Speech Therapy

Who can benefit from therapy with a speech-language pathologist?

People who are experiencing:

  • Difficulty communicating due to brain injury, stroke or degenerative neurological conditions
  • Voice problems such as excessive loudness, hoarseness, pitch of voice, chronic laryngitis or vocal nodules
  • Stuttering
  • Difficulty swallowing
  • Excessive coughing or choking episodes
  • Memory/attention/concentration difficulties

NRH Voice Program

Our voice program is provided by the Department of Communication Disorders.

The program offers comprehensive evaluation and treatment of voice disorders, using state-of-the-art technology for patients experiencing vocal hoarseness, dysphonia, vocal cord paralysis, vocal cord cancer, resonance, articulation disorders and hyperfunctional voice disorders such as vocal nodules, polyps and cysts. This program may be helpful for any of the following conditions:

  • Throat discomfort/dryness in the absence of colds or allergies
  • Vocal quality changes such as hoarseness, harshness, breathiness or throat clearing
  • Breathlessness lasting longer than three weeks
  • Nasal, breathy vocal quality or pitch that is too high or too low
  • Significant changes in how their voice sounds, in absence of colds or allergies
  • Poor projection abilities
  • Vocal fatigue

Treatment options may include:

  • Computerized instrumentation and recordings to objectively analyze vocal function
  • Individualized voice therapy to reduce abusive behaviors, improve voice quality and increase or reduce loudness
  • Electrolarynx speech training for patients who have had laryngectomees
  • Voice therapy is designed to address each individual’s needs

Cognitive-Linguistic Deficits

Cognitive-linguistic disorders refer to problems with attention, memory, organization, reasoning, and social skills that impact communication.

This diagnosis is seen in patients experiencing ADHD, Traumatic Brain Injury, Multiple Sclerosis, Concussion, Parkinson’s Disease and other neurological disorders.

  • Auditory Comprehension/Processing
  • Verbal Expression (thought formulation/expression, word finding, etc.)
  • Reading Comprehension
  • Written Expression
  • Memory (immediate/working memory, short term memory)
  • Attention (sustained, alternating, divided)
  • Executive Functions (task initiation/completion, planning, problem solving, etc)

Our approach to therapy if you are experiencing cognitive-lingusitic deficits includes:

  • Evaluation through a combination of standardized and dynamic assessments
  • Establishing goals based on deficits and patient objectives
  • Education related to the patient’s diagnosis
  • Compensatory strategies
  • Tailoring of home exercise plan to ensure continued success after therapy


Sona-Speech is a computer program that allows the therapist and patient to record and analyze current vocal quality. This program provides visual and acoustic targets and allows the patient to make use of the biofeedback features offered to assist in establishing optimal voicing quality.

Communication Disorders

The ability to communicate is our most human characteristic. A communication disorder is an interruption in the expressive and/or receptive ability to communicate with speech, language, and/or in voice.

Speech-language pathologists (SLPs) provide therapy for various diagnoses and conditions including:

  • Aphasia
  • Apraxia
  • Articulation/speech disorders
  • Conditions requiring speech generating devices
  • Cognitive deficits (attention/memory)
  • Head and neck cancer
  • Laryngectomy
  • Neurological diagnoses
    • ALS
    • Alzheimer’s
    • Dementia
    • Bell’s palsy
    • Guillain-Barre syndrome
    • Multiple sclerosis
    • Parkinson’s disease
    • Post-concussive syndrome
  • Stuttering
  • Voice Disorders


LSVT® LOUD improves both the voice and speech of individuals with Parkinson’s disease by treating the underlying physical pathology associated with the disordered voice.

  • Improves vocal loudness
  • Allows for immediate carryover into daily communication
  • Enables patients to maintain and/or improve their oral communication
  • Shows benefits in swallowing, facial expression, intelligibility and improved brain function

Swallowing Disorders

A swallowing disorder, also called dysphagia, causes a disruption in the swallowing function and interferes with the intake of nutritional needs and secretion management.