At Unlocking Language we assess, diagnose, and provide specialist treatment for adults with speech, language, communication, voice and swallowing difficulties.

Our generic services for adults includes:

  • Initial assessments using a range of formal and informal methods to gauge baselines
  • Comprehensive reports with specific treatment plans
  • Client centered goal setting
  • Reviews to monitor progress
  • Individual tailor-made therapy
  • Communication Aid specialist service
  • Evidence based techniques

The people that we work with will usually have one of the following diagnosis.

  • Brain injury (all levels including vegetative)
  • Stroke
  • Progressive neurological diseases such as Multiple Sclerosis, Parkinson’s Disease or Motor Neurone Disease
  • Dementia
  • Head and neck cancer
  • Oral/facial injuries/reconstructive surgery
  • Learning Disabilities

The Disorders that we treat are:

  • Dyspraxia, Dysarthria and Neurogenic stammering (motor speech disorders)
  • Stroke
  • Aphasia, Expressive, Receptive & Global (language disorders)
  • Facial palsy
  • Dysphagia (swallowing difficulties)
  • Cognitive-Communication Disorders
  • Tracheostomies
  • Ventilated clients
  • Risk Feeding
  • Acquired dyslexia and dysgraphia (writing difficulties)

We offer bespoke individualised therapy programs and when required work collaboratively with the multidisciplinary team. We use a range of therapy techniques that are evidence based and successful. In particular we can offer:

  • Aphasia Rehabilitation: An accelerated, intensive program working on the cognitive-neurological language model. We can provide between 1-3 hours of daily speech therapy targeting impairment and functional aspects of the language disorder.
  • Supported Conversation: This focuses on conversation strategies and confidence. We can offer a regular program targeting functional, conversational skills.
  • Motor Speech disorders: These are treated with specific muscular therapies such as Talk Tools.
  • Computer & iPad: Extensive and various iPad apps and computer software to use in therapy.
  • Stimulation Program: This targets levels of alertness, oral sensitivity and speech for client with severe brain injuries.
  • Head and neck cancer: Specific exercises pre and post radiotherapy

Swallowing difficulties can be a result of neurological conditions, oncology, mental health, oral & facial surgery and dementia. The difficulties we treat are:

  • Difficulties with eating and drinking
  • Risk of aspiration
  • Saliva difficulties
  • Tracheostomies & Ventilated Clients
  • Risk of choking
  • Behavioral
  • Difficulties with feeding

We offer bespoke individualized therapy programs and when required work collaboratively with the multidisciplinary team. We use a range of therapy techniques that are evidence based and successful with a comprehensive risk assessment. In particular we can offer:

  • Swallow Therapy: A rehabilitative program exercising the oral and/or pharyngeal muscles required for swallowing. This can range from clients who have no swallowing ability to clients with mild muscle incompetency.
  • Fluid & Food modification Modifying oral intake to improve swallow safety and reduce the risk of aspiration. This includes thickening fluids.
  • Racheostomy decannulation program and weaning protocol: Successful program jointly working with ENT to reduce the size or completely decannulate the tracheostomy and work towards the client being able to speak and swallow.
  • Videofluroscopy: A moving X-ray that looks at the way your swallowing works. It examines what is happening in your mouth and throat when you swallow. It also identifies ways to make your swallow safer and easier.
  • Fibre Endoscopic Evaluation Swallowing (FEES): an endoscopic examination of thepharyngeal stage of swallowing. It incorporates assessment of laryngopharyngeal anatomy and physiology as it relates to swallowing, assessment of swallowing function (saliva and food/fluid) and intervention to determine which postural and behavioural strategies facilitate safer and more efficient swallowing.
  • Oral Desensitization/Stimulation Program: Used with clients who have increased sensitivity in their mouths and therefore cannot swallow. This program reduces the sensitivity using a range of techniques such as Facial Oral Tract Technique and Talk Tools.

Facial palsies cause asymmetry to the face which has both functional and aesthetic implications. It is a result of neurological conditions, oncology, mental health, oral & facial surgery or dementia. We provide a unique, specialist service to try and achieve movement and asymmetry in the targeted muscles.

Trophic Electrical Stimulation (TES): TES is applied to the facial muscle with the specific purpose of influencing the metabolic pathway aiding the nutritional development and the growth of muscle. This stimulation technique makes the muscle
move with the electrical impulses to help promote recover. We combine this treatment with traditional oral muscle excercises.

Dysphonia is the medical term for disorders of the voice: an impairment in the ability to produce voice sounds using the vocal organs.

The disorder is a cause of:

  • Vocal Cord Nodules and Polyps Vocal Cord Paralysis
  • Spasmodic Dysphonia
  • Throat or lung cancer
  • Occupational Voice Misuse
  • Psychogenic
  • Laryngeal tension

We offer individualized therapy programs usually work collaboratively with excellent ENT Consultants. We use a range of therapy techniques that are evidence based and successful. These techniques may seek to eliminate potentially harmful vocal behaviors, alter the manner of voice production, and/or enhance vocal fold tissue healing following injury. In particular we can offer:

Vocal Hygiene: Advice about vocal care

Lee Silverman Voice Therapy: Treatment program promoting ‘loud voice’ of clients with Parkinson’s Disease

Voice Projection: Specific techniques to project the voice in meetings and presentations.

Vocal Functional Exercises: These are used to strengthen and balance the laryngeal musculature and create a balance among airflow, the laryngeal muscular effort and the tone placement.

Respiratory Training reinforcing the proper respiratory rhythm for speech