Speech Therapy for problems resulting from a stroke or head injury

If you or a loved one has suffered a brain injury, it is very common to experience problems speaking or communicating. These issues can be as simple as having "word finding" problems to not being able to speak at all.

Each person is unique and each brain injury is unique. Brain injuries affect people differently and they recover at vastly different rates depending on a number of factors including:

  • age
  • medical history
  • and type of brain injury.

The journey to speech and language recovery after injury

The journey to speech and language recovery begins with release from hospital.  Once a patient is well enough to live at home, outpatient therapy with someone like Eastside Speech Solutions can help reinforce and build on the communication skills developed in rehabilitation. The staff at Eastside have had years of experience working in stroke and brain injury rehabilitation settings and know how to work with patients, family and carers to compassionately and effectively develop:

  • compensatory strategies
  • build new neural pathways
  • and improve communication skills after injury.

Please contact Eastside Speech Solutions if you are anticipating the release of a loved one from hospital and would like help us to help in their rehabilitation.

Speech or Verbal Apraxia

Apraxia of Speech is a disorder that impairs a person's ability to organise the muscles used to produce speech.  In childhood it is often referred to as Child Apraxia of Speech or Developmental Apraxia.  It is also spoken about more broadly as Speech or Verbal Apraxia and often occurs after a stroke or brain injury.

The team at Eastside Speech have found that PROMPT therapy is an effective technique that helps children and adults with the underlying movement issues central to apraxia.

Eastside Speech Solutions is the only clinic in Sydney with a certified PROMPT therapist.  Please contact us to discuss how PROMPT therapy can help.

Frequently asked questions about Speech Therapy

Read our FAQs to learn more about Eastside Speech Solutions:

  • When should I consult a speech pathologist about my child?

    Answer

    In summary, call Eastside Speech Solutions and ask for your child to be
    assessed if:

    • You are worried about your child's language comprehension, expression and/or understanding
    • You think your child's understanding is different from other children
      of the same age (click here to read more about developmental milestones)
    • Your child stutters (no matter what their age)
    • Your child's voice sounds different from other children's e.g it sounds hoarse
    • Your child's teacher expresses concern.
  • What are the developmental milestones for a toddler?

    Answer

    By the age of one, your baby should be able to:

    • Say dad, mumma and a few other words
    • Try to make familiar sounds, such as car and animal noises
    • Respond to familiar sounds such as the telephone ringing, vacuum cleaner or a car in the driveway
    • Understand simple commands such as "no!"
    • Recognise their own name
    • Understand the names of familiar objects and people
    • Enjoy songs, music and books.

    By the age of two most children start to talk to themselves and you can seen their language and communication skills starting to develop:

    • Listen to stories and say the names of the pictures
    • Understand simple sentences, such as "where's your shoe?"
    • Say the names of simple body parts such as nose or tummy
    • Use more than 50 words such as "no", "gone", "mine" and "teddy"
    • Talk to themselves or their toys in play
    • Sing simple songs such as "Twinkle, Twinkle, Little star" or "Baa, Baa, Black Sheep"
    • Try simple sentences such as "Milk all gone"
    • Use some simple pronouns such as "he", "if"
    • Should be able to say m, n and h correctly.

    By the age of three, your child's communication should be understood by family, close friends and regular carers and they should be able to:

    • Understand how objects are used e.g. a crayon is something you draw with
    • Recognise their own needs such as hunger
    • Follow directions
    • Understand basic concepts (in/under, hot/cold)
    • Use 3-4 word sentences
    • Understand basic grammar
    • Enjoy telling stories and asking questions
    • Should be able to say p, b, m, n, ng, w, y, t, d, k, g and f

    By the age of four, your child should be able to be understood most of the time by most people.  If you find friends and acquaintances can not understand your child's express then perhaps a visit to a therapist may be warranted.  Your child should be able to:

    • Understand shape and colour names
    • Understand "wh" questions such as "where are they going?" or "why did he fall?"
    • Understand "time" words such as lunchtime, today, winter
    • Use lots of words (900+) and understand complex sentences
    • Use 4-5 word sentences
    • Use correct grammar most of the time
    • Use language when playing with other children
    • Should be able to say s, z, sh, ch and j

    This is by no means an exhaustive list.  If you are concerned about any aspect of your baby or toddler's speech or language please give us a call.

    Click here for milestones for school age children.

  • Is stuttering ever normal?

    Answer

    Stuttering is never a normal part of a child's (or adult's) speech and is not caused by anxiety, stress or poor parenting. Whilst many children do stop stuttering, about 20% continue to stutter into adulthood if left untreated. In general, if your child is 4 years old or if they have been stuttering for about 6 months, now is the time to seek help.

  • What is tongue thrust?

    Answer

    A tongue thrust is a condition where the tongue rests incorrectly (e.g. between the teeth) or moves forward during a swallow.  The result is that the tongue pushes against or protrudes between the upper and lower teeth.

    Some common indicators of a tongue thrust include:

    • an open bite
    • poor teeth alignment
    • poor muscle tone in the lips and cheeks
    • an open mouth resting posture during the day and/or at night
    • a tongue that you can see resting between the teet
    • difficulties saying "s, z, t or d" sounds
    • excessive lip licking or drooling
    • snoring.

     

  • What is PROMPT Therapy?

    Answer

    PROMPT is an acronym for Prompts for Restructuring Oral Muscular Phonetic Targets.  It is a therapy developed in the 1980's by Deborah Hayden, founder of the PROMPT® Institute.  It is a holistic approach that assesses not just a client's speech movement patterns but how their speech production interacts with their language and cognitive abilities as well as their social and emotional skills.  Therapy goals are set taking into account the whole person and their needs.

  • How can I learn more about how PROMPT can help my child?

    Answer

    The PROMPT institute has a very helpful website http://www.promptinstitute.com with information about PROMPT. At Eastside Speech we regularly run parent-training workshops for parents of children in our clinic. These workshops provide a comprehensive overview of the PROMPT apporach and help parents and caregivers to be involved in therapy planning and goal setting. They are generally run over 3 evenings.

Useful Speech and Communication Resources

Here are a list of sites and resources we have found useful for our patients: