Speech therapy

Speaking and language are the foundations of our communication. They serve the differentiated structuring of our thoughts and emotions. Communication with the environment and communication of needs ensure our participation in daily life. Thus, language is a cornerstone of our quality of life.

Speech therapy includes speaking, speech, voice and swallowing. In these areas, we offer you individual counselling and therapy services in close coordination with your needs. We have been working for years with medical practices of various disciplines, schools and kindergartens as well as counseling centers. This enables interdisciplinary and therapeutically comprehensive work. Since speech therapy and the quality of our therapeutic work are very important to us, continuous training and work according to current guidelines is a matter of course for us.

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In the case of a delay or disorder in language development, the areas of communication, language comprehension, vocabulary, phonetic, word and sentence formation can be affected. Often several areas are affected at the same time. We examine and treat your child according to the latest linguistic findings. With proven, child-friendly methods of speech therapy, we achieve progress and success. We will discuss the treatment plan with you in advance.

The goals of the therapy can vary depending on the stage of development of the child. In some cases, a speech development disorder also manifests itself in the context of a general developmental delay. Then interdisciplinary cooperation is often required, e.g. with curative educators or occupational therapists. It is important to us that your child enjoys it and that you are involved in the course of therapy.

Particular attention needs to be paid to language development in very young children who are late at the start of the language. If your child does not speak at least 50 words at the age of 24 months and does not begin to form the first 2-word utterances, it may make sense to introduce your child to a speech therapist after consultation with your doctor. It is then necessary to assess whether your child belongs to the so-called "Late-Talkern" (late speakers), who were born at the end of the 36th century. and show an inconspicuous language development (so-called "late-bloomer" = late-flowering) or whether there are already signs of a speech development disorder.

In the case of multilingual language acquisition ("bilingualism", "multilingual acquisition"), a linguistically sound assessment is also necessary in order to be able to decide whether your child is progressing in the "second language German" as it should actually be with physiological language acquisition. If your child already shows many mistakes in his mother tongue regarding vocabulary acquisition and sentence formation, it is very likely that there will also be difficulties when learning the German language. It is often important to decide whether pedagogical language support, e.g. via kindergarten, is sufficient or whether speech therapy should support your child's language acquisition. Among other things, we work with multilingual anamnesis forms, which you can also fill out if you do not yet speak (so well) german and are happy to contact the kindergarten teachers.

Stuttering is a fluency disorder that can occur as early as childhood. The repetition and stretching of syllables, sounds or words as well as stagnation (silent blocking) are among the signs of real stuttering. True stuttering must be distinguished from physiological speech fluids, which can occur in the course of development and regress on their own after some time. In both cases, we advise you on how to deal with the symptoms and treat your child with proven and evaluated therapy concepts of speech therapy. This also includes the involvement of parents as co-therapists, if this makes sense. Of course, we also treat you as an adult – whether as a primary treatment or refresher treatment.

The goals of the therapy include, among other things, the training of perception, the reduction of speech anxiety, as well as the development of speech techniques to improve the flow of speech.

Similar to stuttering, rumbling is one of the speech flow disorders. It comes to a fast and irregularly fluctuating speech speed, one "tangles" and "rolls over". In addition, articulatory changes can occur that further reduce intelligibility, e.g. final syllables are omitted or word selectivity is impaired.

The therapeutic goals of speech therapy are the improvement of one's own perception of the symptoms, the linguistic structuring abilities, as well as the development of strategies for immediate correction.

An articulation disorder (or obsolete "dyslalia") describes the faulty formation of a sound. Some sound malformations are physiological up to a certain age, i.e. they often occur in children and pass "by themselves", others are non-physiological and must be treated by a speech therapist. "Lispeln", i.e. sigmatism, is also part of it from a certain age. Through our examination, we assess whether your child's sound malformation should already be treated. We differentiate between articulation disorders in which motor formation, auditory discrimination or the programming of speech sounds are impaired and then decide on the best therapeutic approach. Until entering school, all speech sounds should be able to be formed correctly (exception: sigmatism - the "lisped s" - here a correction usually takes place after completion of the anterior tooth change).

The therapeutic goals of speech therapy are the promotion of the auditory differentiation of similar-sounding sounds, the initiation of physiological vocal formation and the automation of these until the affected sound is adopted into spontaneous speech.

Auditory perception is the ability to evaluate information that is transmitted from the ear via the nerve pathways to the brain. For preschool and school children, auditory perception plays a major role in learning to read and write: words must be broken down into syllables and sounds (analysis) or sounds must be combined into words (synthesis). In addition, similar-sounding sounds must be reliably distinguished from each other (discrimination, e.g. b-p or d-t). The ability to abstract from the meaning of the word to the form of the word is called "phonological awareness" and is an important prerequisite for the acquisition of written language. Auditory perception disorders are referred to as auditory processing and perception disorders. The auditory processing and perception disorder is a partial performance disorder that can occur in isolation or with other partial performance disorders (e.g. LRS, calculation disorder). Symptoms include, but are not limited to, difficulty learning to read and write, short concentration spans, the child is easily distracted and can only remember something for a short time and learn poorly by heart; it often asks and you have to explain a task to him several times. The speech therapy examination often takes place as part of a more comprehensive diagnosis, as it is also often about attention or school problems. Often an appointment with a specialist in phoniatrics/paediatric audiology and/or child and adolescent psychiatry is recommended.

The therapy of an AVWS usually amounts to 20 units and is intended to help the child to deal with the phonetic structures of our language so well that it can isolate and connect sounds in a targeted manner - and thus improve the conditions for written language acquisition. It is not about an LRS therapy - this is unfortunately not reimbursed by the statutory health insurance companies but must be paid privately (there may also be the possibility to use state. to apply for funding). Through additional training, my staff and I have the opportunity to help your child acquire written language - please contact us specifically if necessary.

A tongue dysfunction is a usually habitually caused incorrect position of the tongue in the oral cavity, which influences the swallowing process and / or articulation. A faulty position of the tongue during the act of swallowing (usually due to pressure on or between the teeth) can cause long-term changes in the position of the teeth or the jaw. These malfunctions are also called functional orofacial or myofunctional disorders. Often, articulation disorders (e.g. the so-called "lisp" - sigmatism) appear at the same time.

The therapeutic goals of speech therapy are the regulation of tone, the development of the physiological tongue position as well as the initiation and consolidation of a regular swallowing act for different consistencies. At the same time, articulation is corrected.

Feeding, chewing and eating disorders in infancy and childhood are often caused by malfunctions in the mouth or facial area. Sensory disturbances in the mouth and facial area or a delayed reduction of gagging can play a role. The impairments are manifested by suction and drinking weaknesses, increased salivation or increased spitting. Sometimes the problem lies in the feeding situation.

The therapeutic goals of speech therapy are to improve sensitivity and tone or to stimulate the suction reaction. In addition, we analyze the feeding situation together with you and give you tips on how to create good conditions for your child.

Aphasia is a speech disorder that occurs after completion of language acquisition, usually caused by a stroke. The symptoms can vary greatly depending on the severity of the disease. Speech production and comprehension as well as writing and reading can be affected. In all cases, it is important to treat those affected individually and as soon as possible after the event so that they can actively participate in life again as quickly as possible. Accordingly, the goals of the therapy are manifold, from improving language comprehension, word finding, sentence formation or reading and writing performance, family counseling, to possibilities of supported communication, e.g. by a so-called "talker". An immediate start and regular continuation of speech therapy treatment is absolutely necessary to ensure the fastest possible reorganization of physiological brain performance.

Dysarthria is a central or peripheral disorder of the control and execution of speech movements. This movement disorder can affect all muscle groups involved and thus cause impairments in speech breathing, voice or articulation. Often those affected complain about increased speech effort or that they are no longer understood by their fellow human beings.

The disorder can occur in the context of strokes, traumatic brain injury or neurodegenerative diseases such as multiple sclerosis or Parkinson's disease. Depending on the cause, an individual treatment plan will be created for you and implemented step by step.

The therapeutic goal of speech therapy is to improve general intelligibility, in particular by promoting speech breathing, voice and articulation.

Speech apraxia is a centrally conditioned speech disorder after completion of language acquisition, which is accompanied by impairments in the planning and programming of speech movements. Speech apraxia is often observed as a result of a stroke or in the course of a neurological disease. Often, those affected show articulatory search movements.

This should be distinguished from developmental dyspraxia or verbal dyspraxia (VED), which already occurs in childhood. This is shown above all by an extremely limited speech production with often very poor intelligibility with age-appropriate language comprehension. In addition, it can lead to the loss of already acquired sounds or words.

Therapeutic goals of speech therapy are the training of articulation patterns, speech movements and the improvement of speech flow.

Swallowing disorders are also referred to as dysphagia and are central (stroke, disease of the cranial nerve nuclei) or peripheral (due to tumors or inflammation) caused impairments of the swallowing process, which can affect all stages of food intake and processing - from ingestion of food into the mouth via the throat to transport into the stomach. The disorder usually occurs in the context of neurodegenerative diseases such as multiple sclerosis or Parkinson's disease.

Those affected often report increased ingestion when eating and drinking. An occupied voice, a foreign body sensation in the throat, clearing and coughing during eating (or increasingly afterwards) and swallowing air can also be symptoms of a swallowing disorder.

Since the symptoms of dysphagia can be very diverse and sometimes risky, a thorough medical and speech therapy diagnosis before the start of therapy is absolutely necessary, at best by video endoscopy or video fluoroscopy. It must be ensured that aspiration, i.e. swallowing (sometimes unnoticed), cannot occur during the act of swallowing, as there is a risk of aspiration pneumonia (pneumonia caused by food that enters the respiratory tract and lungs).

The therapeutic goals of speech therapy are divided into restituting, adaptive or compensatory procedures and include, for example, the development of the muscles involved in the act of swallowing, the learning of swallowing maneuvers or dietary measures to avoid swallowing. An important part of the treatment is also the counseling of relatives or nursing staff.

Voice disorders are also referred to as dysphonia and refer to impairments of voice function and voice quality, which can be organic or functional. Symptoms of voice disorders include prolonged hoarseness, reduced resilience of the voice, and pain and foreign body sensations in the larynx area. A voice disorder can develop, for example, after thyroid surgery or manifest itself over the course of several years due to an unfavorable voice or overloading of the voice (e.g. in professional speakers such as teachers and educators). A diagnosis is carried out by the treating otolaryngologist or the specialist for phoniatrics / pediatric audiology as well as by the speech therapist.

The goals of the therapy are, for example, the regulation of tone, improvement of voice formation and speech breathing as well as the perception training of one's own body and voice. Step by step, we work out with you your individual possibilities to use your voice effortlessly and effectively. This may also include an analysis of your day-to-day work or workplace. An untreated functional voice disorder can subsequently show organic symptoms, e.g. the famous "vocal fold nodules".

Voice disorders can already occur in childhood. These are also manifested by the symptoms mentioned above. The aim of the therapy of childhood voice disorders is above all to train the use of one's own voice.