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Speech Therapy

Our speech language pathologists at Bryan outpatient rehabilitation evaluate and treat speech, language, cognition, voice and swallowing abilities. All therapists have at minimum a master's degree and have completed a clinical fellowship.

Speech Language Pathologists Treat

Speech

A speech assessment and treatment consists of how well you can speak, form words, how many words you can say and how the muscles associated with speech are working.

Language

Language assessment and treatment includes receptive and expressive components by either speaking or alternative communication systems.

Memory and Problem Solving

A cognitive assessment and treatment includes memory and problem solving abilities. The speech therapy department works closely with the Bryan West Campus trauma program.

Swallowing

Evaluation and treatment includes oral, motor and pharyngeal function as well as decreasing the risk for aspiration pneumonia (breathing things like food or liquids into the lungs). With a doctor’s order, the speech language pathologist can complete a modified barium swallow (MBS), which is a video X-ray of the person’s swallow. Using the MBS information, the therapist determines if aspiration is occurring, why it is happening and steps for rehabilitation.

These steps may include methods to decrease the risk of aspiration, modifying foods and liquids or using VitalStim® to strengthen the muscles and organs used for swallowing.

  • VitalStim® is an FDA approved method of treating dysphagia, using a special form of electrical stimulation (NMES) to enhance training of the muscles used for swallowing. Speech therapists at Bryan use this technique along with other therapies to improve patient outcomes. Speech therapists at Bryan Medical Center have successfully completed a VitalStim® certification course for dysphagia treatment.

Voice

We evaluate and treat for various disorders of communication related to:
  • Faulty, abnormal or inappropriate phonation
  • Loudness
  • Pitch
  • Resonance caused by vocally abusive behaviors, trauma to the laryngeal mechanism or physical diseases
The therapists at Bryan may use the electroglottograph. This is a computerized piece of equipment that provides information on the closure of the vocal cords by measuring the electrical resistance between the two electrodes placed around the neck. It provides good information regarding the period of vocal cord vibration and can be used to determine treatment.

Schedule an Appointment Today

To schedule an appointment, call 402-481-5121.

For information and questions, call 402-481-9445.

cindy nehe

Cindy Nehe, manager, Bryan East Campus and Bryan West Campus inpatient rehabilitation

Cindy Nehe, MS, CCC-SL, received her bachelor’s and master’s degrees in speech language pathology from the University of Nebraska-Lincoln. She has worked in a variety of settings including schools, skilled nursing, inpatient rehab, acute care and outpatient services. Cindy is Vital Stimulation certified and enjoys working with patients who have had strokes, traumatic brain injuries and swallowing deficits. Cindy is the clinical coordinator for acute care, neonatal intensive care and outpatient pediatrics services at Bryan East Campus.

liz wozny

Liz Wozny, speech pathologist

Liz Wozny, MS, CCC-SLP, received her bachelor’s degree at the University of Nebraska at Kearney and her master’s degree in speech pathology at the University of Nebraska-Lincoln with a focus on traumatic brain Injury. Since completing her training, Liz has worked with adults in inpatient and outpatient rehabilitation settings. Throughout her career as a speech therapist, Liz has gained experience in swallowing disorders, voice disorders, stroke, cognitive-communication impairments, augmentative and alternative communication, and degenerative diseases. Liz is certified in Vital Stimulation.

Provides therapy at: Bryan West Campus

julie mcdaniel

Julie McDaniel, speech pathologist

Julie McDaniel, MS, CCC-SLP, received her bachelor’s degree in education and master's degree in speech and language pathology from the University of Nebraska. Since graduating she has worked in skilled nursing, acute care and outpatient pediatrics, including working with alternative and augmentative communication devices and children with autism. She also has worked in acute rehab with stroke and traumatic brain injury patients, and helping those with swallowing and speech difficulties, and memory and cognitive deficits. Her work passions include working with premature infants and children with swallowing disorders and feeding tolerance issues.

Provides therapy at: Bryan East Campus

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