Clinical Resources

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Handout

Diffuse Axonal Injury (DAI)

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AdultOTSLPBrain Injury
A diffuse axonal injury (DAI) is a type of traumatic brain injury that is most commonly diagnosed after surviving a motor vehicle accident but can also happen following other types of traumas. This handout explains what causes a DAI, the different parts of a neuron for patients and caregivers to understand more easily, and functional impairments that can present following a DAI.
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Clinical Reference

Differential Diagnosis: Presbyphagia

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AdultSLPDysphagia
This handout is for SLPs performing differential diagnosis assessments for disease-related swallow impairments vs age-related swallow impairments. The handout describes the oral and motor symptomatic differences for accurate differential diagnosis.
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Clinical Reference

Differential Diagnosis: Dizziness

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AdultOTBalance/Vestibular/FallsNervous System Conditions
This handout is designed for therapists providing differential diagnosis information for patients experiencing dizziness. The handout compares benign paroxysmal positional vertigo (BPPV) to central nervous system nystagmus and includes a comprehensive list of differential diagnosis points, including time before symptoms start after position change, duration of symptoms, direction of nystagmus, symptoms, nausea, likelihood that symptoms […]
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Clinical Reference

Differential Diagnosis: Apraxia of Speech vs Aphasia with Phonemic Paraphasias

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AdultSLPAphasiaMotor Speech/Dysarthria/Apraxia
Language impairments after brain injury can be difficult to tease out. In particular, apraxia of speech can often present in similar ways to aphasia with phonemic paraphasias. This clinical guide is meant to help speech-language pathologists more accurately diagnose these two impairments in order to better target treatment methods.
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Clinical Reference

Types of Naming

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AdultSLPAphasia
There are different ways to elicit a target word when a person has anomia or difficulty with word-finding. This handout provides a description of four different types of naming and a worksheet to target each type of naming.
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Handout

Diaphragmatic Breathing

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AdultOTChronic PainMental Health
Diaphragmatic breathing is an effective intervention to reduce stress and manage symptoms associated with many conditions. This handout describes the proper way of breathing, compensatory muscles used during inefficient breathing, and provides a guide to teach clients how to use their diaphragm properly.
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Handout

Diabetic Ulcers

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AdultOTDiabetes
Diabetic ulcers can have long lasting and significant consequences if left untreated. This handout provides general information concerning what causes diabetic ulcers, what they are, who is at risk, and how they are treated and prevented.
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Handout

Diabetic Ulcers: Footwear Guidelines

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AdultOTDiabetes
Diabetic ulcers are a complication to diabetes that can lead to infection and amputations. Providing guidelines for footwear may be beneficial to reduce the risk of developing a diabetic ulcer. This resource outlines several evidence based guidelines to reduce the risk of developing diabetic ulcers.
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Handout

Diabetic Neuropathy

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AdultOTDiabetesNervous System Conditions
Learning to manage diabetes can be overwhelming. For those newly diagnosed with diabetic neuropathy, this handout answers questions about the causes, symptoms, and treatment, as well as the role of therapy at different stages of neuropathy symptoms.
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Clinical Reference

Developing a Dementia-Friendly Approach

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AdultOTSLPDementia
This resource asists with the development to implement a dementia-friendly approach.
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Desensitization Techniques for Peripheral Nerve Injury

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AdultOTNervous System Conditions
A handout for patients experiencing hypersensitivity after a peripheral nerve injury highlighting the most effective desensitization techniques that can be performed daily by the patient at home.
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Clinical Reference

Descending Spinal Cord Tracts

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AdultOTSpinal Cord Injury
This document provides insights on the descending motor pathways and includes the voluntary motor pathways: the corticospinal tract, the corticobulbar tract, and the rubrospinal tract. Additionally, it includes the involuntary motor tracts: the vestibulospinal tract and the reticulospinal tract.
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Handout

Dementia Progression

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AdultOTSLPDementia
This resource outlines the early, middle, and late stages of dementia.
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Handout HEP Therapy Material

Deep Neck Flexor Strengthening

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AdultChronic PainOrthopaedics
This is a simple yet effective resource that outlines deep neck flexor strengthening with instructions for dosage and how to progress difficulty over time.
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Daily Schedule for Adults

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AdultOTSLPBrain InjuryCaregiver SupportsDementia
Visual schedules can reduce anxiety, improve memory and ease of executing daily routines for individuals with cognitive deficits as well as their caregivers. This therapy material provides a completed example, and blank template for developing daily schedules for adults with cognitive deficits.
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Cueing Techniques

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AdultOTSLPCaregiver Supports
This handout provides many examples of how to give someone cues during self care and may appropriate for therapists to share with staff and/or caregivers.
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Eval Tool

Spinal Pathology Questionnaire

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AdultOrthopaedics
Serious spinal pathology is rare but can have devastating consequences if not recognized and referred for appropriate treatment. This cue sheet is designed for people with back pain to fill out prior to their therapy evaluation so that the therapist can then review it and follow-up on any checked items. It provides some questions that can (in rare instances) point toward serious underlying pathology. 
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Eval Tool

Cranial Nerve Screening

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AdultOTSLPBrain InjuryDysphagia
This handout provides a review of cranial nerves, their primary functions, red flags, or warning signs that you might observe, and quick screens to rule out cranial nerve involvement. If any concerns are noted during screening, a more comprehensive cranial nerve evaluation is warranted.
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Clinical Reference

Counseling in Rehabilitation

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AdultOTSLP
When working as a therapist in rehabilitation, counseling will be a part of the job as the person you are working with is learning to cope with a life-changing diagnosis and a new normal. This material guides how to provide effective counseling, or purposeful conversation, by creating an empathetic environment and trust with four qualities: caring, self-awareness, observation, and active listening.
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