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Speech Therapy

BECCA GUSSIAAS, MS, SLP-CFY
JRMC Speech-Language Pathologist

Becca joined the JRMC team in 2015. She is originally from Carrington, ND. She attended Minnesota State University Moorhead for her undergrad and graduate degrees.

Speech therapy is one component of our comprehensive communication services. Learn more about audiology and our Ear, Nose & Throat physician.  

Speech is the movement and accurate production of individual sounds. Speech complications may occur due to stroke, progressive neurological disorders (ALS, MS, Parkinson’s Disease),  congenital disorder (Autism Spectrum Disorder, Down’s Syndrome), or delayed language development in children.

  • Motor speech
    • Speech difficulties that usually occur post stroke, post brain injury, or other neurological
    • May include difficulty with certain sounds or pronunciations
  • Articulation errors
    • Lisp
  • Sound substitution
    • saying “wabbit” for “rabbit”
  • Omissions
    • say “poon” for “spoon”
  • Stuttering
    • includes repetition of words and sounds (Will-will-will-will we go to the store, I w-w-w-w-want an ice cream)
    • Prolongation of sounds (SSSSunday comes after Saturday.)

Language is a combination of the ability to accurately express wants and needs and understand what others communicating to you. Changes in language may occur due to stroke, progressive neurological disorders (ALS, MS, Parkinson’s Disease), or congenital disorder (Autism Spectrum Disorder, Down’s Syndrome)

  • Expressive Language
    • Ability to accurately express wants and needs
    • Using correct vocabulary
    • Writing abilities
    • Object naming
  • Receptive Language
    • Direction following
    • Comprehending what other’s are communicating
    • Reading abilities
    • Accurately answering question
  • Cognitive Communication
    • Memory
    • Attention
    • Problem solving
    • Organizing
    • Daily living skills-balancing a checkbook, reading a recipe, rembering appointments
  • How can speech help
    • Provide alternative forms of communication
    • Provide compensatory language strategies
    • Provide language rehab
    • Provide Cognitive rehab

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Voice disorders include any sudden, unexplained, or progressive difference in the voice.

  • Disordered voice qualities may include
    • Raspy voice
    • Hoarse voice
    • Shaky voice
    • Uneven sounding
    • Pitch breaks
    • Inappropriate pitch for age and gender
    • Low volume
  • Causes of voice disorders
    • Vocal nodules
    • Vocal polyps
    • Allergies
    • Neurological disorders (Traumatic Brain Injury, Stroke, Parkinson’s Disease, ALS, MS)
  • How can speech help
    • Teach appropriate voice habits
    • Behavioral intervention
    • Vocal hygiene
    • Lee Silverman Voice Therapy (LSVT)- Parkinson’s Disease specific
Swallowing disorders may occur due to stroke, progressive neurological disorders (ALS, MS, Parkinson’s Disease), or congenital disorder (Autism Spectrum Disorder, Down’s Syndrome), or normal aging.

  • Swallowing disorders may include
    • Difficulty chewing
    • Difficulty swallowing
    • Coughing when eating/drinking
    • Choking when eating/drinking
  • How speech can help
    • Strengthening exercises
    • Modified diet
    • Sensory stimulation
Pediatrics

  • Speech
    • Articulation errors
      • Lisp
    • Sound substitution
      • saying “wabbit” for “rabbit”
    • Omissions
      • say “poon” for “spoon”
    • Stuttering
      • includes repetition of words and sounds (Will-will-will-will we go to the store, I w-w-w-w-want an ice cream)
      • Prolongation of sounds (SSSSunday comes after Saturday.)
  • Language
    • Expressing wants and needs
    • Direction following
    • Understanding what others are saying
    • Proper grammar
  • Swallowing
    • Difficulty  chewing
    • Difficulty swallowing
    • Coughing when eating/drinking
    • Choking when eating/drinking
    • Only eating a small variety of foods
  • How speech can help
    • Speech
      • Speech therapy to correct speech sounds and stutters
    • Language
      • Providing alternative forms of communication
      • Providing compensatory strategies
      • Speech therapy to improve grammar
    • Swallowing
      • Sensory based feeding approaches
      • Behavioral based feeding approaches
      • Modified diets

 

 

 

Contact JRMC Rehab to Learn More

  • (701) 952-4800