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Speech-Language Pathology

The Speech-Language Pathology program at the Miami Valley Hospital (MVH) Rehabilitation Institute of Ohio treats patients experiencing language, communication, vocal, and speech impairments and disorders. Language disorders include difficulty in understanding others (receptive language) or in sharing thoughts (expressive language). Someone who is unable to produce speech sounds correctly, or has problems creating vocal sounds, has a speech disorder.

Language and speech disorders can affect both children and adults. Sometimes they are the result of a medical condition, or their cause cannot be determined. The Speech Therapy and Pathology team at MVH is trained to provide a diverse range of treatments that specifically address each type of speech disorder. Additionally, 35 members of our Speech-Language Pathology department are certified specialists in the treatment of brain injuries.

Conditions Treated

Speech Therapy ErinThe symptoms associated with speech disorders vary from person to person. The Speech-Language Pathology team provides care for patients with conditions including:

  • Impaired language or communication (Aphasia ranges from difficulty remembering words to being completely unable to speak, read, or write. Aphasia can be caused by:
    • Brain injury 
    • Brain tumor 
    • Dementia 
    • Learning or developmental disability
    • Stroke 
  • Voice disorders consist of difficulty in producing voice sounds (dysphonia) or complete loss of voice (aphonia). Causes include impairment of the vocal organs or damage to the nerves connected to the muscles in the voice box (larynx).
  • Speech loss is a breakdown of intact speech production due to nerve dysfunction or failure. Loss of speech can be caused by:
    • Apraxia of Speech (AOS) – a disconnection between what the brain intends to say and the ability of the vocal organs to produce the desired sounds.
    • Dysarthria – a group of motor speech disorders that impair articulation because of a disturbance in the connection between the nervous system and vocal muscles.
    • Neurogenic speech disturbances – including stuttering, are neurological impairments that prevent clear articulation.
  • Cognitive problems such as difficulty with thinking, perception, memory, attention, and reasoning can affect speech.


The causes of speech disorders are varied. Your program of care will be customized by our experienced Speech-Language Pathology team to specifically address your condition.

Speech Therapy LisaThe goal of all treatments is to maximize naturalness in communication by working to restore lost function, improve existing abilities, or enhance communication through alternative methods. Services are specific to each disorder, and include:

  • Impaired language and communication (Aphasia) treatments
    • Augmentative and alternative communication (sign language, gestures, communication boards and books, and computer devices activated by pictures, voice or eye gaze)
    • Contextual content therapy
    • Conversational training
    • Direct-production training
    • Hierarchy cuing
    • Linguistic-specific treatment
    • Mapping therapy
    • Melodic intonation therapy
    • Model-based approaches
    • Modeling
    • PACE (Promoting Aphasics' Communicative Effectiveness)
    • Response Elaboration Training (RET)
    • Structured therapy (managing auditory comprehension deficits, managing message components, using context, and word retrieval)
  • Voice disorder treatments
    • Videostroboscopy (an evaluation of the vocal folds, throat, and voice box (larynx) using an endoscope connected to a video monitor and recorder)
    • Vocal hygiene recommendations and education
    • Voice therapy (vocal function exercises, resonant voice therapy, accent method)
  • Speech loss treatments
    • Augmentative and alternative communication (sign language, gestures, communication boards and books, and computer devices activated by pictures, voice or eye gaze)
    • Behavioral management
    • Counseling and support
    • Speaker-oriented and communication-oriented approaches

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