When the vocal cords suffer from the accumulation of non-cancerous and abnormal growth, these are known as vocal cord lesions. These lesions usually cause a variety of voice and speech related problems. These are also known as singer s nodules and nodes, which may be caused by pressure, stress and stretching of the vocal cords. Women between the age of 20 to 50 are more prone to this condition. Here is everything you need to know about the types, causes and treatment of these lesions.

Types: There are three kinds of vocal cord lesions, that is nodules, polyps and cysts. A vocal cord polyps may be caused on one side of the vocal cords and may also lead to many disturbances in one s voice. Another type of vocal cord lesions includes a mass of tissue that may manifest in the sac or membranes around the vocal cord. This cyst can be on the surface of the vocal cord or in the ligaments of the vocal cord. This may require surgical removal as well as voice therapy thereafter. Nodules are the third type of lesion that may form in the vocal folds. These are basically calluses that may disappear once the pressure and overuse of the vocal cords diminish.

Causes: These lesions are usually benign or non-cancerous growths that may be caused due to a variety of reasons. Screaming and overuse of vocal cords are few of the most common reasons for the eruption of such lesions. The heavy use of one s voice can cause quite a bit of trauma to the vocal cords and may lead to problems including lesions and disturbances in one s voice. Conditions like reflux and allergic reactions may also cause vocal cord lesions as a side effect.

Symptoms: From hoarseness to pain, there are a number of symptoms caused by this condition. A low pitch and difficulty while speaking are also some of the common symptoms of this condition. Patients suffering from the growth of such lesions will also find themselves making an effort in order to speak normally and to be heard. Constant throat clearing may be required as well.

Treatment: Besides giving your voice a rest and gargling warm saline water with salt, one can also have the condition checked by the doctor so as to ascertain whether or not it is a serious lesion that may require surgical removal and voice therapy. The doctor will usually prescribe medicines in order to deal with any underlying conditions that may have caused the lesions, including allergic reactions, reflux, sinusitis and other such ailments. One will also have to stop smoking so that there is less chemical pressure on the vocal cord. Finally, one will have to go through voice therapy for more serious lesions.

Vocal Cord Lesions - Causes + Treatment

Autism is a kind of developmental disability, which usually crops up before a child attains the age of 3. It is just part of a group of neurological disorders, which involve impaired communication along with impairment in social interaction and cognitive skills. It is better known as Autism spectrum disorder, it might well be linked with a wide variety of traits.

The traits include:

Activities done on a repetitive basis.

Extreme level of resistance to changes brought about in daily routines.

Very unusual reactions to things like touch.

Problem having interactions with the environment.

Children suffering from Autism Spectrum Disorder can have some of the major problems with regard to both speech and carry out communications in a non-verbal manner. Social interactions might also become very difficult propostions for them.

This is where, speech therapy comes to the rescue of these patients. It is the central part of treatment for autistic children. The speech therapy can help take care of a wide variety of communication problems occurring among people with autism.

Common Speech and Communication Problems Associated With Autism

Social communication, development of language and speech can get adversely affected by autism in more than one way.

A person with autism can have the speech problems, wherein they may:

Not communicate at all.

Tend to utter cries, grunts, shrieks, harsh or throaty sounds.

Talk or just hum in a musical manner.

Utter words, might can sound to be alien or robotic.

Often look to repeat whatever another person says.

Around 30% of people, suffering from autism has problem in producing speech sounds to ensure effective communication with others. The language, even if it is present, can be too difficult to be understood by others.

Communication problems can occur in various ways, for people who suffer from autism. The challenges faced by them while communicating are as follows:

Communication requires a person to make eye contact with another person or even make certain gestures. People with autism will have serious trouble in meeting up with the conversational skills.

They would have difficulty in understanding the meaning of words, which are out of context from what they have actually learned.

They would have very little understanding of the meaning of words and symbols.

Treatment through Speech Therapy

Speech therapy can help children get rid of the problems in speaking, as well as those related to communicating and interacting with others. This involves non-verbal skills such as making direct eye contact, taking initiative in conversations and understanding of different kinds of gestures.

This therapy can also teach children the art of expressing themselves by using picture symbols, computers or through sign language.

Five Principles of Speech Therapy

There are basically five principles used as a framework, to work upon in speech therapy with children, suffering from autism. They include:

Establishing Functional Communication In A Spontaneous Manner  

Providing Social Instruction in Different Settings throughout the Day

Target Peer Interactions

Even Provide Training and Support to Other Adults

Look to Fine Tune Communication Skills as Other Areas Improve.

How Speech Therapy Can Help Autistic Children?

Aphasia is a communication disability that can result from damage or injury to those parts of the brain that process language. It can happen due to stroke, brain tumors, accidents, or brain infection. A brain injury which damages parts of the brain that deal with language can also bring on Aphasia. Aphasia can also be caused by dementia such as Alzheimer s disease. Aphasia is sometimes also a symptom of epilepsy or other neurological disorders.

It s more common in older adults, especially after a stroke. What happens in Aphasia is that the affected person is unable to understand or use words. He or she may also:

Have difficulty speaking and finding the "right" words to express themselves verbally
Have problems understanding conversation
Have problems reading and comprehending written words
Have problems writing words
Is unable to calculate or use numbers
Has a tendency to use gibberish words as a part of speech
There are various types of Aphasia, differing in certain important ways from each other.
Aphasia can also be mild or severe. With mild Aphasia, the patient is able to converse, though he may not be able to find the right word or may not understand complex conversations.
However, in severe Aphasia, a person may lose his ability to communicate completely which means he can t speak or understand any conversation and may also not be able to read or write.

Three things that aid Aphasia recovery are

Speech Therapy
Family Support
Persistence
Treatment for Aphasia depends on factors like:

Age
Cause of brain injury which causes Aphasia
Type of Aphasia
Position and size of the brain lesion causing Aphasia
If the Aphasia is due to a brain tumor, surgery to remove the tumor affecting the language centre can treat Aphasia.
For a person who s got Aphasia due to a stroke, sessions with a speech-language specialist are very effective. The therapist teaches the patient ways to communicate using stuff that doesn t involve speech.
He uses the following to help the patient communicate without words:

Props
Drawings and pictures
Teaching patient to speak slowly and be calm when talking.
Treatment techniques
The speech therapist uses these two main techniques to tackle Aphasia:

Substitute skill model: This uses a prop like a writing board to help with spoken language.
Direct treatment model: This approach uses specific exercises to help patients
Copy and recall therapy (CART): This approach uses repetition and recall of certain words during speech therapy.
Visual communication therapy (VIC): This involves the use of index cards to represent various components of speech.
In addition, Aphasia patients are also trained in the use of hand gestures to aid in communication as a part of  Visual Action Therapy (VAT) .

Aphasia - Factors That Put You At Risk!

Sound travels through different parts of the hearing system to produce the ultimate sense of sound in the brain. People can hear when a sound wave stimulates the neurological component of the inner ear and takes the sound signals to the brain.

When there is a problem with the ear, human beings cannot hear, or hear garbled sounds. Hearing loss may have different reasons. There may be a tumor in the ear, a problem with the eardrum, the inner ear or the neurological structure. Different conditions can plague the hearing system and cause hearing loss. Some of these conditions can be serious and require medical intervention.

Let us discuss 3 such conditions where the intervention of an audiologist is a must.

Tinnitus and Vertigo

 Tinnitus is a medical term for a sense of ringing in the ears. It s annoying, to say the least. But more importantly, it could be a sign of hearing loss. This is why people need to see an audiologist if they have a sense of Tinnitus for a prolonged time. An audiologist can first diagnose the condition, and can then treat this problem with the help of specialized hearing aids.

 Vertigo and dizziness are the other two problems that result from a hearing system problem. It may create balance disorders. It is said that vertigo originates in the inner ear. Vertigo can also be treated with the help of physical therapy and medicine.

 Sudden Hearing Loss

 The human ear cannot hear sounds greater than 85 dB in intensity and 20,000 Hertz in tone. If the sound tone is less than 20 Hertz, then too the human ear is not able to hear anything. Between these two polarities, the human ear is able to catch all types of sounds. If human beings are exposed to sound waves of more than 85 dB in intensity, the ears may get damaged. In that case one may suffer from hearing loss. If a person has recently experienced huge changes in air pressure, exposed to blaring music or noise at close quarters, or had an accident causing loss of hearing, one needs to see an audiologist. The ears need to be assessed for trauma, if any, and treated quickly. However, hearing loss may have other reasons too such as reactions to medicines, head injury or some kind of illness that affects the hearing system. An audiologist would be able to make the right determination.

 Recurrent Ear Infections

This is common in children, but that does not mean that adults are immune to it. If there is chronic ear pain, difficulty in hearing along with drainage and fever or a feeling of pressure, an ear infection is most likely. Any doctor can detect an ear infection, however, if it is a recurrent one needs to see an audiologist. He has the wherewithal to evaluate the middle ear with different tests. A person may need treatment that only an audiologist can do.

There can be many situations in which a visit to an Audiologist is warranted; the above 3 are just a tip of the iceberg.

Audiologist - Why To Visit One?

It might happen that you may not find your child, at twelve months to two years of age, at the same level as their peers in verbal communication. You think it's just a developmental problem they are facing and put off seeking professional advice; an intrinsically wrong step to take, because your child might be suffering from Speech Delay.
Delayed speech, or alalia, can be roughly defined as a delay in the development and use of the biological mechanisms that produce speech.
The symptoms of speech delay are roughly categorized into age related groups, generally beginning at the age of 12 months and continuing through the early adolescence, and they are:
1. Age-12 months
a. It is indeed a symptom if your child cannot point at objects or cannot manage gestures, such as waving good-bye.
b. Another symptom is that if your child does not prefer to communicate verbally as much as his/her peers.
2. Age-15-18 months
a. If your child is unable to pronounce familiar syllables or simply cannot call you even by this time, it's a worrying symptom.
b. You find your child unable to, or simply not reciprocating to 'no', 'hello', 'hi', 'bye'.
c. If your child is unable to extend his/her vocabulary up to 15 words by fifteen months, then it's a symptom.
3. Age-2-4 years
a. You find your child unable to spontaneously produce speech and words.
b. Another worrying symptom is if your child is lacking consonant sounds at the beginning and end of words while speaking.
c. If you still find your child unable to form simple sentences and words, then it is indeed a troubling symptom, confirming the disorder.
The causes for the speech delay disorder are:
1. A primary cause can be physical disruption in parts of the mouth such lips or palate, which may be deformed.
2. Another serious cause can be an oral-motor dysfunction which is the disruption in the creation of the specific area of the brain which deals with speech and communication.
3. The disorder can also be attributed to impairment in the development of the child's intellectual, receptive and expressive abilities.
4. There can also be psychological causes involving school environment and peer relationships which might lead to disruption of speech patterns and reluctance in speech expression and development.

Causes and symptoms of Delayed Speech

Just as children grow at different speeds, they respond to a speech therapist at different paces. Some children may need only one or two classes to master a sound, while others may need much longer. Some of the ways to make working with a speech therapist more productive are:

Have Clear Goals: When a speech therapist enters your family, the parents, therapist and child should have the same goals. Therapy would not help if the parents and therapists wanted to focus on different things. For example, the parents might be concerned with the child s vocabulary while the therapist may want to focus on articulations. Similarly, if the child does not understand the goal, he or she may not show much improvement. Ideally, a goal should be clear, measurable, realistic and be associated with a time frame. It should also be challenging but not out of reach.
Homework: A therapist has a limited amount of time to spend with the child. A majority of this time must be spent in learning something new each session. However, this will not be possible unless the child has made progress since the last class. Hence, it becomes important for the therapist to give the child homework and for the parents to oversee this. Video tutorials can be very helpful here. This helps parents know exactly what the child is supposed to practise.
Trust: A speech therapist may be an outsider to the family but he or she must be trusted to do their job in the way they think best. Very often, parents and therapists may not have the same views about how the child should be taught. Here, it is important to remember that the therapist is the expert and knows what he or she is doing. This is another reason why it is important to set clear goals together at the onset of therapy.
Speak Up: While the therapist may be an expert on how to build vocabulary and improve speech patterns, parents are experts on their child. Thus, it is important to communicate openly with the therapist. Answering therapist questions honestly can help him or her assess where the problem lies and in turn address it. Similarly, if you have questions, do not be afraid to speak to your therapist about them. Share the child s progress and changes that you have noted so that the therapist can adjust the lessons accordingly. 

Tips To Make The Speech Therapy More Effective!

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