Communication Disorders Clinic

The Appalachian State University Communication Disorders Clinic employs licensed, certified speech-language pathologists to provide a variety of services to both children and adults who are affected by voice and/or resonance problems.

If you suspect that you or some one you know has a voice and/or resonance problem, the first step is to have the voice and/or resonance evaluated by speech-language pathologist who is experienced in evaluation and intervention of these disorders; and/or have an examination of the voice and resonance structures performed by a doctor (preferably a head, neck and ear surgeon).

• Relevant history
• Perceptual description
• Screening of other relevant communication functions
• Instrumental measurement of the voice and/or resonance
• Visual examination of the voice and/or resonance structures and functioning (where indicated)
• Stroboscopic examination of vocal fold function (on doctor referral)

The speech-language pathologist will thoroughly evaluate your voice and/or resonance using state-of-the-art testing techniques. The results and recommendations will be explained to you at the end of the evaluation. If it appears that treatment would be beneficial, the speech-language pathologist will assist you in making a decision about treatment. The treatment approach(es) that would be appropriate in your case will be discussed, as well as possible schedules for treatment. You will get a letter detailing the procedures used, results, and recommendations. A formal technical report will also be prepared and retained in your file.

• reduce or eliminate voice and/or resonance problems that are caused by inappropriate use of the voice/resonance structures, or

• compensate for (and where appropriate, reduce/eliminate) physical changes in the voice and/or resonance structures (such as, medically treated or untreated vocal fold nodules, medically treated or untreated vocal fold polyps, medically treated or untreated vocal fold paralysis, partial or total removal of the larynx, unrepaired or repaired cleft lip and palate, etc.)

In most cases, medical clearance is required prior to implementing any recommended voice or resonance treatment. It may be obtained from your primary care doctor if she or he feels competent to provide it. Preferably, a head, neck, and ear surgeon would provide it.

If a doctor refers you to us you should have medical clearance for services. If a doctor did not refer you to us, the speech-language pathologist will discuss the options you have for obtaining necessary medical clearance. If you have a medical plan, it will determine what services are covered and how to get them approved.