Lisa Klein Speech specializes in evaluating and treating children and adults with a wide range of communication disorders such as:
Childhood Apraxia of Speech (CAS)
Childhood Apraxia of Speech (CAS) is a motor speech disorder that first becomes apparent as a young child is learning speech. For reasons not yet fully understood, children with apraxia of speech have great difficulty planning and producing the precise, highly refined and specific series of movements of the tongue, lips, jaw and palate that are necessary for intelligible speech. To some degree or another, a child with the diagnosis of apraxia of speech has difficulty programming and planning speech movements.
Lisa Klein is PROMPT trained (Prompts for Restructuring Oral Muscular Phonetic Targets). PROMPT is a multi-dimensional approach to speech production disorders incorporating physical-sensory aspects of motor performance, cognitive-linguistic and social-emotional. PROMPT may be used to facilitate production, revise or change production, or to integrate motor production.
Down Syndrome is a congenital disorder arising from a chromosome defect. It arises from a defect involving chromosome 21, usually an extra copy (trisomy-21).
Speech and language present many challenges for children with Down syndrome but there is information that can help infants and toddlers begin learning to communicate, and help young children progress in speech and language.
Although most children with Down syndrome learn to speak and will use speech as their primary means of communication, they will understand language and have the desire to communicate well before they are able to speak.
Total communication, using sign language, pictures, and/or electronic synthesized speech can serve as a transitional communication system. Other important pre-speech and pre-language skills are the ability to imitate and echo sounds; turn-taking skills (learned through games such as peek-a-boo); visual skills (looking at speakers and objects); auditory skills (listening to music, speech, and speech sounds for lengthening periods of time); tactile skills (learning about touch, exploring objects in the mouth); oral motor skills (using the tongue, moving the lips); and cognitive skills (understanding object permanence and cause and effect relationships).
Autism Spectrum Disorder
Autism Spectrum Disorder (ASD) is a developmental disability that can cause significant social, communication and behavioral challenges. Those with ASD often repeat certain behaviors and are unwilling to change their daily activities. People with ASD have different ways of learning, paying attention, or reacting to situations.
Orofacial myology is a specialized professional discipline that evaluates and treats a variety of oral and facial (orofacial) muscle (myo-) postural and functional disorders and habit patterns that may disrupt normal dental development and also create cosmetic problems.
Feeding therapy may be required for picky eaters who have a reduced repertoire of foods that they accept or sensory food aversions which may include the following red flags:
SOS Approach to Feeding
Lisa Klein is also trained in The SOS (Sequential Oral Sensory) Approach to Feeding program. The SOS Approach is an effective way to address problematic feeding behaviors in a variety of settings and populations. Parents and caregivers of children who will not eat are faced with a difficult and often puzzling challenge. Because the interplay between weight gain and a child’s experience of food can be complicated, there is rarely an easy solution when a feeding problem arises.
The SOS Approach uses a trans-disciplinary team approach which assess the “whole child”: organ systems, muscles, development sensory, oral-motor, learning/behavior, cognition, nutrition and environment.
The SOS Approach focuses on increasing a child’s comfort level by exploring and learning about the different properties of food and allows a child to interact with food in a playful, non-stressful way, beginning with the ability to tolerate the food in the room and in front of him/her; then moving on to touching, kissing, and eventually tasting and eating foods.
The SOS (Sequential-Oral-Sensory) Approach to Feeding Program was developed by Dr. Kay Toomey and is used worldwide to treat feeding issues in infants, children, and adolescents.
A disorder/condition that affects an individual's ability to swallow.
Aphasia is an acquired neurogenic language disorder resulting from an injury to the brain, most typically the left hemisphere, that affects all language modalities. Aphasia is not a single disorder, but instead is a family of disorders that involve varying degrees of impairment in four primary areas:
Traumatic brain injury (TBI) is an insult to the brain, not of a degenerative or congenital nature, but caused by external physical force that may produce a diminished or altered state of consciousness, which results in an impairment of cognitive abilities or physical functioning.
A stroke is the sudden death of brain cells due to lack of oxygen, caused by blockage of blood flow or rupture of an artery to the brain. Sudden loss of speech, weakness, or paralysis of one side of the body can be symptoms.
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.
Dysarthria is a motor speech disorder that is due to a paralysis, weakness, altered muscle tone or incoordination of the speech muscles. Speech is slow, weak, effortful, imprecise or uncoordinated. Voice and breathing for speech may also be affected.