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The Communication Corner: Executive Function Disorder

Executive Function Disorder                                by Rachel Archambault In the last decade or so, the terms inattentive, hyperactive, or impulsive have been commonly associated with ADD/ADHD.  Until recently, the word “inattentive was used to describe “the inability to stay on task”, but is now part of a much larger concept, now called executive function disorder (EFD). Executive Function Disorder is essentially when a person has difficulties going through the steps to complete a task. In simpler terms, in order for a task to be done, one must: analyze the task, plan how to address the task, organize the steps to carry out the task, develop timelines for completing the task, adjust or shift steps if needed, and complete the task in a timely matter. A child with EFD may have problems with organization, planning, analyzing, and scheduling in order to complete the tasks. They may also misplace papers, reports, or have trouble keeping their personal items organized.  Some other diagnoses that have deficits in executive functions are Autism, Asperger’s, attention deficit disorders, conduct disorder, Tourette’s, fetal alcohol syndrome, and childhood schizophrenia. Parents may describe their kids as disorganized or scattered. If a parent gives a direction to their child with EFD, such as, “pick up your toys”, the child will not be able to complete the task. Instead, the parents must tell the child each step in order to get to the goal that will look like, “Pick up your toys, take out the basket, place all the toys inside the basket, and put the basket with the toys back on the shelf”. To diagnose EFD, a speech pathologist will […]

3 Reasons to Hire A Tutor Today

  For some Children and Adolescents, school has its ups and downs. Many enjoy the friendships and routine of participating in the daily ritual of academia. Others are carrying a heavy, invisible backpack full of emotions that would crush an adult on an everyday basis. An overwhelming, cumulative load of dread fills their mind as they start to equate their academic success (or lack thereof) with self-worth. In other words, I am not doing well in school, so I am not as good of a person as I can be. 1. GUILT– Many parents feel guilt for working or not spending “enough” time with their child. Whether your child is struggling or excelling, tutoring is meant to be a family support system to move your child forward out of stagnation. A tutor becomes part of your Family Team! It takes a village to raise a child! 2. SHAME– Children and Adolescents can carry the burden of shame for not learning concepts as quickly as their peers. Each time a child receives a lower grade, it is difficult to process the emotions. Embarrassment, regret, humiliation may be hard to shake off as they try yet again. Tutors can help to give them a fresh start with encouragement. Tutoring can be a game changer. 3. HOPELESSNESS-Over time, Children and Adolescents can feel sadness regarding the lower grades achieved given the serious effort of preparing for tests. No matter how much they prepare, they still are not able to reach their goal. No matter how much the parent helps, the child still falls short. Hopelessness and discouragement can creep in over time. After a while, a feeling of complacency fills […]

The Communication Corner: Summer Tutoring Services

Pamela Rowe, MA, CCC-SLP, LLC is pleased to offer Summer Tutoring and Enrichment Services at our Orlando and Longwood locations. Free registration starts April 1, 2016. We offer effective, individualized summer tutoring for PreK through 12th grade students. Using evidence-based curriculum through Time4Learning, children and adolescents will have an enjoyable summer learning and thriving in various subjects. Our specialized instruction is taught by Learning Professionals with a Bachelor’s degree in either Education, Communication Disorders, Social Work, or Psychology.  Utilizing a Learning Styles Inventory, Students are matched with an encouraging Learning Professional that will meet his or her needs. Attend one of our Open House Events! Saturday, April 16, 2016, 11:30a-12:30p Orlando Location in Vaden Plaza, 6239 Edgewater Drive, Suite N2, Orlando, FL 32810 …RSVP Saturday, April 16, 2016, 1:00-2:00p Longwood Location in Harbour Bend, 2957 W State Rd 434, Suite 100, Longwood, FL 32779…RSVP A Summer Learning Curriculum With Substance Time4Learning.com combines 1500+ multimedia lessons, printable worksheets and graded activities in a student-paced environment that brings concepts to life. Math and language arts lessons are correlated to state standards. Science, social studies and art are also provided as a bonus to most grades. Curriculum features: Individual logins allow students to work on their own schedule Grade levels can be set independently for each subject A grade above & below can be accessed for review and extra study in most grades (excludes high school courses) Lessons are presented in a sequential order in small chunks Students can repeat lessons if they don’t understand a concept An automated system grades lessons and […]

Reflections on Mirror Play with Infants and Toddlers

    Having compassion and vision helps one to seek out opportunities and also create opportunities. That is what we are. Creators! My interest in Self-representation and Mirror Play was first sparked when my SLP team brought the National Read Aloud 15 Minutes Campaign to Central Florida. The campaign challenges Parents to read aloud to their children (ages Birth-age 8) everyday for 15 minutes. Sounds great, right? We collected and gave away hundreds of books, served pizza and spread the word about the need and benefits of reading to your children. I felt that something was missing. I felt as if we were jumping to step 4 in a series. What were the preceding steps? I began to collaborate with Head Start organizations. We noticed an ever-growing trend of Parents with decreased meaningful verbal communication with their children for the first 0-5 years of their life. I started to research early literacy and early cognitive milestones. Today, I will focus on Mirror Play as a viable tool for the development of Self-recognition and Self-Representation in children. We will discuss the: -Research (many found in Psychiatric and Psychology journals) regarding Self-representation and self-recognition -norms regarding Self-representation and Self-recognition -The behaviors that follow the proper development of self-representation and self-recognition -Implications of the Research -My experience in presenting to Parent groups regarding mirror play -Everyday ways to incorporate Mirror Play in various age groups Defintions: Self-Recognition-recognition of one’s own self Self-Representation- self-view, self-image,self-schema, self-concept, self-awareness Philosopher and psychologist William James (1842–1910) was one of the first to postulate a theory of the self in The Principles […]

Exciting Speech, Voice, Swallowing Therapy using the ISO-PLUS Device

Pamela Rowe, Speech Therapy is pleased to announce the use of the revolutionary ISO-PLUS device in our Speech, Voice, Tongue Thrust, Swallowing Therapy sessions for adults and pediatrics. The ISO-PLUS was developed by Page Parker and Jolie Parker, MS, CCC-SLP. Jolie received her Bachelor of Science in Communication Disorders from the University of Florida and then went on to receive her Master of Science in Speech-Language Pathology also from the University of Central Arkansas. She specializes in the treatment of children and adults who have speech/language problems, decreased social skills due to Autism, TBI, or stroke, difficulty swallowing symptoms, such as having difficulty swallowing food, coughing or choking while eating, difficulty swallowing pills, and coughing or choking when drinking liquids, voice problems, and memory problems. Many of Jolie’s dysphagia patients have been on PEG tubes, mechanical soft diets, pureed diets, and/or thickened liquids and have returned to regular foods and liquids after completing dysphagia exercises with the ISO-PLUS Swallowing and Voice Exercise Device, including CTAR (Chin Tuck Against Resistance) and JOAR (Jaw Opening Against Resistance) and other dysphagia exercises. Some patients who had PEG tubes and were not allowed to eat or drink anything for many months have been able to have the PEG tube removed after completing swallowing exercises with the ISO-PLUS Swallowing and Voice Exercise Device. Jolie holds a Certificate of Clinical Competence from the American Speech-Language and Hearing Association (ASHA), a state license from the Florida Department of Health, and has 20 years of experience in clinical settings, hospitals, nursing homes, and home health care. She is the author of the ASHA approved CEU course for speech language pathologists: Using the ISO Swallowing Exercise Device in Dysphagia Therapy. In 2009, Jolie asked her husband, Page Parker, […]

The Communication Corner: Parkinson’s Disease and Active Music Therapy

Active Music Therapy: An Interactive Way to Stimulate Emotional and Motor Rehabilitation for Parkinson’s Disease Patients          Over the past several years, Music Therapy has become a widely used method of treatment in a medical setting. Individuals who participate in music therapy, benefit on multiple levels including, emotional, cognitive, social, intellectual,  and physical. Music therapy has also been known to reduce levels of stress and anxiety, as well as improve cognitive functioning in Alzheimer’s Disease patients. Research is also suggesting that music therapy is a beneficial therapy method for individuals struggling with Parkinson’s Disease. As you may or may not know, Parkinson’s disease affects roughly 500,000 individuals in the United States, with 50,000 new cases developing annually. Parkinson’s disease is a degenerative neurological disorder that is caused by degenerative neurons in the brain, responsible for controlling movement. Active music therapy is believed to help improve the functional status of individuals, diagnosed with Parkinson’s disease.     Active music therapy is a specific approach to music therapy that involves the improvisation of music, in which the patient and the music therapist use musical instruments and their voices. By having the patient’s play musical instruments, the sensory organs are actively engaged. Furthermore, the patient begins to create music and rhythm which stimulates emotional and motor responses. Thus, providing movement of different sensory pathways in the brain. In a study that compared the effects of active music therapy to general physical therapy, 32 adults, 65 years of age with Parkinson’s disease, were compared between the two therapy methods. Researchers found that active music therapy not only increased the motivational level and quality of […]

The Communication Corner: Creating a Wellness Group!

Pamela Rowe, Speech and Music Therapy has created a Company-wide Wellness Group using the Fitbit Fitness and Health Technology.  Pamela Rowe, MA, CCC-SLP started this program to help support a healthy lifestyle for the employees, which will help to serve the community as a whole.  The fitbit is the device we picked to help tracks steps, distance, and calories burned.  Fitbit has a few different models to choose from which include the Zip, Flex, and One. We have been using the fitbit zip for healthy competition between co workers.  By joining the group online, you are able to see the members step count for the month.  It’s the motivation you need to get out and be more active. The zip is the smaller wireless tracker. It’s able to sync stats to the computer and select smartphones.  It also encourages you to set goals and challenge friends. The zip is easy to wear while it tracks steps, distance and calories burned.  Another device is the Flex. It’s a wireless wristband that tracks activity and sleep.  It helps to keep you motivated with real stats right on your wrist.  The flex can also be worn at night to track your sleep and number of times you wake up, so you can sleep more soundly.  The Flex has a silent wake alarm that vibrates to wake you up.  The last device they offer is called the One, it’s a wireless activity and sleep tracker.  This device never sleeps.  During the day it tracks steps, distance, calories burned and stairs climbed. At night it tracks your sleep quality, helps you sleep more soundly, and […]

The Communication Corner: New Research Regarding Specific Language Impairment

Information Processing and Proactive Interference in Children With and Without Specific Language Impairment A recent study was conducted to see if children with a Specific Language Impairment (SLI) will differ from their peers in resistance to proactive interference under different conditions.  Proactive interference is the difficulty of learning new information because of already existing information.  Evidence has shown that children with SLI have a deficit in inhibition control, to focus on relevant information in presence of irrelevant information. People who are more efficient in resisting interference from irrelevant information (external or internal) have more free working memory capacity.  This information is what began the research to examined whether problems in proactive interference contribute to the working memory deficit in children with SLI. Only a few studies have looked at executive functions such as inhibition control, or sustained attention with children with a SLI. Those findings show that children with SLI show slower development than Typical Language Development (TLD) peers but disappears once they get to school age. When looked at all the different studies, it suggest that problems of children with SLI are not limited ot specific modalities.  After these findings the study here was to focus on resistance to proactive interference.  Two questions were to be answered from the study: Experiment 1: Do children across groups show same degrees of interference in a condition where previous target items become distractors? Experiment 2: Do children’s responses to items follow a highly practiced item show an increase in reaction item reflecting greater proactive interference? Three groups were formed based on age and language status, 22 child with SLI, 22 children with typical language development […]

The Communication Corner: Clinical Director awarded the ACE Award

Pamela Rowe, MA, CCC-SLP, Clinical Director of Pamela Rowe Speech and Music Therapy,  recently received the Award for Continuing Education (ACE).  The ACE is awarded by the American Speech-Language-Hearing Association (ASHA) to Speech Language Pathologist who have demonstrated commitment to lifelong learning by earning 7.0 ASHA CEUs (70 contact hours) within a 36-month period. Beside showing her commitment to learning, Pamela Rowe, MA, CCC-SLP is an active member in the field of Speech Language Pathology.  She is a member of the American Speech-Language-Hearing Association (ASHA), Florida Association of Speech-Language Pathologist and Audiologists (FLASHA), The Corporate Speech Pathology Network (CORSPAN), and Community Leader on ASHA Community.  She’s also an affiliate with Special Interest group 2 Neurophysiology and Neurogenic Speech and Language Disorders, Special Interest Group 13 Swallowing and Swallowing Disorders, and Special Interest Group 15 Gerontology.  In addition to being an active member in the community, Pamela is also a published author with ASHAsphere, The ASHA Leader and the Independent Clinician. Pamela stays busy in the field of Speech Pathology and explains,“I enjoy learning and collaborating within the field of Speech Pathology.  We are only limited by our creativity and compassion.  For the field of Speech Pathology, the best days are ahead of us.  The best is yet to come!” http://www.asha.org/ce/CEUs/ace/

The Communication Corner: Specific Language Impairment and Motor Skills

How Specific Language Impairment Affects Motor Skills and Language Processing   Specific Language Impairment, or SLI, as it is often called, is a language deficit found in children that impairs their  expressive and in some cases, receptive language capabilities. Expressive language is the area of communication that encompasses the ability to share thoughts, emotions, and ideas with others. Receptive language pertains to the ability to understand what other’s are saying to you and process receiving input. The cause of SLI is unclear and can occur when there is no sign of a neurological, hearing, or gross and fine motor impairment. However, some researchers have noted that children diagnosed with SLI tend to be clumsy and have soft gross and fine motor abnormalities.Researchers have also found that some children exhibited limb and finger movement abnormalities and have demonstrated trouble buttoning clothing, threading beads and hand gestures. A total of 29 conducted studies of motor skills and children with SLI reported similar findings which provides substantial evidence that language impairment in not the only aspect affected by SLI.   In a study conducted by Andrea C., DiDonato Brumbach, and Lisa Goffman, eleven children with SLI were compared to 12 age matched peers between the ages of 4-6 years old. The study focused on Syntactic Construction which examined error patterns in the production and use of syntax that varied in difficulty. Syntax is a linguistic term that pertains to grammar and the rules that guide the structure of sentences. The findings concluded that the children with SLI demonstrated difficulty using proper grammatical inflection (extra letter(s) added to nouns, adjectives, and verbs to reflect plurals and various tenses). Using comparisons from previous studies […]