Miracle Speak

One of the goals of our clinic is to help others understand the difficulties related to communication problems. Additionally, we love the chance to inspire other professionals to build a practice through passion and creativity. Whether you have a baby just diagnosed with a hearing loss, the caregiver of an aging parent, or a professional wanting to create a meaningful experience for patients, then this site can help.

Balance & Preventing Falls

by Keith Khoo, PT Posted on Wednesday, August 24

One in three adults over the age of 64 are at risk of falling with a result in injury or death. Keith Khoo, in his article about fall prevention, "Don’t Let Falls or the Fear of Falling Dictate Your Life" points out, Falls are among the most common reasons for a decline in the older individual’s ability to manage their own daily activities.

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Medel Rondo Released Friday!

Sound BitePosted on Wednesday, April 17 at 3:40 pm by Dr. Scholl

Medel launched the newest processor in their line of external devices, the Rondo. The Rondo is a single-unit processor with nothing over the ear. Cosmetically invisible and less to keep track of, the Rondo is revolutionary for deaf and hard-of-hearing individuals. To find out more about good things in small packages, visit the Medel website www.Medel.com.

Prehabilitation: A Novel Concept

by Keith Khoo, PT Posted on Wednesday, January 12

Physical conditioning in preparation for surgery is termed prehabilitation1 and encompasses strength training, breathing exercises, and whole-body aerobic exercise training. While different in every individual’s practice, prehabilitation techniques have a common goal in accelerating postoperative recovery by improving physiological reserve through physical intervention.

Components of a prehabilitation exercise regimen for joint or intracavity surgery include inflammation reduction, restoration of range of motion, restoration of muscle strength, and improving aerobic capacity.

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Dancing Up Some Pre-Literacy Skills!

Speech SpotPosted on Thursday, February 28 at 5:00 am by Dr. Scholl

My older daughter, Lucy, loves and lives to dance. She actually insists on wearing dresses every day firmly believing that there is a strict uniform when it comes to dancing around your house. I knew this activity would be right up her ally.

You will need painters tape, paper, writing implement, and music.

Using the painters tape, make different letters of the alphabet around the floor. No need to do all 26 letters. I taped the ones Lucy is more familiar with – our “family letters” as we call them – the ones that start each of our names.

Hearing Water

Jayde's JourneyPosted on Wednesday, April 17 at 3:40 pm by Dr. Scholl

Jayde has done well since her activation last Tuesday. She has already been remapped (that’s what happens when your mom is an audiologist!) and she’s hearing high frequency sounds for the first time ever! She is ready for a new map this week and her first auditory verbal therapy since her cochlear implant was activated is this Wednesday. Get ready, Nicole Streich, M.S., CCC/SLP – she’s READY for you!

Her first sound that she noticed was water running! I was washing her glasses and she pointed to her ear. It took me just a second to realize she heard the water. I turned it off and then turned it back on again….she definitely heard it and I signed and spoke the word water. She made a sound because she heard my voice, but it didn’t sound anything like the word water. We’ll get there….I’m just thrilled she heard it!

Pain Management in Post Total Knee Replacement

by Keith Khoo, PT Posted on Wednesday, February 26 at 3:40

Osteoarthritis (OA) affects approximately one in 10 individuals and is equally prevalent in men and women, although there is higher prevalence in postmenopausal and obese women. Knee OA’s high prevalence is directly associated with a rising number of surgical interventions designed to reduce pain and increase mobility for patients (ie, total knee arthroplasty).

Per Moffet et al’s 2004 study, “More intensive rehabilitation should be promoted in the subacute recovery period after TKA, to optimize functional outcomes in the first year after surgery.” Aggressive focus on active and passive knee extension is one of the most important components of postoperative early rehabilitation. Persistent TKA flexion contractures are difficult to eliminate once they have been present for more than 3 months.

The most prominent outcome variable linked to OA and TKA is pain. The process for pain management that was applied in prehabilitation is the same process and rationale for postsurgical pain management.

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