All therapy sessions are by appointment only. Weekday, evening and weekend hours are available at our Islandia and Hauppauge locations. We are open Monday through Saturday.
You can pay for speech therapy services by cash, personal check or credit card. We accept Visa, American Express, Discover and Master Card. Payment is due at the time of the session.
Many major insurance companies cover speech therapy services; however, each insurance plan varies. We can assist you in determining your coverage for speech, language or feeding therapy with your health insurance.
If you have out of network coverage you may choose to submit claims to your insurance company for reimbursement. We are happy to assist you in the process of obtaining reimbursement.
We believe that each and every child with speech and language deficits should be able to afford high quality treatment. We are committed to keeping our therapy rates as affordable as possible while maintaining the highest quality of care. If you are not able to afford our services, we may be able to assist you in securing funding for therapy. Please visit our links page for possible funding sources, or contact us for assistance.
Yes! The early intervention and school systems provide services to children who have significant speech and language delays and disorders that will impact the child's education. If your child's speech or language difficulties do not impact his/her education, or are not found to be significant enough for them to be eligible for services through these programs, you still should help your child to overcome these difficulties by seeking private speech therapy.
Yes, you can receive private therapy in addition to the county/state/school provided therapy. Additional private therapy often helps children to make progress toward speech and language goals at a faster rate, and the focus may be different in private therapy then in educationally relevant models.
Following the initial evaluation, if speech or language therapy services are recommended, we will make a determination regarding how often and how long you or your family member should come for therapy. Each patient is unique; however we typically recommend speech therapy 1 to 3 times per week for 30, 45 or 60 minutes.
We do not offer hippotherapy as a "separate service" at Speech Language Pathology in Motion. This is for several reasons:
Equine movement (Hippotherapy) can be incorporated into a treatment plan provided by a licensed Speech Pathologist, Occupational Therapist, or Physical Therapist. The therapist uses the horse’s movement to address therapy goals and functional outcomes within their scope of practice. The therapist focusing on improving functional skills such as speech, language, feeding, or fine and gross motor abilities. If you are looking for improvements of functional skills it is best to seek out hippotherapy from a therapist who is trained and licenced to assess and treat your areas of concern. For more information about hippotherapy visit the American Hippotherapy Association.
Adaptive/Therapeutic Riding is a horseback riding lesson that is adapted to meet the special needs of the rider. The lesson is taught by a riding instructor, and focus is on learning the sport of riding and horsemanship. The rider is not receiving therapy, and is not working on improving functional skills such as speech, language or feeding. Adaptive or therapeutic horseback riding instructors have training in modifying horseback riding lessons for people with special needs. Riding instructors are NOT trained in improving speech, language, feeding or fine and gross motor skills. Some people participate in adaptive/therapeutic riding as a recreational activity, while others become competitive in the sport of riding, going to horse shows locally, nationally and internationally. If you are looking for a fun, recreational or competitive activity for a person with special needs it is best to select adaptive/therapeutic horseback riding lessons. For more information about therapeutic riding visit the Professional Association of Therapeutic Horsemanship (PATH) International, or Certified Horsemanship Association.
Speech language Pathology in Motion does not offer therapeutic or adaptive horseback riding lessons. We specialize in improving speech, language and feeding abilities.
Many complex processes contribute to a child’s ability to speak, including motor learning, motor planning, sensory processing and sensory integration. The production of a single syllable requires the participation of 8-10 body parts and the coordinated action of 70 muscles.
Because speech is a complex motor task involving so many different muscles and body parts, it is important the entire body be addressed. Inadequate trunk control, instability at the shoulder girdle, and poor stability in the head, neck and jaw can all negatively impact speech production.
Recognizing that speech is a movement task means we must also recognize the importance of an intact sensory processing system, because the ability to move well requires feedback to the brain from the sensory systems. When any part of the sensory system is not functioning appropriately we can see deficits in movement and function. In traditional speech therapy, the visual and auditory systems are often provided with input. There are other important systems that are often overlooked in traditional speech therapy sessions. These systems make large contributions to the coordination of movement patterns for speech. These systems are:
All of the sensory systems must work well and work together. Dysfunction in any one of the sensory systems can result in deficits in communication. All of the systems interact together in order for us to think, move, comprehend and interpret the world around us.
When the sensory systems are functioning appropriately we are better able to process and learn information from our environment.
Speech Language Pathology in Motion incorporates movement and sensory activities into our therapy sessions as needed. We also use specialized therapy techniques such as PROMPT Therapy and Hippotherapy to provide information to the visual, auditory, olfactory, proprioceptive, tactile and vestibular systems. We consult with occupational and physical therapists as needed to better address our patient’s motor and sensory needs as they relate to speech and language.
Speech Language Pathology in Motion uses horses in our treatment for several different reasons.
The farm is a language rich environment and provides a lot to talk about. Patients respond well to being around the animals and to being outdoors. Many times the patients do not realize that they are working on therapy goals.
The horses walking gait moves the human body in a similar pattern to the human pelvis while walking. The therapist is able to facilitate increased trunk control, stability and breath support through the movement of the horse. These functions support speech and language.
The horse’s walk provides sensory input through movement, which is variable, rhythmic, and repetitive. While on the horse, the patient moves up and down, forward and back, side to side and through space as the horse walks. This type of movement is not able to be replicated in a clinic. The therapist carefully chooses horses for each patient based on the type of movement they produce. The variability of the horse’s gait enables the therapist to grade the degree of sensory input to the patient, and then utilize this movement in combination with other speech-language pathology treatment strategies to achieve desired results.
A wide variety of speech and language goals can be addressed while on the horse, and around the farm.
While many children and adults benefit from Hippotherapy and Equine Assisted Therapy, it is not for everyone. There are several factors that may make hippotherapy or equine assisted therapy contraindicated.
Contraindications for equine assisted speech therapy (off of the horse but in the farm environment)
Contraindications for speech therapy incorporating hippotherapy (being on the horse)
Precautions and Possible Contraindications for Hippotherapy
Speech therapy incorporating hippotherapy refers to the use of equine movement to address speech and language goals as part of an integrated intervention approach to achieve functional outcomes. The patient is on the horse, and the horse is moving.
Equine assisted speech therapy is conducted using the horses and the farm environment as part of the treatment. The patient is not necessarily on the horse, but may still be interacting with the horse and the farm environment.
The treatment plan is different for each patient. At the time of your evaluation it will be determined if Hippotherapy should be a part of the treatment plan, and to what extent.
The scheduled session times are 30, 45 or 60 minutes, and typically are provided 1-3 times/week. It is at the therapist’s discretion how much of that time is spent on the horse, in the barn, and in the treatment room. Each patient tolerates different amounts of time on the horse. Spending time around the farm and in the clinic facilitates carry over of skills achieved while on the horse, and is a very important part of the treatment.
The therapist has extensive training in conducting approach, and will use this expertise in determining how the session will be spent by taking into account many variables (including but not limited to the best way to address specific speech-language goals, safety, and patient performance).
All sessions will be held in the clinic on days that it is determined that Hippotherapy/Equine Assisted Therapy is not appropriate.
Hippotherapy is safe when provided by a trained therapist, with the help of a specially trained hippotherapy team. The risk of an injury is low. The use of equine movement at Speech Language Pathology in Motion is done with carefully selected horses, and well trained horse handlers and side walkers. Our therapist has extensive expirence working with horses and training in the use of hippotherapy and equine assisted speech therapy for both children and adults.
A research study conducted by Rebecca Cook, OTR, HPCS found that "The hippotherapy injury rate (1/14,386) is significantly lower compared with recreational riders (1/100)."
At Speech Language Pathology in Motion we begin treating children using hippotherapy as young as 18 months of age, when appropriate.
"Traditional" speech language therapy relies on auditory and visual systems to provide information about sound production. PROMPT therapy adds another dimension to the process of learning to talk, by providing information to the tactile system. Adding this dimension helps children and adults to better understand timing and placement for speech production by providing them with physical cues in addition to visual and auditory cues. Sensory feedback from movements is stored and as the child is provided multiple opportunities for practice muscle memory builds and movement patterns for speech improve.
For many patients we are able to incorporate both hippotherapy and PROMPT into the same session. The exception to this is when the patient is too tall for the therapist to reach while on the horse. Most of our pediatric patients receive hippotherapy on small horses and PROMPTing on the horse is not difficult. Hippotherapy and PROMPT go together nicely. Both PROMPT and Hippotherapy embody motor learning theory and both take the whole body into consideration when addressing speech and language goals. The two techniques complement each other well and when combined are highly effective in remediating speech and language difficulties and improving motor planning abilities.
Motor Speech Disorders are impairments in one or more of the motor processes that are required for speech. Children with motor speech disorders may exhibit motor deficits in one or more of the following areas:
Motor actions (for speech) are closely linked to sensory information received through movement experiences.
Fact: Hippos are NOT part of the "hippotherapy" team!
Hippo is the Greek word for horse. The term Hippotherapy loosely translates as treatment with the help of a horse.
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