Aphasia Group is a clinical service delivery model of adult language therapy in a large group environment (6-10 clients).Clientele served have communication impairments resulting from neurogenic disorders(aphasia, motor speech, and cognitive disorders resulting from brain injury caused by stroke, disease or trauma). The main goals of large group therapy are: communication by any means, take a risk to communicate, and have an enjoyable time. A multi-modality therapeutic approach is used for both higher and lower functioning groups. A large area provides two separate areas for simultaneous therapy delivery if needed. One area is used for conversation in a natural setting and resembles a type of "family room" where there are sofas, chairs, coffee tables, etc. The "work area" contains a large table with chairs. This area is used as a writing center and for therapy activities that need a table. We also have a computer in this area which is utilized in some therapy activities.
One of the “tools” in our arsenal of communicative strategies is the Lingraphica. This is a Speech Generating Device (SGD) especially designed for the person with aphasia/motor speech disorders. We own 2 of these devices. If the client qualifies for the Lingraphica in terms of communicative impairment, our student clinicians prepare the necessary paperwork for funding this device. This is a valuable experience for our students since they will be expected to do this in their professional practice. Besides being a SGD, the Lingraphica also serves as a powerful therapy tool which can deliver daily language stimulation in the home environment. We also using mainstream electronic devices, such as the iPad™, iTouch™, and eReaders, to help facilitate communication and reading abilities.
Bilingual English-Spanish Certificate (BIES) in Speech-Pathology is the only bilingual (Spanish-English emphasis) speech-language pathology certificate program in the Midwest. It prepares speech-language pathologists who are proficient in Spanish to evaluate and treat communication disorders in individuals who speak Spanish or are bilingual (Spanish-English). The BIES certificate program is offered through the M.S. program in Speech-Language Pathology.
Dr. Steven Long has developed software tools that facilitate linguistic assessment procedures. The software he has created and the website he maintains to support it can be found at (http://www.computerizedprofiling.org). The principal program, called Computerized Profiling (CP), is designed as a set of interacting applications that are used to analyze language transcripts. Those transcripts can contain data in either orthographic (standard spelling and punctuation) or phonetic (International Phonetic Alphabet) form. The program uses a combination of parsing engines, lookup dictionaries, user input, and sorting and tallying routines to perform its analyses. As of this writing, the program has over 5,000 registered users in the United States and more than 60foreign countries.
The Marquette University Hearing Clinic serves as a teaching laboratory for undergraduate students who are interested in pursuing graduate education in audiology. Students learn the basics of audiological practice through the provision of audiological services including video otoscopy, acoustic immittance measurements, pure tone air and bone conduction threshold testing, speech audiometry (SRT, WR, and SIN testing), and functional gain measurements.
Intensive Aphasia Program (IAP) is designed for individuals suffering from chronic aphasia. There is strong evidence that intense therapy over a short period of time can improve speech/language outcomes for people living with aphasia. The MU Intensive Aphasia Program designs specific individualized programs using traditional and constraint therapy approaches. The philosophy of this program is to bombard the patient in mass activities of verbal production with the goal to immerse the patient in verbal practice both in and out of the therapy environment.
Integrated Therapy is one option used in treating children with a variety of diagnoses including autism spectrum disorders (ASD) and Down syndrome. Therapy is delivered in the Integrated Therapy Room which is a specially-equipped, large therapy room. The Integrated Therapy Room allows clinicians to respond to the unique needs of each client through provision of sensory and gross motor experiences and /or modification of the environment. Consultation with occupational therapists allows for the development of individualized programs for each client. The Integrated Therapy Room is equipped to provide sensory input and incentives to communicate for children at varied skill levels to help each child receive maximum benefit from therapy. For example, some children may be calmed by the vestibular and proprioceptive input from the “cuddle swing” (shown above) and be able to transition from a behavioral breakdown back to “speech work.”
Marquette University Spanish English Catalog (MaUSECat) was developed by Dr. Steven Long and supported by a grant from the American Speech-Language-Hearing Association. MaUSECat is a computer-based system used to tag, classify, and categorize digital media (photographs, videos, music, and speech files). Speech-Language Pathologists can use this system as a therapeutic tool to work with patients on speech sound, language, and syntactic goals. MaUSECat is provided free of charge.
Neurolinguistics Laboratory, under the direction of Dr. Subhash Bhatnagar, serves as both a teaching and research facility. The laboratory's activities are designed to use clinical data from neurological patients to better understand the neurolinguistic correlates of language processing and to examine the impact of promoted cognitive skills, such as induced attention, on the efficiency of language-use and motor speech dysfluencies. Teaching activities promote the integration of functional neuroscience in the training of speech-language pathology.
Current clinical research is exploring the possible effect of alternate medicine on language restitution in patients with aphasia. The lab houses clinical software and labeled and framed brain slices oriented with CT images (i.e., sagittal, coronal, and axial). The lab annually organizes a continuing education program in functional neuroscience for working professionals and instructors at other universities.
Phonology and Language with Literacy (PALL) preschool program is a clinical service provided by the MUSHC. The purpose of the clinic is to treat children with articulation and/or language disorders. Since children with speech and language disorders are at risk for literacy acquisition, it also promotes early literacy skills. Student clinicians administer speech and language assessments at the beginning of each semester in order to determine both individual and group treatment goals.
Speech and Swallowing Laboratory, under the direction of Dr. Jeffrey Berry, is used as a clinical, teaching and research laboratory. Dr. Berry specializes in instrumental methods of speech assessment and treatment. His research pertains to the use of speech analysis and synthesis techniques in the rehabilitation of individuals with Traumatic Brain Injury (TBI) Parkinson’s disease, stroke, and other neuromuscular disorders.
The ability to interact with peers and develop true friendships is often one of the most difficult and heartrending challenges of children with social communication impairments. The Marquette University Social Communication and Language Skills (MUSCLS) group in the Marquette University Speech and Hearing Clinic is working to help children with social communication impairments, including those with autism spectrum disorders, develop the skills to address these challenges. The group was piloted in Summer 2011 and, in response to enthusiastic feedback from the young participants, their families and the student clinicians involved, it has become a regular part of MUSHC services, meeting weekly to serve a group of school-aged children. As interest expands, the range of abilities and ages served will expand as well.