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Information and Handy Hints

December 22nd, 2025

22/12/2025

 
Speech Language Therapy
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A Speech Language Therapist is trained in the area of swallowing and in the development of communication speech, and language.  The reason they are trained in both these areas is many of the same muscles, nerves and body parts are used in both communication and swallowing.
 
Communication is a complex activity that involves us understanding and being understood and includes:

  • non-verbal communication
  • facial expression
  • gestures/sign language
  • body language
  • symbols (writing, drawing picture)
  • technology
  • verbal communication - speech
  • language or understanding words and sentence
  • social rules
  • considering others people’s views
  • recognising non verbal clues
  • taking turns, eye contact, personal space
  • staying on topic
  • adapting communication for different situations and audiences.
 
Swallowing or dysphagia is a common consequence of many health conditions, head and neck surgery and ageing, affecting over 20% of over 50 year olds.  Signs of swallowing problems may include:
 
•       coughing while eating or drinking
•       choking while eating and drinking
•       repeated chest infections
•       taking longer to eat or drink
•       reduced appetite
•       unplanned weight loss
•       problems eating/drinking in public
•       food sticking in your throat
•       difficulty chewing tough foods
•       dribbling
•       food/fluid coming out of your nose
•       spilling food from mouth while eating
•       wet or gurgly sounding voice after eating or drinking
•       problems with drinking enough fluid

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What does a Speech Language Therapist do?
 
Communication
 
Speech Language Therapists give practical solutions to improve your communication, such as:
 
  • Ways to use and/or enhance your current communication skills
  • Exercise to help all areas of speech, language and voice
  • Use of gestures, signs, symbols and/or technology
 
With you, and those supporting you, they will:
 
  • Tailor a plan for you and help you put it into action
  • Review plan if required
  • Recommend equipment and its funding

Swallowing (Dysphagia)
 
Speech Language Therapists will give practical solutions to improve your eating and drinking, such as:
 
•       swallowing exercises
•       the best position to eat and drink
•       advice on special cutlery or cups to make eating and drinking easier
•       advice on food and fluids and how to make them so they are safe to swallow
•       advice on the ways to feed when eating and drinking is no longer safe

With you, and those supporting you, they will:
 
•       tailor a plan for you and help you put it into action
•       review plan if required
•       recommend equipment and its funding
 
 
Who does a Speech Language Therapist work with?
 
Adults and children with a variety of communication and or swallowing difficulties.
 
Conditions that may require help from a Speech Language Therapist include:
 
Developmental
 
  • Learning (Intellectual) Disability
  • Developmental Delay
  • Chromosomal Disorders eg  Down Syndrome
  • Dyspraxia
  • Autism
  • Cerebral Palsy
  • Reading and writing difficulties
 

Health and wellbeing
 
  • Deafness/hearing impairment
  • Ageing          
  • Oral cancer
  • Stuttering/fluency
 
 
Neurological
 
  • Stroke (CVA)
  • Parkinson’s
  • Multiple Sclerosis (MS)
  • Dementia
  • Motor Neurone Disease
  • Huntington’s
  • Muscular Dystrophy
  • Brain/head injuries
  • Specific language impairment
  • Stuttering
  • Abnormalities of head or neck
 

How does a Speech Language Therapist work?
 
The way in a Speech Language Therapist works is determined by the individual needs of the client and may include one or a combination of the following approaches.
 
Consultation and Monitoring
 
Consultation is an effective way of working with a person to improve their communication wherever they live, work play or learn. Therapists work together with the Significant Others, who are in the best position to carry out ideas on a day- to-day basis.
 
The Speech Language Therapist can provide support and regular review.
 
Direct/Hands On Intervention
 
The therapist carries out a programme on a regular basis, in a one-to-one or group setting.
 
Transdisciplinary Team Approach
 
People we work with may require support from a range of therapists including occupational therapists, physiotherapists, dietitian, and music therapists. At Therapy Professionals Ltd we work within a transdisciplinary team and are able to provide support one another’s programmes when appropriate.
 
If you think you or someone you know needs a speech language therapist Therapy Professionals Ltd’s friendly Speech Language Therapist can help, just contact us:
 
   Phone:           377 5280                  Fax:                377 5281                   Email:             [email protected]
 
 
 

December 16th, 2025

16/12/2025

 
‘Young at heart, slightly older in other places’
– Eating and drinking problems and ageing.

 
Swallowing difficulties (Dysphagia) are a common consequence of many health conditions, and head and neck surgeries, however swallowing difficulties can also be associated with ageing.  Estimates suggest up to 20% of all adults over 50 may be affected.
 
Changes might include such things as reduction in muscle strength for chewing, taste and smell, dental issues, dry mouth or throat, or recurrent illness such as pneumonia.
 
These changes may result in poor nutrition and hydration, unintended weight loss, avoidance of eating in public, loss of enjoyment in previously enjoyed food, and/or a risk of food/fluid entering the lungs (aspiration) leading to pneumonia and chronic lung disease.
 
What might you notice?
  • Difficulty or reluctance swallowing food or fluid  
  • Regularly coughing during or after eating or drinking
  • Regularly choking on food, fluid or medication
  • Persistent drooling of saliva
  • The sensation of food being stuck in the throat or chest.
  • Bringing food back up through the mouth or nose
  • Gurgly voice after eating and/or drinking
  • Recurrent chest infections or pneumonia
  • Difficulty chewing tough or stringy foods such as meat
  • Taking longer than 20-30 minutes to eat a meal
Suggestions to help:
  • Eat when you are feeling comfortable and relaxed.
  • Reduce distractions and keep conversation to between mouthfuls of food.
  • Have smaller meals or snacks more frequently throughout the day instead of three larger meals.
  • Chop or grate harder textured foods, and/or add sauces and gravies to keep food moist and easy to swallow.
  • Take your time to eat
  • Make sure you have swallowed everything in your mouth before taking another bite or sip.
  • Drink a glass of water after eating to wash down any residual food.
  • Remain upright for at least 30 minutes after eating and drinking.
  • Ensure dentures fit well. Use of a denture paste may assist.
 
Who can you talk to?
  • General Practitioner: For medical assessment and advice.
  • Pharmacist: About difficulties swallowing medications
  • Dentist: to check dentures for fit and function.
  • Dietitian: to give advice to improve and maintain nutrition and hydration
  • Speech Language Therapist: for assessment and treatment of swallowing difficulties
 
 
For further information or advice please contact Therapy Professionals Ltd as follows:
           
            Phone                         (03) 3775280,
            Email:                          [email protected]
            Website:                      http://www.therapyprofessionals.co.nz
 
Our Dietitian or Speech Language Therapist will be happy to help.

December 09th, 2025

9/12/2025

 
New technologies reduce falls
 
Among fall-prevention technologies, whole body vibration is gaining momentum
From Aged Care, Issue 02, 2021
​The statistics are familiar: each year, one in three people aged 65 or older will fall, and falls are the second leading cause of death among older adults.  The National Institutes of Health, state, and local agencies have published volumes of information about the perils of elders’ falls, but no comprehensive, feasible program to prevent falls has emerged.  There is little excitement or consistency in the programs, and many produce lackluster results.
 
Of course, we understand the risks.  But often, despite the statistics and our best efforts at motivation, many older adults make little or no effort to exercise or adopt physical activity.  So, where do we go from here?
 
The answer lies in education.  In addition to identifying elders at risk of falling, it’s important to emphasise the proactive solutions that can be effective.  There are scientifically researched tools available that can help significantly reduce the incidence of falls.
 
Among the major causes of falls are: environmental, such as home trip hazards or electrical wires, footstools, elevated thresholds, and uneven outdoor terrain, including sidewalks and curbs; vestibular problems’ neuropathy and other diseases; diet; physiological problems affecting ankles, feet, knees, and hips; muscle deterioration; and obesity.
 
Most agree that exercise, particularly weight resistance, presents the best option for older adults.  However, many older adults who would benefit from such training are strangers to lifting weights or running on treadmills.  For individuals in the 80s, this form of training was not widespread years ago and health clubs offering such exercises simply weren’t in existence.  But there are alternatives.
 
Whole body vibration
As early as the 1970s, the East Germans and Russians were experimenting with technology that came to be known as whole body vibration (WBV).  Basically, it involved a metal platform to adjust involuntarily in order to achieve balance, WBV also caused the muscles to fire at different frequencies, thereby taxing muscle strength.
 
At first, the technology was used to train athletes, improving coordination, muscle growth, and calorie burn.  During that era, the Soviets found that this new technology could be used during orbital space flight for their cosmonauts to combat the ravages of weightlessness, which caused muscle and bone density platforms and held on with straps.  Concurrently, American astronauts had to abort long-term space flights because of the deleterious effects of extended weightlessness and often had to be carried on stretchers after disembarking from the capsules.
 
Evolving technology
Throughout the 1990s, WBV technology took flight in Europe; many universities and medical establishments began to quantify its results.  Numerous studies were commissioned and most of the early studies emanated from Europe.
 
Around 2000, the technology was introduced to the United States via trade shows specific to the fitness industry and directed to, for example, health clubs.  There was a barrier to market entry through that means of distribution, as fitness devotees refused to believe that a few minutes on a WBV platform could deliver benefits similar to those achieved in an hour on traditional fitness equipment.
 
However, the concept ultimately took hold in universities and physical therapy clinics, and hundreds of additional studies were conducted to understand the benefits of WBV and how it could benefit various segments of the population.  The conclusions on its benefits included the following:
 
  • With respect to health, WBV reduced pain caused by arthritis, neuropathies, and other maladies; halted the effects of osteoporosis and built bone density: boosted circulation and the cardiovascular system; increased metabolism; improved balance and coordination; and accelerated wound healing and tissue regeneration.
  • In the area of fitness, it built stronger muscles; increased flexibility and range of motion; and decreased recovery time from exercising.
  • With regard to wellness, WBV improved the feeling of well-being and increased serotonin production; improved the quality of life; reduced lower back pain; and decreased stress levels.
 
These results were achieved through WBV’s causation of the following responses:
 
  • muscular contractions;
  • involuntary neuromuscular stretch reflex;
  • tendon, ligament, and cartilage stimulation;
  • hormonal response promotion; and
  • small twitch muscle fibre exercise as body sought to balance.
 
About 10 years ago, competitors attempted to enter the market.  Fast-forward to 2015 when researchers identified a new demographic that could benefit from WBV.  It appeared ideally suited for the older adult population for the following reasons:
  • They don’t want to spend the time or are incapable of doing formal exercise;
  • They respond to the benefits and feel of WBV almost immediately, and are then motivated to continue the exercise routine;
  • WBV is relatively easy and safe with stable vibe platforms, particularly with falls as a concern;
  • Benefits can be achieved in as little as three times per week and 10 to 15 minutes per session, even by simply standing on the platform; and
  • Recent research demonstrates that WBV can help alleviate the pain and suffering caused by fibromyalgia, Parkinson’s disease, osteoporosis, neuropathy, back pain, chronic fatigue, and many chronic diseases and conditions.
 
Measuring program success
How is this success measured in terms of fall prevention?  There are several means of testing individuals’ likelihood of falling, and a variety of balance-testing assessments.
 
The fear of falling plays a role in fall risk as well.  By utilizing specific measurement tools, a practitioner can advise older adults regarding the following:
  • In what direction is he or she most likely to fall?
  • Is he or she in a high risk of falling category?
  • What are the limits of sway in each direction before a fall is likely?
  • How is weight distributed from right to left leg?
  • How does vision, particularly in low light conditions affect his or her balance?
  • How does he or she fare on uneven or perturbed surfaces?
 
A new device features insole sensors that relay to the practitioner real-time information regarding walking patterns, balance, and sway with dynamic rather than static measurements.  A Bluetooth relay switch attached to the shoestrings sends the information to an iPad for recording the results.
 
Early diagnosis provides older adults and their physicians or practitioners detailed information about individuals’ fall and likelihood so recommendations on training, medication, diet, physical therapy, and other corrective measures can be made.  This new science has augmented, if not surpassed, the merits of casual observation such as sit-to-stand, get-up and go, and other subjective observational tests.
 
Other helpful devices
Once older adults experience a fall or a near miss, they frequently stop moving in favour of sitting, for fear that their next move might lead to a catastrophic break of limb, hip, or skull.  This results in weight gain, muscle loss, and balance deterioration, the expected physiological results of inactivity.
 
Ankle-foot orthotics (AFO), which can enhance stability when standing and walking and sometimes correct physiological problems, can be prescribed.  Confidence associated with AFO use can directly influence an older adult’s psyche regarding walking ability, helping to avoid falls.
 
Falls are so deleterious, and physically and financially costly, that additional proactive solutions must be devised and, more importantly, implemented.
 
Author: Brian Lewallan, Aged Care Issue 02, 2021

December 04th, 2025

4/12/2025

 
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They care. We care. Do you Care
 
More than a million New Zealanders care for family members and whānau who are ill, frail, injured, or have a health condition or disability. 
 
But family carers can feel invisible, taken for granted. They aren’t getting the support they need to keep going.
 
That’s why the Carers Alliance of 50+ national not for profits is calling for a home in government for family carers, and for action to protect their mental, physical, and financial wellbeing.
 
Help us by adding your voice to ours! Take one action, or do them all.
The action we take together for family carers will make a real difference.
 
Together we stand for family carers
 
The Carers Alliance was formed in 2004 to call for a Carers’ Strategy for New Zealand. This was achieved in 2008, with three five-year Action Plans since. But progress has been too slow. 
 
That’s why the 50+ national not for profits in the Carers Alliance are taking action. Family carers need us – and you – to make sure they can get support, stay well, and keep caring.
We are seeking a Minister or Commissioner for family carers, and true commitment to help them have breaks (respite), financial recognition for their work, flexible employment, help for children and young people who are carers, and legislative recognition and wellbeing protections for our country’s 1m+ family, whānau, and āiga carers. 
 
Please join us in taking action to support family carers – sign the petition and take some of our other actions.
 
Your support will make a real difference.
·       Sign the petition calling for a home in government and better support for family carers
·       Send us a photo message calling for action or to support the campaign
·       Share your story about caring
·       Send our e-card to all MPs, Ministers, political party leaders, and the Prime Minister

Find out more about how to add your voice at We Care
​

If you would like to sign it, or send it on to others, here is the link:
https://wecare.nz/testimonial/
 
Why should you care?
 
You may already be a family carer, or maybe someone in your whānau has this role. Tomorrow, it could be you.
​

December 02nd, 2025

2/12/2025

 
Are you losing your mobility?
As we age most of us want to keep our independence, this requires us to be mobile. The ability to get up and about with ease is essential for everyday life.
 
How might you know if you are in danger of losing your mobility?  To help, here are some early signs of immobility.  They include:
 
  • being unsteady on your feet
  • difficulty getting up and down stairs
  • avoiding stairs
  • avoiding doing any exercise
  • reluctant to go out
  • a decline in housekeeping
  • a drop in personal grooming and hygiene
  • difficulty getting out of a chair
  • falls
 
There are many reasons why immobility may happen as we age, some common ones are:
 
  • an underlying health condition or disability causing an abrupt or gradual decline e.g. Arthritis, Stroke, Parkinsons Disease, dementia
 
  • being less active over time and losing our strength and balance
 
  • being bedridden after a short illness or operation
 
  • a fear of falling
 
  • low armchairs and seats which are hard to get out of
 
  • uncomfortable or unsupportive footwear
 
  • long toenails, corns, ingrown toenails and other foot problems
 
  • loneliness, depression and anxiety
 
  • alcohol consumption
 
  • being overweight or malnourished
 
The good news is in most cases we can improve our mobility by dealing with the underlying problem and doing regular strength and balance exercises. The sooner we start the better off we will be.
 
Regardless of our age, regular exercise keeps us fit and makes us feel better. Being physically active strengthens the heart and lungs while supplying increased oxygen to the body.  This nourishes and strengthens muscles and joints making them work more efficiently. The spin-off is you have greater mobility, feel more energetic, look better and possibly have more fun.
 
If you or someone you know is showing signs of immobility our friendly Physiotherapists can help just contact us at Therapy Professionals.
 
Ph:                              03 377 5280
Email:                        [email protected]
 
 
 

    Author

    Shonagh O'Hagan
    and Therapists at Therapy Professionals

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