at any point of time due to any physical, psychological, learning difficulty a person or a child is not able to perform or has a difficulty in performing any of the Self care, work, leisure or sleep occupational areas.

 An occupational therapist will evaluate these performance areas of individuals and it is their duty to get the individual to perform as effeciently and as independently as possible.

For eg: When children have autism or dyslexia or any other physical difficulty they find it difficult to perform  optimally in school or in play or in socializing. An occupational therapist evaluates the child and based on the evaluation brings them to their optimal level of functioning in school, at home and other places.
        Similarly, when there is a break from routine for adults due to fracture, paralysis, pain, arthritis etc  where there is a difficulty in performing their daily tasks efficiently, it is duty of an occupational
therapist to bring them back to their occupations as successfully and as independently as possible.