Designed to facilitate correct r in the most difficult clients with a blend of oral-motor and traditional articulation therapy. Understand how the jaw, lips, and tongue work for correct r production. See the difference between the consonantal and vocal r, and between the tip r and the back r. Motivate clients to participate and succeed in r therapy.

Written by renowned basic and clinical scientist, Raymond D. Kent, the Handbook on Children’s Speech: Development, Disorders, and Variations provides comprehensive and systematic coverage of the topic of how speech develops and how it can be disordered or otherwise, a departure from typical patterns of a mainstream dialect. The book emphasizes relevant biology and psychology of speech development; contemporary models of spoken language; typical speech development; bilingualism and dialect; motor learning and motor control; clinical assessments of articulation, phonology, voice, prosody, and intelligibility; populations in which speech disorders and differences often occur; and methods and strategies for prevention and treatment. The Handbook covers both speech development and pediatric speech disorders focusing on the ages of birth to puberty. Because speech disorders in children occur against a complex developmental background, the understanding of these disorders requires knowledge about how speech develops and how it is affected in children with disorders or with exposure to languages other than American English. A major theme of the book is that speech development is a constructive, goal-directed phenomenon that weaves together several different processes having their own individual trajectories that generally reach maturity only in puberty or adolescence. For clinicians, researchers, and students, this book will serve as a valuable compendium of the many different tools and methods that have been developed to study speech development in diverse populations and to assess and treat speech disorders and variations.

Through clinical cases and interviews with working professionals, Case Studies in Pediatric Dysphagia takes an original approach to understanding pediatric dysphagia. This text, designed to address the increased need for clinical education, covers topics such as differential diagnosis, medical terminology, and goal setting. Written with group interaction and collaboration in mind, the book provides role-play scenarios, suggestions on how to delve deeper into the case studies, integrating interprofessional practice, and evidence-based treatment approaches. Each chapter includes a case study and a detailed interview with a pediatric dysphagia professional, providing a complete and thorough view of the topic in a reflective and practical way. Key Features: * Provides increased opportunities for students and young professionals to gain experience with complex clients before engaging in intervention * Gives guidance for integrating interprofessional practice as it relates to pediatric dysphagia * Written to prompt the reader to shift toward implementation science, merging research and clinical practice to better serve patients with pediatric dysphagia * Informative interviews with specialists working and conducting research in the field * Offers additional resources at the end of each chapter for the reader to continue their learning on specific case areas of focus * Provides a deeper understanding of cultural considerations and how to incorporate them into practice patterns * Allows students and professionals to integrate both diagnosis and treatment choices and explores current evidence-based approaches to treatment * Both speech-language pathologists and clinical educators will benefit from having this valuable resource on their bookshelves.

Pediatric Dysphagia: Etiologies, Diagnosis, and Management is a comprehensive professional reference on the topic of pediatric feeding and swallowing disorders. Given that these disorders derive from abnormalities in the function and/or structure of the airway and digestive systems, multiple clinical specialists may be involved in the evaluation and management of affected children at any given point in time. Therefore, this text includes significant contributions from a wide range of experts in pediatric dysphagia, including all members of the Interdisciplinary Feeding Team at Cincinnati Children’s Medical Center. These experts present an in-depth description of their roles in the diagnosis and management of dysphagic children, providing the reader with an understanding of why a multidisciplinary model of care is key to the optimization of outcomes. Pediatric Dysphagia is divided into five parts. In Part I, readers are provided with an overview of the embryologic development of aerodigestive structures that relate to swallowing, an introduction to neural organization related to swallowing function and physiologic aspects of swallowing, a synopsis of oral motor development, a discussion of the various etiologic categories of feeding and swallowing disorders, and an overview of genetic disorders associated with feeding and swallowing issues. Part II covers the clinical and instrumental assessment of patients, including the interdisciplinary feeding team infrastructure and function, the roles of individual members of the feeding team, the specific diagnostic tests commonly used in the assessment of feeding and swallowing issues, the classification of neonatal intensive care units, and the assessment and management of feeding and swallowing issues encountered in the neonatal intensive care unit. Part III focuses on the management of pediatric dysphagia, covering a wide range of treatment strategies and interventions for children with various categories of feeding disorders. Part IV includes an introduction to the concept of evidence-based practice and the application of evidence-based strategies in the management of dysphagia. Part V presents a brief overview of the role of ethics in healthcare and ethical considerations in the treatment of dysphagic children. In summary, the overall aim of this comprehensive text is to provide all pediatric professionals involved in the care of dysphagic patients with a basic understanding of the complexity of this disorder, the anatomic, neurologic, and physiologic components involved in this disorder, an overview of the diverse population of children who suffer with this disorder, and with a wide range of management approaches based on patient needs and capabilities. The authors also address clinical problem solving and decision making, inspiring readers to develop multidisciplinary models of care at their own institutions.