Jordan University of Science and Technology جامعة العلوم والتكنولوجيا األردن
Faculty of Applied Medical Sciences كلية العلوم الطبية التطبيقية
Department of Rehabilitation Sciences قسم علوم التأهيل
Hearing and Speech Clinic عيادة السمع والنطق
Patients name: Rashed Amairah Session date and 12/3/2025, Wednesday Supervisor name: Marwa
time: 11:40 – 12:10
Age: 15 years old Room number: 2 Course name: Speech practicum 4
Section number: 2
Complaint: Related to voice Session plan writer: Besan Mahfouz
Student names: Deena Shahed Tala Besan Islam Abu
Al-Dmour Al-khatib Khafajeh Mahfouz Al-rish
Assessment elements Procedures Tools use
Case History Gather information about the clients medical and We will use the standardized case
developmental history. history form used in the clinic.
Explore any previous speech and
language therapy the client may have
received. Ask about the main concern for
visiting the clinic. (Besan Mahfouz)
Oro facial examination Conduct an examination of the client oral Tongue depressor
structures and functions. Check for any Pin light
anatomical or physiological issues that may Gloves
affect speech production. (Islam Abu Al-rish)
Jordan University of Science and Technology جامعة العلوم والتكنولوجيا األردن
Faculty of Applied Medical Sciences كلية العلوم الطبية التطبيقية
Department of Rehabilitation Sciences قسم علوم التأهيل
Hearing and Speech Clinic عيادة السمع والنطق
Assessment of respiration Observe the breathing pattern at rest and during We will need a recorder
speech, determine whether breathing occurs
through the nose or mouth, note the regularity,
depth, and coordination between breathing and
speech production by reading tasks. the therapist
ask the patient to produce a sustained “a” sound
at a consistent pitch to measure the maximum
phonation time. (Islam abu Al-rish, Shahed
Alkhatib)
Auditory perceptual assessment The patient is asked to produce voice sample We will need a recorder
such as reading specific sentences, sustaining
sound like “a”, and engaging in spontaneous
speech. The following features will be evaluated:
loudness, roughness, breathiness, vocal
weakness, strain, pitch stability, and any unusual
characteristics (e.g., spasms or tremors). (Deena
Dmour)
Voice Handicap Index By providing the patient with a form to We will use standardized form
complete, they can answer the questions
independently. If the patient is unable to read,
the questions will be read to them clearly and
audibly. (Tala Khafajeh)
Jordan University of Science and Technology جامعة العلوم والتكنولوجيا األردن
Faculty of Applied Medical Sciences كلية العلوم الطبية التطبيقية
Department of Rehabilitation Sciences قسم علوم التأهيل
Hearing and Speech Clinic عيادة السمع والنطق
Resonance & Phonation Assess resonance quality, such as (Hyponasal, We will use a recorder
Hypernasal, cul-de-sac ).
If the resonance is found to be abnormal,
stimulability for restoring normal resonance will
be tested by teaching the patient techniques to
improve breathing or by using corrective
techniques. If the resonance is determined to be
normal, the therapist will evaluate the focus of
the voice resonance:
Oral resonance focus : the sound is directed
towards the mouth, not the nose. Production of
the word “ ”ماما.
Nasal resonance focus: the sound is naturally
directed towards the nose. Production of the
word “”من. (Shahed Alkhatib)
