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Speech Therapy

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What SLP does: A Speech Language Pathologist provides evaluation and treatment of speech, language, cognition, voice and swallowing abilities. All SLP’s have at minimum a Masters Degree in SLP and have completed a clinical fellowship year in addition to their didactic training.

SLP treats:

Speech:  A Speech assessment and treatment consists of articulation, phonological development, fluency and motor control of speech musculature. 

  A Language assessment and treatment consists of both receptive and expressive components by either utilizing verbalizations or use of alternative communication systems. 

  A Cognitive assessment and treatment consists of memory and problem solving abilities.  The speech therapy department works closely with the Bryan West Trauma department.

Swallowing (dysphasia):
Evaluation and treatment consists of oral motor and pharyngeal function as well as decreasing the patient’s risk for aspiration pneumonia. With a doctor’s order, the SLP can complete a Modified Barium Swallow (MBS) which is a video xray of the person’s swallow. Using the MBS information, the speech therapist determines if aspiration is occurring, why it is happening and what the steps are for rehabilitating the patient. These steps may include strategies to decrease the risk of aspiration (chin tuck, double swallowing), modifying foods and liquids or implementation of VitalStim® with oral/pharyngeal strengthening tasks. 

    • VitalStim® is an FDA approved method in the treatment of dysphagia, using a specialized form of neuromuscular electrical stimulation (NMES) to enhance training of the muscles used for swallowing. Speech therapists at Bryan use this technique in conjunction with other therapeutic interventions to improve patient outcomes.Speech therapists at Bryan Medical Center have successfully completed a 26 hour VitalStim® certification course for dysphagia treatment.


The patient will be evaluated and treated for various disorders of communication related to faulty, abnormal or inappropriate phonation, loudness, pitch and resonance caused by vocally abusive behaviors, trauma to the laryngeal mechanism or physical diseases. The therapist at Byran 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 utilized to guide treatment.

Cindy Nehe, M.S., CCC-SLP   Clinical Coordinator Outpatient Speech and Pediatrics – East Campus

Cindy received her Bachelor’s Degree and Master’s Degrees in Speech-Language Pathology from the University of Nebraska - Lincoln.  She has worked in a variety of settings including the schools, skilled nursing, inpatient rehab, acute care and outpatient services.  Cindy joined the staff at Bryan Health in 2008.  She is Vital Stimulation certified and enjoys working with patients who have had strokes, traumatic brain injuries and swallowing deficits.  In addition to her acute care caseload, Cindy is the clinical coordinator at Bryan East campus for acute care, neonatal intensive care and outpatient pediatrics services. 

In Cindy’s free time, she enjoys outdoor activities with her husband and two kids.  She likes to golf and spend time with family and friends.

Liz Wozny, MS, CCC-SLP

Liz obtained her BS from the University of Nebraska at Kearney and her Master’s degree in Speech Pathology from the University of Nebraska-Lincoln with a focus in Traumatic Brain Injury.  Since completing her training, Liz has worked with the adult population in skilled nursing, 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 Stim.  Her passion is helping people return to life and independence after a change or injury. 

In her spare time, Liz spends time with her husband and enjoys cycling and being outdoors.

Julie McDaniel, MS, CCC-SLP

Julie obtained her BS in education and MS in Speech and Language Pathology from the University of Nebraska.  Since graduating she has worked in a variety of settings including skilled nursing, acute care and outpatient pediatrics which included working with alternative and augmentative communication devices and children with autism. She has also worked in acute rehab with stroke and traumatic brain injuries, assisting these patients with swallowing difficulties, speech issues as well as memory and cognitive deficits.  Her work passions include working with neonates and children with swallowing disorders and feeding tolerance issues.  She also has skill and interest in working with both outpatient adults and children who have fluency and voice issues. Julie states, “Every patient and family has their own unique story.  I believe it is important to build upon their past experiences and knowledge to create a therapeutic environment that is individualized to each specific patient. I enjoy using toys, music, books or whatever it takes to provide patients with the incentives and motivation so they can achieve their goals and have a little fun at the same time. Often times it can be challenging and frustrating as we work towards acquiring new skills or returning skills that were lost and it is my job to provide my patients with the resources and strategies in order to achieve these skills. In working with both pediatrics and adults we are not just working with the patient, but believe that it is equally important to provide support, education, and training to their parents and family as well and I strongly encourage parents and family members play a very active role in therapy process.”

When not working with clients, Julie loves raising her 3 daughters and is a huge Husker fan. She also enjoys outdoor activities, kick boxing, scrapbooking and taking pictures.

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