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Marriage can be challenging even under the best of circumstances. But when parents have a child with special needs , the challenges can be magnified. Coping with the needs of a special needs child can put a strain on marriage in ways that many people may not understand. Marital counseling for parents of a child with special needs. Stress One of the biggest issues that parents of special needs children face is stress. The added responsibilities of caring for a child with special needs can be overwhelming, and it can be difficult to find time for self-care or for each other. This stress can lead to tension in the marriage and can cause couples to feel disconnected from one another. In addition to stress, parents of special needs children may also experience financial strain. Caring for a child with special needs can be expensive, and the added costs can create financial pressure on a family. This can lead to disagreements about money and can further strain the marriage. Parenting Styles Another issue that can arise in marriages with a special needs child is differences in parenting styles. Each parent may have their own ideas about how to care for their child, and these ideas may clash. This can lead to arguments and disagreements and further add to the tension in the marriage. Communication Communication can also be a challenge for parents of special needs children. With so much focus on the needs of their child, it can be easy for couples to forget to communicate with each other. This lack of communication can lead to misunderstandings and can exacerbate existing problems in the marriage. TIPS Despite the challenges that parents of special needs children face, it is important for couples to prioritize their marriage and work together to overcome these challenges. Here are some tips for strengthening your marriage, even in the midst of caring for a special needs child: Make time for each other. Even if it’s just a few minutes a day, make sure you and your partner have time to connect. Seek support. Joining a support group or talking to a therapist can help you and your partner cope with the challenges of caring for a special needs child. Take care of yourselves. It’s important to take care of your own physical, emotional, and mental health so that you can be the best parent and partner possible. Communicate openly and honestly. Make sure you and your partner are on the same page about parenting decisions and other vital issues. Celebrate the small victories. Caring for a special needs child can be challenging, but it’s important to remember to celebrate the small victories along the way. Couple’s Therapy By prioritizing their marriage and working together to overcome challenges, parents of special needs children can strengthen their relationship and provide a stable and supportive home for their child. Couples therapy can be particularly beneficial for parents of children with special needs. Raising a child with special needs can be incredibly challenging, and it’s not uncommon for couples to experience additional stress and conflict as a result. Therapy can help parents communicate more effectively with one another, learn new coping strategies, and develop a stronger understanding of each other’s perspectives. This can enable them to work together as a team and better support their child’s unique needs. Some specific topics that may be addressed in couples therapy for parents of children with special needs include: Coping with the emotional impact of having a child with special needs Navigating the healthcare system and accessing necessary services Balancing the demands of caregiving with other responsibilities (e.g., work, relationships) Managing financial stress related to the costs of caring for a child with special needs Addressing disagreements around parenting styles and decision-making Ultimately, Couple’s Therapy can provide a safe and supportive space for parents to work through their challenges and strengthen their relationship with one another. #CouplesTherapy #specialneedschild

Before delving into this topic of Can OT be done at home, it is first important to understand what is OT. After which we can look at how OT is made possible in the home environment. OT or Occupational therapy is a powerful tool that is used to help improve the daily lives of people of all ages and abilities . They help them to actively & purposefully engage in their daily lives. OT’s work with individuals to assess their needs & determine the best path to develop, modify, adapt or regain skills that are challenging because of their limitations. They combine all their senses in order to make sense of our environment. The main role of an OT is to inculcate daily life skills which include day-to-day tasks such as grooming, self-care, leisure or work. They work to promote, maintain, & develop the skills needed to be functional in different settings. Traditionally, occupational therapy is done in professional settings, such as hospitals and clinics. However, with the advent of the Internet and telehealth services, it is now possible to receive occupational therapy services from the comfort of your own home. Occupational therapy at home is a natural setting for living as its place for self-care, dressing, grooming, bathing & other activities of daily living. Also, for Instrumental activities of daily living like home management, meal preparation, paying bills, and other tasks. So, can occupational therapy be done at home? The answer is absolutely yes! There are many different ways that occupational therapy can be delivered at home. Let’s take a closer look at some of these methods. OT Exercises at home by parents or caregivers Here are a few activities that you can do at home – For tactile needs – Playing with dough. Firmness can be varied as per the needs to the child For proprioceptive needs – Pushing heavy objects like box of toys, or pulling heavy blanket or even moving furniture. Object and activity can be varied as per the requirement. For vestibular needs – Bouncing on ball or rotating on chair or swinging. Speed can vary as per the child needs. For auditory needs – Different music can be introduced depending upon child’s sensory needs Motor planning & control – Obstacle course can be made for child with purposeful activity. Elements of the course are selected as per child’s motor skills development. Telehealth Services One of the most popular ways to receive occupational therapy services at home is through telehealth services. Telehealth services allow patients to connect with occupational therapists remotely using video conferencing technology. This makes it possible for patients to receive therapy from the comfort of their own homes, without having to travel to a clinic or hospital. Through telehealth services, occupational therapists can provide a wide range of services, including: Evaluations and assessments Individualized treatment plans Therapy sessions (individual and group) Caregiver education and training Home modification recommendations Adaptive equipment recommendations Professional Home Visits Another option for receiving occupational therapy services at home is through home visits. Home visits are particularly useful for patients who are unable to travel to a clinic or hospital due to mobility or other physical limitations. During a home visit, an occupational therapist will visit a patient’s home to provide therapy and support. This can include: Evaluations and assessments Individualized treatment plans Therapy sessions (individual and group) Home modification recommendations Adaptive equipment recommendations Educating family members and caregivers on how to support the patient’s progress Online Resources and Programs In addition to telehealth services and home visits, there are also many online resources and programs available to help patients receive occupational therapy services at home. These resources can be particularly helpful for patients who are unable to attend therapy sessions in person due to scheduling conflicts or other issues. Online resources and programs can include: Educational materials on a wide range of topics related to occupational therapy, such as activities of daily living, exercise, and stress management Virtual therapy sessions that is accessible from anywhere at any time Occupational therapy worksheets designed to improve fine motor skills, memory, and other cognitive abilities Virtual communities and support groups where patients can connect with other individuals who are experiencing similar challenges Benefits of Doing Occupational Therapy at Home There are many benefits to receiving occupational therapy services at home. These benefits include: Greater convenience and flexibility – patients can receive therapy from the comfort of their own homes, and can choose the time and day that works best for them Increased privacy and comfort – patients may feel more comfortable sharing personal information in the comfort of their own homes Greater accessibility – patients who are unable to travel to clinics or hospitals because of physical limitations can still receive therapy services Implementing strategies into your daily routines – Sometimes it is hard for caregivers to carry over strategies provided by their therapists – so having the therapist present at the moment to observe routines & show caregivers how to implement strategies within daily routines and provide any additional tips Utilize Toys & equipment at home – Therapist can see what toys/ items you already have at home and can guide you how to use it in different ways to achieve various goals for improving child’s skills. Improved outcomes – research has shown that patients who receive occupational therapy services at home may experience better outcomes than those who receive therapy in clinical settings Conclusion Shortly, occupational therapy is absolutely possible at home. With the help of telehealth services, home visits, and online resources and programs, patients can receive high-quality occupational therapy services from the comfort of their own homes. If you or someone you know is in need of occupational therapy services, consider exploring the many options available for receiving therapy at home. You can book an online OT appointment with us at 1SpecialPlace. Contact us to know more. Click here to book a session. #occupationaltherapy #OccupationalTherapyatHome #OTExercisesathome #TelehealthServices

Autistic children find it difficult to go to sleep and stay asleep through the night. Some common causes for them to have sleep issues include difficulties with relaxing or winding down, restless sleep, bad dreams, bed-wetting, unable to communicate if any pain at night, snoring or sensory processing issues causing anxiety. Did you know a massage right before sleeping can help your autistic child relax and can release sensory overload? You can ask your physiotherapist or occupational therapist for guidance and tips on how to massage. In this article, you will learn about different nutritional deficiencies and foods that can be the cause of disturbed sleep or difficulty sleeping. Autistic children are more prone to poor gut health as well as gastrointestinal problems. Poor gut health can also cause low production of GABA which has a calm effect and reduces anxiety. A diet low in Glutamate and foods that help improve gut health and increase GABA levels. There are three questions to consider to conclude your child isn’t sleeping well. The first one is- can your child go to sleep without any fuss within 15 minutes? The second one is- Does your child wake up by themselves frequently at night and can’t go back to sleep? The third one- Does your autistic child get 8-10 hours of sleep daily? Here is the answer to get your child to sleep well at night. Step 1: Sleep routine Begins with implementing a consistent 30-minute bedtime routine. The best time to put your child to sleep regularly is between 7:30 pm to 9:30 pm. A bedtime routine can help with regulating sleep and the circadian rhythm. You can read this article to learn more about sleep problems and solutions in autistic children . Step 2: Diet recommendation Your child may have deficiencies in certain nutrients or he/she may not be eating certain foods that promote sleep. Here are some examples of what type of nutrients your child may be missing out on. 1. Complex carbohydrates: Foods rich in complex carbohydrates like whole grains, brown rice, quinoa, and oats can help increase the production of serotonin, a neurotransmitter that promotes relaxation. 2. Tryptophan-rich foods: Tryptophan helps produce serotonin, converted to melatonin and is used in the brain to help sleep and maintain circadian rhythm. Foods containing tryptophan include turkey, chicken, fish, eggs, dairy products, nuts, and seeds. 3. Magnesium-rich foods: Magnesium is a mineral that helps regulate sleep and relaxation. Foods rich in magnesium include dark leafy greens, nuts, seeds, legumes, and whole grains. 4. Calcium-rich foods: Calcium plays a role in the production of melatonin, a hormone that regulates sleep. Good sources of calcium include dairy products, leafy greens, fortified plant-based milk, and certain fish like salmon and sardines. 5. Potassium-rich foods: Potassium is a mineral that helps relax muscles, which can be beneficial for sleep. Potassium-rich foods include avocados, bananas, sweet potatoes and spinach. 6. Foods with melatonin: Some foods naturally contain melatonin, which can help regulate the circadian sleep-wake cycle. Studies show dysregulations of this hormone are directly linked to ASD-related sleep problems (1) . These include cherries, tomatoes, walnuts, and olives. 7. Vitamin A deficiency can also be responsible lead to sleep disturbance in autistic children. You can add foods rich in Vitamin A, for example, carrots, melons, pumpkin, spinach and many orange-coloured fruits and vegetables have vitamin A. If you are a non-vegetarian, you can include one piece of chicken liver twice a week. 8. Avoid serving large meals, heavy meals, red meat, candies and chocolates which can contain caffeine close to bedtime, as these can disrupt sleep. Instead, serve a light, balanced snack if your child gets hungry before bed. You also need to avoid serving foods rich in sugar. Sugar spikes can lead to sugar lows making them dull and cranky, preventing them from sleeping. 9. Take vitamins in the morning rather than at night. Since large amounts of vitamins and minerals can keep the body stirring. You can give your child probiotics at night, giving bacteria time to colonize (grow). 10. Unable to get your child to eat foods that contain the nutrients mentioned above. You can consider giving your child the following supplements- Magnesium, Serotonin, melatonin, GABA or inositol. In conclusion, sleep dysregulation is caused by genetic factors, environmental factors and behavioural dysregulations. Including these foods and diet recommendations while also following a comfortable bedtime routine can help with sleeping through the night. Still not able to get your autistic child to sleep through the night? There could be underlying issues like tummy problems. You can meet your paediatrician to rule out severe conditions and then meet your Dietitian to improve your child’s diet and solve their tummy problems. To book a session you can contact the admin of 1 special place. Reference Nature.com #Autisticchild #AutisticChildren #childsdiet #meetyourDietitian

First, let me help you with understanding the Science Behind Autism and Digestive Issues and how Diet for Autism works When your child has autism spectrum disorder (ASD) and experiences digestive problems, it can substantially impact their overall health and well-being. The connection between the gut and ASD has been an important topic of research, shedding light on the underlying mechanisms and potential treatment approaches. This blog post will focus on the role of the digestive system and the gluten-free, casein-free (GFCF) diet as a potential treatment option. Exploring the Gluten-Free, Casein-Free Diet: In a healthy child, the digestive tract acts as a protective barrier, allowing only essential substances like water, nutrients, and certain medications to pass through while preventing the entry of harmful substances such as bacteria, toxins, and undigested food particles into the bloodstream. However, in children with ASD, the digestive or gastrointestinal (GI) structure changes, leading to increased permeability or “leaky gut.” This means that the gut lining becomes more fragile, allowing unwanted substances to enter the bloodstream. The GFCF diet is based on the hypothesis that individuals with autism may have difficulty processing gluten and casein, leading to the exacerbation of ASD symptoms. Advocates of this diet argue that by eliminating these proteins from the diet, they can reduce inflammation, improve gut health, and subsequently alleviate behavioral issues associated with autism. When the gut lining is damaged, the small intestine cannot fully digest proteins and carbohydrates. Undigested food particles serve as a source of nutrition for harmful bacteria in the gut, which can produce toxins that further damage the intestine. These toxins can then enter the bloodstream through the damaged gut lining, triggering the immune system to produce antibodies. This immune response can worsen the inflammation and damage to the intestine, creating a vicious cycle. Digestive functions in children with ASD The altered digestive functions in children with ASD not only affect the physical health of the gut but also impact the symptoms of autism. It has been observed that interactions between the diet and the digestive tract can exacerbate the symptoms of ASD. Children with ASD and digestive problems often experience reduced digestive capacity, impaired release of digestive juices, and the presence of antibodies against proteins from undigested food in their blood. Dietary approach One dietary approach that has gained attention in the ASD community is the gluten-free, casein-free (GFCF) diet. The rationale behind this diet is that children with autism might have difficulty processing gluten (found in wheat and other grains) and casein (found in dairy products). This difficulty in processing these proteins could potentially contribute to their symptoms. While some children with autism have reported positive effects of the GFCF diet on their symptoms, scientific studies have produced mixed results. Certain studies have indicated that a few children with ASD may experience improvements in behaviour, social interactions, and gastrointestinal symptoms when following a GFCF diet. However, other studies have failed to find significant benefits. Considerations and Challenges: It is important to note that the existing research on the GFCF diet for autism has its drawbacks. Many studies have few children, lack a proper control group (group of children who do not receive the new treatment being studied), and rely on subjective measures (measuring what parents say) of improvement. Moreover, adhering to the GFCF diet can be challenging, as gluten and casein can be found in a wide range of food products. Due to the lack of consistent evidence supporting the GFCF diet as a treatment for autism, individuals and families must consult healthcare professionals, such as registered dietitians or medical doctors, before making any significant dietary changes. These professionals can provide personalized advice based on the individual’s specific needs and help monitor for potential nutritional deficiencies that may arise from eliminating certain food groups. Furthermore, it is essential to recognize that autism is a complex neurodevelopmental disorder with a variety of symptoms and causes. Each child with autism is unique, and what works for one child may not work for another. Therefore, it is important to approach treatment options with an open mind and rely on evidence-based interventions supported by rigorous scientific research. In conclusion The gut-brain connection in children with ASD is a topic of ongoing research. The changes that happen in the digestive system can lead to increased permeability (tiny openings to the bloodstream), allowing harmful substances to enter the bloodstream and exacerbate the symptoms of autism. While the GFCF diet has been explored as a potential treatment option, the scientific evidence supporting its effectiveness remains inconsistent. According to my experience, children with leaky gut syndrome or a fragile gut have shown improvements in ASD symptoms with the GFCF diet in the first 6 months of starting this diet. It is crucial to consult healthcare professionals and rely on evidence-based interventions when making dietary changes or pursuing any other treatment approach for autism. If you have not tried the gluten free casein free diet yet, you can always contact 1 special place Admin and book an appointment . #autismspectrumdisorder #CaseinfreeDietforAutism #ChildrenwithASD

Are you confused as to what foods to give your child? You as a parent constantly think of what to prepare for breakfast, lunch and dinner, not to forget the snacks in between. Every mom wants easy recipes and a diet chart to help with ASD symptoms, accepted or safe foods by picky eaters, foods for good gut health, and not to forget healthier tasty alternatives. Do you wonder if your child needs supplements? Autism Spectrum Disorders is a spectrum of symptoms that varies with environmental factors (based on the place you live), genetics, nutritional deficiencies, eating difficulties and poor food habits, from one child to another. While no specific diet has been proven to treat or cure autism, certain dietary strategies may help manage symptoms and support the child’s overall development. When it comes to a diet for an autistic child, it’s important to focus on providing a balanced and nutritious meal plan that supports their overall health and well-being. Want the solution to the most commonly searched topic by parents on Google? Here are some general guidelines to consider: Balanced diet and variety: Your child may eat a few foods but expanding their diet during childhood prevents nutritional deficiencies (if not corrected are linked to worsening ASD symptoms) making it important to include nutrient-dense foods. Your child’s plate should have a balance of carbohydrates, proteins, and healthy fats. It should also include plenty of fruits, vegetables, whole grains, lean meats, fish, legumes, nuts, and seeds throughout the day. Maintaining intake of Omega-3 Fatty Acids: Omega-3 fatty acids, found in fatty fish (such as salmon, mackerel, and sardines), walnuts, chia seeds, and flax seeds, are believed to support brain health. Including these foods in your child’s diet may be beneficial and brain protective. Limited Processed Foods: Minimize the consumption of processed foods, sugary snacks, and beverages. These foods can negatively affect overall health and may contribute to behavioural issues like irritability and aggression. Food Sensitivities: Some autistic individuals may have sensitivities or allergies to certain foods. Monitor your child’s reactions to different foods by maintaining a food diary. Consult with a healthcare professional if you suspect any sensitivities or allergies. Gluten and Casein: Some parents choose to try a gluten-free and casein-free (GFCF) diet for their autistic child. This diet involves eliminating gluten-containing grains (wheat, barley, rye) and casein (found in dairy products). While there is limited scientific evidence supporting the effectiveness of this diet, some parents describe improvements in behaviour and digestive issues. If you decide to try a GFCF diet, it’s advisable to work with a healthcare professional or a registered dietitian to ensure adequate nutrition. Adequate Hydration: Ensure your child drinks enough water throughout the day to stay hydrated. Limit the intake of sugary drinks and encourage water as the primary beverage. It helps prevent the most common symptom which is constipation. Your child’s needs: Every child is unique, and what works for one child may not work for another. Pay attention to your child’s specific needs. Remember, it’s crucial to involve healthcare professionals, such as paediatricians and registered dietitians, to guide you in developing an appropriate diet plan for your autistic child. They can help ensure that your child’s nutritional needs are met while considering any specific dietary requirements or sensitivities they may have. You may wonder where the sample diet chart is. What if I told you that a generalized diet chart will never show results rather a personalized diet modified specifically to the symptoms of your child can show results? Unfortunately, it takes 3-6 months to see the impact diet has on your child and many parents give up trying after just one consultation. When all a parent needs is support and help with diet recommendations for at least 3 months. The reason a Dietitian can not provide a sample diet chart is because the diet in ASD is not the same for all children and diet charts vary with age, symptoms, gut health, pickiness, sensory processing issues and many other factors. Here is what to expect from a consultation with a pediatric dietitian with experience treating children with ASD. Consultation and follow-ups include: Assess the growth of the child Nutritional deficiencies Gut health Ways to avoid environmental toxins like Heavy metals, fertilizers, food additives, etc. Picky eating Brain Health and many more. So the takeaway of this article is that “your child is unique and so is their diet therapy”. Ensure that the general tips mentioned above are followed, which can help improve many of their symptoms. But if you still notice a lot of symptoms induced by poor diet and poor eating habits. You can always consult for comprehensive diet counselling. Contact the admin to book a session and I will help you. #ASDsymptoms #AutisticChildren #DietChartforAutisticChildren

Have you heard of stories of autistic children with poor muscle tone and feeding difficulties? They usually find it difficult to eat normal homemade foods. Children can eat only 1-2 comfort foods daily without any interest in other foods.  A few years back, I had a patient with poor muscle tone who would just drink his food. His diet consisted of dal-rice-boiled vegetables, pureed fruits and porridge. He would just not eat food in large quantities. This diet is comparable to a full-liquid diet. The diet’s nutrition is insufficient to meet the growth and developmental milestones. Autistic children could likely have low calcium and protein, responsible for reducing brain development, growth of bones, and strength of muscles. When it comes to managing the dietary needs of an autistic child with poor muscle tone, it’s important to focus on providing a balanced and nutritious diet. There are two causes of poor muscle tone. The first being vestibular issues and the second being nutritional deficiencies. Tips on how diet management in nutritional deficiency children In this article, I will share tips on how diet management in these children can help improve their condition to a certain extent, especially if nutritional deficiency is the cause. Hypotonia or poor muscle tone due to nutritional deficiencies is a result of poor nutrition delivery to the muscles. The child may eat everything but is unable to digest or absorb nutrients from food into the body. Some children may not be able to break down protein into tinnier particles (i.e., amino acids) which are required to build muscles. Or calcium is not sufficient in muscles to help with muscle contraction and relaxation and over some time it results in weak or poor muscle tone. When it comes to supporting the dietary needs of an autistic child with poor muscle tone, it is important to focus on providing proper nutrition and promoting overall health. Here are six diet tips that may be beneficial: Including all food groups: Ensure that your child’s diet includes a balance of all food groups, including cereal, pulse, vegetables, fruits, nuts, and seeds and if you are a non-vegetarian you can include meat (egg, chicken, fish). Adequate calorie intake during the day and the right portion size during each meal become essential. Your child’s diet should also include the right balance of carbohydrates, protein and fat. Carbohydrates and fats provide energy, proteins support muscle development and repair, and healthy fats like omega-3 fatty acids aid in brain function. Including a variety of whole grains, lean proteins (such as poultry, fish, and legumes), and sources of healthy fats (like avocados, nuts, and seeds) can help provide essential nutrients. Nutrient-Dense Foods: Prioritize nutrient-dense foods to support your child’s overall health. These foods include a variety of fruits, vegetables, whole grains, and lean proteins in their diet. These foods are rich in vitamins, minerals, and antioxidants that can support muscle tone and overall well-being. Encourage your child to consume a rainbow of colourful fruits and vegetables to ensure a wide range of nutrients. Adequate Protein Intake: Protein plays a crucial role in muscle development and repair. Ensure that your child is consuming enough protein-rich foods. Include lean meats, fish, eggs, dairy products, legumes, and plant-based protein sources (like tofu and tempeh) in their diet. Hydration: Proper hydration is essential for muscle health and overall well-being. Encourage your child to drink an adequate amount of water throughout the day. You can also include hydrating foods such as watermelon, cucumbers, and soups in their diet. Avoid excessive consumption of sugary drinks or sodas, as they provide little nutritional value and may contribute to poor health. Consistent Meal Schedule: Establishing a consistent meal schedule can help regulate your child’s energy levels and support muscle function. Aim for regular meal and snack times to ensure they receive adequate nutrition throughout the day. This can also help prevent fluctuations in blood sugar levels, which can affect energy levels and muscle tone. The takeaway of this article is to work with your child’s feeding difficulties, nutritional deficiencies and meal routine. Remember, it is always important to consult with your healthcare professional like a doctor for medical diagnosis and a dietitian who can provide personalized advice based on your child’s specific needs and medical history. They can help create a tailored diet plan that suits your child’s requirements and solves feeding issues. Contact the admin at 1 Special Place for more information on the program or book a diet and speech therapy session . #AutisticChildren #nutritionaldeficiencychildren #speechtherapysession

Every child should have an equal chance to study and succeed in a learning environment. Remedial help is essential for the academic and personal development of special needs children . This blog article will discuss the idea of remedial support for kids with special needs and explain how it helps with their overall development. Defining Remedial Support: Remedial support refers to the educational assistance provided to students who require additional help to meet their learning objectives. In the context of special needs children, remedial support focuses on addressing their specific challenges and tailoring teaching methods to accommodate their unique learning styles and abilities. Identifying Special Needs: Autism spectrum diseases, attention deficit hyperactivity disorder (ADHD), dyslexia, intellectual disabilities, and speech or language impairments are only a few of the conditions that fall under the category of special needs. Designing efficient remedial programs requires an awareness of the unique needs of each child. Here are some key aspects to understand about remedial support for special needs children: Individualized Education Programs (IEP’s): IEP’s are comprehensive plans developed collaboratively by educators, parents, and specialists to address the specific needs of a special education student. These programs outline goals, teaching methods, and accommodation necessary to ensure the child’s success. Remedial support is often a fundamental component of an IEP. Tailoring Instructional Strategies: To provide remedial support, teachers must use varied teaching methods that take into account the unique learning preferences and skills of each child. To do this, it may be necessary to alter the instructional materials, employ multi-sensory techniques, deconstruct difficult ideas into simpler ones, and allot more time for study and practice. Assistive Technology: Technology advancements have completely changed the world of educational support for children with exceptional needs. The use of assistive technology tools, such as text-to-speech software, speech recognition software, and communication devices, can improve learning opportunities and help children get over potential roadblocks. Small Group or One-on-One Instruction: Providing special needs children with small groups or one-on-one instruction allows for more individualized attention and support. This can be particularly beneficial for children who require intensive remediation in specific areas. Multi-sensory Teaching: Incorporating multiple senses into the learning process can help special needs children better understand and retain information. For example, using visual aids, hands-on activities, and auditory cues simultaneously can enhance their learning experience. Building Self-Esteem and Social Skills: The goal of remedial education is to help students improve academically while also fostering their social and self-esteem. Children with special needs frequently struggle with social relationships with peers, self-confidence, and self-advocacy. Remedial programs offer chances for socialization, inclusive activities, and promoting a positive self-image. Collaboration between Educators and Specialists: Collaboration between educators, professionals, and parents is necessary for effective remedial help. To execute focused interventions that meet a child’s unique requirements, teachers closely collaborate with professionals like speech therapists, occupational therapists, and [“behavior”] analyzers. The development of the child is enhanced by frequent communication and common goals. Positive Reinforcement and Motivation: Children with special needs can gain from encouragement and positive reinforcement to maintain interest and concentrate. It is possible to keep their interest and increase their self-confidence by praising their efforts, celebrating their successes, and giving rewards or incentives. Emotional and Social Support: Children with special needs may require emotional and social support to overcome whatever obstacles they face. This may mean fostering a friendly and encouraging learning atmosphere in the classroom, providing opportunities for friendship and social interaction, and putting self-esteem and resilience-building strategies into action. Parent and Caregiver Involvement: Collaboration between parents, caregivers, and educators is crucial in providing remedial support for special needs children. Regular communication, sharing of progress reports, and involving parents in goal setting can create a supportive network for the child. Specialized Programs and Resources: Investigate the specialized services, remedies, and tools created for children with certain learning difficulties or disabilities. Programmes for attention deficit hyperactivity disorder (ADHD), autism, dyslexia, and other diseases may be among them. Progress Monitoring and Assessment: Continuous progress monitoring and assessment are essential to guarantee the efficacy of remedial intervention. Teachers keep tabs on a student’s development, spot areas for improvement, and adjust plans as necessary. Gaining knowledge about a child’s performance outside of the classroom requires regular engagement with parents. Individual needs Children go through extensive evaluations to determine their learning needs, skills, and limitations. Standardized exams, observations, interviews, and consultations with experts like psychologists, speech therapists, or occupational therapists may all be a part of the evaluation process. Inclusive Classroom Environments: For special needs students to succeed, inclusive educational environments are essential. Teachers promote acceptance of all pupils, peer interactions, and the development of empathy and understanding. Schools foster a culture where each student feels respected and supported by embracing diversity. The other link is attached for the topic remedial support are: Conclusion: Reaching a special needs child’s full intellectual, emotional, and social potential depends heavily on remedial support. Teachers and professionals can provide these children with the help they need to succeed by customizing educational tactics, implementing assistive technology, and encouraging cooperation. A more inclusive and equitable education system will be possible for everyone if inclusive environments are created and individual needs are prioritized. #Childrenwithspecialneeds #dyslexia #intellectualdisabilities #speechtherapists

Efficacy of Online Occupational Therapy in the Management of Autism Spectrum Disorder ‘’ Autism spectrum disorder (ASD) is a developmental disability caused by differences in the brain. People with ASD often have problems with social communication and interaction, and restricted or repetitive behaviors or interests. People with ASD may also have different ways of learning, moving, or paying attention. It is important to note that some people without ASD might also have some of these symptoms. But for people with ASD, these characteristics can make life very challenging.’’ The occupational therapist (OT) first evaluates the child’s strengths and weaknesses and conducts an interview with the parents to determine their goals for the therapy. Based on this assessment, the therapist designs a personalized therapy plan for the child, which incorporates play-based activities aimed at improving the child’s motor skills, sensory processing, social skills, and cognition. Sensory Processing difficulties in Autism cause differences in movement needs, ability to adapt to a surrounding, accept changes in routine, textures and tastes tolerance in food, specific and rigid preferences in clothing are few observable changes. These sensations are perceived as under-stimulatory or over stimulatory resulting in a movement seeking or movement avoidance, respectively. This presentation affects the performance in areas like a child’s bonding with caregivers and peers, their ability in self-care, scholastic demands and Play. Clinical Insight into Intervention Journey of the client with us: Participant: 3years 10 month old child with Moderate to severe Autism was assessed and started with Occupational Therapy Tele rehab intervention. Method This child was assessed on sensory profile at 3.10 years and later at 4 years 11 months. His parents answered the sensory profile and clinical observations were documented by the therapist. Upon evaluation of clinical presentation, evaluation, informal observation and sensory profile, Occupational Therapy Intervention was recommended and started. The Child attended Online Intervention for 13 months, twice a week initially and later once a week. This data was utilized for this study. The child was mostly regular during this intervention period. Sensory Integrative Approach, Sensory Motor approach and Play were primary approaches utilized. Result: Following are the pre and post-therapy scores comparison: Pre-Therapy Post Therapy Tactile Sensitivity Definite Difference Definite Difference Taste/ Smell Sensitivity Definite Difference Typical Performance Movement Sensitivity Definite Difference Probable Difference Underresponsive/ Seeks Sensation Probable Difference Typical Performance Auditory Filtering Definite Difference Definite Difference Low Energy/ Weak Definite Difference Typical Performance Visual/ Auditory Sensitivity Definite Difference Definite Difference Total Definite Difference Probable difference Comparative Chart: 29.47% increase in total score on The Sensory Profile was noted, post-therapy, indicative of improved sensory processing ability in this child. Interpretation: The Child displayed improvement in Food exploration, good mastication and also acceptance of a variety of tastes and textures. He seemed more energetic and displayed improved postures in sitting and standing post-therapy. His movement-seeking had considerably improved, and he participated better in Parent-led activities with least/ nil resistance. His initiation in motor tasks is still low. Even in Visual/ Auditory Sensitivity, which had the least improvement, the child was observed to regulate and adapt to brighter light inputs or loud sustained noises like a grinder or vacuum cleaner by covering their eyes/ears, instead of crying as earlier. Auditory Filtering shows least integrative changes and the child responds after 2-3 repetitions of commands. Discussion and Conclusion: According to WHO, ‘It is estimated that worldwide about 1 in 100 children has autism (1). This estimate represents an average figure and reported prevalence varies substantially across studies.29-Mar-2023. It’s the same According to ‘The Print’ in India The prevalence of Autism is suspected to be more than this prediction—early assessment and diagnosis. Screen Related Infantile Autism is another leading Autism sub-type. Identifying the sensory processing difficulties and early intervention to remediate these difficulties facilitate faster integration. Helping this subject with their motor, sensory, social and play development, have proved to help him adapt and interact better. Book your session now #autismspectrumdisorder #occupationaltherapy #Earlyintervention #developmentaldisability #CaseStudy

Traditional yoga is a collection of different postures (or asanas), and breathing exercises (pranayamas) that focus on every organ and muscle group of the body. These asanas and pranayamas can help people reclaim control of their body and mind through regular practice. Yoga modulates the activities of the autonomic nervous system (Heather Kauffman 2016). Many other studies say that yoga can reduce anxiety, increase focus and absolve physical and mental stress. It s also known that stress, fatigue, or anxiety do not cause stuttering , but they can make blocks, repetitions, and prolongations which are the features of disfluent speech in a person who stutters to worsen. Yoga for Stuttering Stuttering is a heterogeneous speech disability. Mindfulness meditation aids to control one’s brain functioning, and peace of mind and boosts confidence in an individual. Practicing yoga with mindfulness daily can reduce the frequency and intensity of dysfluent speech in persons who stutter. This is done to reduce the physiological stress on the muscles which are involved in speaking. Yoga is the best accessible option for the ones interested in gaining more control of their body and mind, especially for individuals who stutter. Stuttering and anxiety go hand in hand. An individual might feel anxious as he might be anticipating stuttering, which causes the muscles in and around the vocal cords necessary, to produce speech to tighten. This finally results in reputation, blocks, and prolongation contributing to more anxiety, which further worsens the stutter. If one can manage to control the physical strains or lower their anxiety, the stutter can be lowered. Yoga gives a way to control negative emotions including anxiety and fear that can cause stuttering. By controlling one’s emotions negativity can be reduced. This will help individuals who stutter to lessen their escape and avoidance behavior. Yoga for speech therapy can be a fun and enriching experience for children who stutter. As modern parents, we might seek out the best speech therapists and counselors for our children, but yoga has multiple benefits on the physiology and psychology of growing children that modern science cannot deny. The following are the benefits of yoga for children and adults as a part of Speech Therapy – Each posture has a name of a being or of nature’s element. Children will have fun learning new vocabulary and the make-believe that comes with assuming each posture is named after an animal. Adults will learn new postures, their benefits for each part of the body, and their Sanskrit names. Individuals even have the option of completing yoga courses and getting certifications that can help them expand their job. Yoga inclusion in speech therapy can enrich and empower adults and children alike. Breath control Control of one’s breath is crucial for managing his/her stutter. Teaching conscious breathing to children and adults is much easier through yoga and pranayama. But, for children, breathing exercises will be boring and difficult to remember. The inclusion of breathing exercises as a part of therapy in the form of pranayama is interesting and also easy to remember as each breathing technique in yoga has a name. Techniques like Anuloma-Viloma, Bhramari, and Kapalbhati can help a person gain control over their breathing and engage in coordinated movement of their facial and vocal muscles. Gross and fine motor routines Children and adults who are having trouble with fine motor planning can gain confidence by repetition of the gross and fine motor routines, and choral speaking that occurs during pranayama and meditation chants. Therapists can include other chants and modify the sequence of exercises to encourage sound production among their clients. This is because Yoga, pranayama, and meditation involve fine motor planning via the execution of breathing techniques and chanting. Activation of the parasympathetic nervous system Yoga consists of postures (asanas), breathing exercises (pranayama), and meditation. All these help in the activation of the parasympathetic nervous system (responsible for lowering blood pressure and cortisol levels in the body) and helps in the suppression of the sympathetic nervous system. The activation of the parasympathetic nervous system releases neurotransmitters that promote relaxation and it reduces the anxiety response of the body. When the cortisol is lowered, the adrenaline in the system allows the person to relax mentally and physically (Kauffman, 2016). When the parasympathetic nervous system is activated and becomes dominant, a person will be able to control their feelings and execute their speech without getting stressed, fatigued, or feel anxious. There are many studies done on people who stutter. They have shown that meditation, pranayama, and asanas can clinically reduce blood pressure and other signs of stress. Practicing yoga regularly will help one gain confidence that contributes to smoother and effortless stuttering. Incorporating Yoga into a Comprehensive Treatment Plan It is essential to understand that yoga should not replace traditional speech therapy for stuttering. Individuals who stutter can work with speech therapists who have experience in incorporating yoga techniques into their treatment plans.  Yoga only helps a person to relax which is necessary to produce speech. A study done by Ginsberg (2000), shows that stuttering is a complex physiological, emotional, and anxiety factor. Stuttering being heterogenous and complex needs a wholesome therapy or treatment plan. Understanding Stuttering and its Challenges Stuttering is a complex disorder with a combination of genetic, neurological, and environmental factors contributing to its development. It often begins in childhood during the early stages of speech development , and its severity can vary from person to person. Stuttering involves involuntary repetitions of sounds or syllables, prolonged sounds, and blocks where the person is unable to produce any sound. The challenges posed by stuttering go beyond the physical aspect of speech disruptions. Many individuals who stutter experience emotional distress, social anxiety, and low self-esteem due to the difficulties they face in communication. #speechtherapy #Stuttering #yogaforstuttering

Navigating Nutrition on Vacation: Recipe Ideas for Packing Food for Your Picky Eater child with ASD Every parent looks forward to going on a vacation. Since it is an opportunity to escape the daily routine and unwind. Taking a break from work or other responsibilities allows parents to recharge, reduce stress levels, and promote overall well-being. If you are looking for recipe ideas to carry on vacation, then this article is for you, it has 20 recipe ideas for child with ASD who are picky eaters. Here are some snack recipe ideas that may appeal to picky eaters: Fruit Sushi: Spread a thin layer of nut butter on a tortilla, place slices of their favourite fruits like bananas, strawberries, or kiwi, and roll it up tightly. Slice into bite-sized pieces like sushi rolls. Crispy Veggie Chips : Thinly slice vegetables such as zucchini, sweet potatoes, or kale. Toss them in olive oil, sprinkle with a little salt, and bake until crispy. They can enjoy these crunchy snacks on the go. Mini Pancake Bites: Make mini gluten-free pancakes using your favourite recipe. Add in blueberries, chocolate chips, or shredded apples for extra flavour. Serve them with a small container of dates syrup for dipping. Chicken cutlet and vegan Cheese Roll-Ups: Spread vegan cheese on slices of chicken, then place a thin slice of cheese on top. Roll them up tightly and secure them with a toothpick. They can enjoy these protein-packed snacks wherever they go. Frozen Yogurt Bites: Spoon dollops of their favourite yoghurt onto a baking sheet lined with parchment paper. Add small fruit pieces or granola on top and freeze until firm. These bite-sized treats are refreshing and easy to eat. Peanut Butter Energy Balls: Mix peanut butter, oats, honey, and a handful of mini chocolate chips or dried fruit. Roll the mixture into small balls and refrigerate until firm. They make a great energy-boosting snack during the vacation. Mini Bagel Pizzas: Slice mini bagels in half and top them with tomato sauce, cheese, and their favourite toppings like sliced olives or mushrooms. Bake until the cheese is melted and bubbly. These mini pizzas are perfect for quick bites. Cucumber Sandwiches: Slice cucumbers into rounds and spread a layer of hummus on each slice. Top with chicken slices and assemble them like mini sandwiches. They’re refreshing and packed with flavour. Popcorn Trail Mix: Mix air-popped popcorn with their favourite dry cereals, pretzels, and a handful of dried fruit or mini marshmallows. Portion them into small bags for a tasty and portable snack option. Mini Waffle Sandwiches: Toast mini gluten-free waffles and spread a layer of nut butter in between two waffles. Add a slice of banana or strawberry for extra sweetness. These mini gluten-free sandwiches are a fun twist on classic waffles. Some Indian snack recipe ideas for picky eaters Vegetable Cutlets: Boil and mash potatoes, and mix them with finely chopped vegetables like carrots, peas, and beans. Add breadcrumbs, ginger-garlic paste, and spices like cumin, coriander, and garam masala. Shape into patties and shallow fry until golden brown. Paneer Tikka: If your child is not on a casein-free diet, then this is a good option Marinate cube of paneer (Indian cottage cheese) in a mixture of yoghurt, ginger-garlic paste, turmeric, cumin, and coriander powder. Thread the paneer onto skewers with bell peppers and onions. Grill or bake until the paneer is lightly charred. Masala Puffed Rice: In a pan, heat some oil and add mustard seeds, curry leaves, peanuts, and roasted chana dal (split chickpeas). Once they crackle and turn golden, add puffed rice and mix well. Season with salt, turmeric, chilli powder, and a squeeze of lemon juice. Aloo Tikki (Potato Patties): Boil and mash potatoes and mix them with chopped onions, green chillies, coriander leaves, and spices like cumin, coriander, and chaat masala. Shape into patties and shallow fry until crispy. Serve with chutney or ketchup. Dahi Vada: Soak urad dal (black lentils) and grind into a smooth batter. Make small round balls and deep fry them until golden. Soak the fried vadas in water for a few minutes, then squeeze out the water and place them in beaten yoghurt. Sprinkle with roasted cumin powder, red chilli powder, and tamarind chutney. Bread Pakora: Take bread slices and spread a mixture of mashed potatoes seasoned with spices like red chilli powder, garam masala, and chaat masala. Dip the stuffed bread slices in a batter made of besan (gram flour), salt, and spices. Deep fry until golden and crispy. Moong Dal Chilla: Blend soaked and drained moong dal (split green gram) into a smooth batter. Add chopped onions, green chillies, ginger, and coriander leaves to the batter. Pour a ladleful of batter into a hot pan and cook until golden brown on both sides. Serve with chutney or yoghurt. Mini Samosas: Make a filling with boiled and mashed potatoes, peas, and spices like cumin, coriander, and garam masala. Cut ready-made samosa pastry sheets into small squares, place a spoonful of filling in each, and fold them into triangles. Deep fry until golden and crisp. Chana Chaat: Rinse and drain boiled chickpeas (chana) and mix them with chopped onions, tomatoes, cucumbers, green chillies, and coriander leaves. Season with chaat masala, lemon juice, and a sprinkle of black salt for a tangy and spicy snack. Idli Fries: Cut leftover idlis into finger-sized strips. Heat oil in a pan and shallow fry the idli strips until crispy and golden. Serve with coconut chutney or tomato ketchup. Feel free to adjust the spice levels and flavours according to your picky eater’s preferences. These Indian snack recipes are a great way to introduce them to different flavours while still offering familiar elements. Remember to take into account any specific dietary restrictions or allergies your picky eater may have when preparing these snacks. Feel free to modify the recipes based on their preferences and gradually introduce new flavours and ingredients to expand their palate. Keep in mind that every child with ASD is unique, and their eating preferences and challenges may vary. If you need additional guidance specific to your child’s needs, it’s important to consult with professionals such as dietitians or therapists who specialize child in ASD. Intervention for a child with Autism or ASD should focus on his /her core characteristic as well as his / her individual needs. Parents should be a part of the intervention journey with their child. This article delineates what a parent can expect and do during the intervention process and therapy session for a child with ASD. Book a session now #childwithASD #Indiansnackrecipes #therapysession

Before I share diet and mealtime-related tips, I would like to share an experience treating a child. This child was diagnosed with autism at 2 years of age. As she grew older, her parents noticed that she developed obsessive-compulsive tendencies, particularly when it came to eating food. Her OCD made mealtime a challenging and distressing experience for both her and her family. She had a strong aversion to certain textures and flavours, leading to a highly limited diet. She would inspect each bite of food, carefully arranging it on the plate, and became extremely anxious if any food items touched each other. Her anxiety around food grew so intense that she would often refuse to eat altogether, causing concern for her health and well-being. Recognizing the importance of addressing this issue, her parents sought professional help. They approached a team of experts, including a paediatrician, an occupational therapist and me (registered dietitian) who is experienced in working with children on the autism spectrum . How occupational therapist help? The occupational therapist started by implementing a gradual exposure and desensitization approach. The therapist began with small steps, introducing new foods and textures slowly. For instance, the therapist started with foods that were similar to the ones she was already comfortable with but had slightly different textures or flavours. To help reduce anxiety, the therapist introduced sensory tools, such as weighted utensils or chewable fidgets, to provide additional sensory input during meals. These tools helped to distract the child’s attention from her OCD rituals and promoted a more positive and relaxed eating experience. The therapist also collaborated with me to ensure that the child’s nutritional needs were met while expanding her food repertoire. I shared reports, created meal plans and shared resources to gradually incorporate a wider variety of nutritious foods, ensuring a balanced and healthy diet. To further support this child’s progress, the therapist and parents collaborated on a visual schedule and reward system. The visual schedule provided a clear structure and step-by-step guidance for mealtime routines, while the reward system offered incentives for trying new foods or engaging in positive eating behaviours. Over time, with patience, persistence, and a supportive environment, she began to make progress in overcoming her OCD-related difficulties with food. Her willingness to try new foods increased, and her anxiety around mealtime gradually decreased. With the continued support of her therapy team and family, she was able to expand their diet and enjoy a broader range of foods in less than three months. Though challenges still occasionally arose, this child’s journey taught all of them valuable coping strategies and resilience. They found comfort in knowing that they had the tools and support to manage their OCD tendencies and make positive progress towards a healthier relationship with food. Through their determination and unwavering support I experienced that with time, understanding, and a comprehensive approach, it is possible to overcome the obstacles presented by OCD and autism and create a more enjoyable and nourishing dining experience. The relationship between autism and obsessive-compulsive disorder (OCD) is complex. There are several reasons that may contribute to the presence of OCD symptoms in autistic children: Autism and OCD share overlapping neurological conditions, with atypical brain functioning and alterations in certain brain regions and neurotransmitter systems. Sensory sensitivities in autism can contribute to the development of OCD-like behaviours. Ritualistic behaviours and repetitive routines, common in autism, may share similarities with OCD rituals. Children with autism often experience higher levels of anxiety due to challenges in social interactions, communication, and sensory processing. OCD symptoms may manifest as a way to cope with anxiety or gain control. Difficulties in executive functioning, such as planning, organization, flexibility, and impulse control, can contribute to the development or worsening of OCD symptoms in autistic individuals. Environmental factors like stressful events or disruptions in routine can trigger or exacerbate OCD symptoms in autistic children. Changes and transitions in the environment can be particularly challenging for individuals with autism, leading to increased anxiety and the emergence of OCD-like behaviours. Overcoming obsessive-compulsive tendencies at the dining table can be challenging for parents of children with autism. While diet alone cannot cure OCD, it can support overall mental and physical health. Here are some diet tips that may be helpful: Balanced Nutrition: Ensure that the individual’s diet includes a balance of all food groups, including fruits, vegetables, whole grains, lean proteins, and healthy fats. This can provide essential nutrients for optimal brain function and overall well-being. Omega-3 Fatty Acids: Include foods rich in omega-3 fatty acids, such as fatty fish (salmon, mackerel), walnuts, flaxseeds, and chia seeds. Omega-3 fatty acids have been linked to improved brain health and may positively impact mood and mental health. Limit Stimulants: Reduce or eliminate the intake of stimulants like caffeine and artificial additives, as they can potentially worsen anxiety and OCD symptoms in some individuals. Whole Foods and Minimize Processed Foods: Opt for whole, unprocessed foods as much as possible. Processed foods can contain additives and preservatives that may negatively impact mental health. Fresh fruits, vegetables, lean proteins, and whole grains should form the foundation of the diet. Hydration: Encourage adequate hydration by drinking plenty of water throughout the day. Proper hydration supports overall health and can help maintain optimal brain function. Regular Meal Schedule: Establish a consistent meal schedule with regular meal and snack times. This can help regulate energy levels and provide a sense of structure, which may be beneficial for individuals with OCD. You need to consult with a registered dietitian who specializes in working with individuals with autism and OCD and can provide personalized advice, help identify any specific dietary triggers, and develop an appropriate meal plan. It’s important to note that each child is unique, and dietary needs may vary. It is recommended to work closely with healthcare professionals, including dietitians and therapists, to develop a comprehensive treatment plan that addresses the specific needs of the individual with OCD and autism. Remember, progress may take time, and each child is unique. Be patient, celebrate small victories, and focus on creating a positive and supportive mealtime environment. With consistency, understanding, and appropriate support, you can help your child overcome OCD tendencies and develop healthier eating habits. Not all autistic individuals will develop OCD, and the presence of OCD symptoms does not necessarily indicate a diagnosis of OCD. #OCDsymptoms #childrenontheautism #kidswithautism #Autism #OccupationalTherapist

Millions of individuals worldwide are affected by voice disorders, which can have an impact on people of different ages. Consequently, these disorders can significantly affect an individual’s quality of life, resulting in a decrease in their social circle, potential depression, and overall well-being. However, there is hope, as with early detection and proper professional support, these negative effects can be mitigated. Thus, the current study aimed to emphasize the effectiveness of teletherapy as a treatment modality for voice therapy. Begin to be aware of the loudness of your voice in different situations (e.g. when talking to a peer, or a family or in larger gatherings). Monitor your loudness to suit the situation. Try to stop the use of loud voices too often or for long durations of time. Treatment for voice disorder Notably, the results of the study demonstrated significant improvements in both qualitative and quantitative measures, pointing to overall progress in the treatment of voice disorders . Moreover, the study found that teletherapy represented a feasible and effective alternative to traditional in-person therapy, making it particularly beneficial for individuals who face accessibility challenges or discomfort with in-person therapy sessions. The prevalence of heart failure increased, which is a crucial global health concern that affects  breathing, the larynx, and even the quality of speech (Reddy et al;2021). It is common practice for individuals undergoing cardiac surgery to have a controlled intubation of their trachea in the operating room. Following the procedure, patients are transferred to the ICU where they receive mechanical ventilation and have their tracheal tube removed. However, a percentage of these patients, ranging from 2 to 13%, may require reintubation following the removal of the tracheal tube. The intubation of the trachea is a crucial measure that can save the lives of critically ill patients (Parker et al.,2020). Two known complications include subglottic stenosis and posterior glottic stenosis, both of which can result in significant patient morbidity. In critically ill patients requiring airway protection and ventilatory support, tracheal intubation may be necessary. The presence of an endotracheal tube can cause inflammation, fibrosis, and scarring, which can lead to stenosis in the laryngotracheal region, including subglottic stenosis and posterior glottic stenosis (PGS). Research If patients require ongoing intubation and ventilatory support beyond seven days, a tracheostomy may be performed to facilitate weaning from mechanical ventilation and reduce the occurrence of fibrotic laryngotracheal complications. It is important to note that tracheal intubation is a life-saving measure for critically ill patients (Davidson et al., 2021). Yamanka et al. (2009) reported that the occurrence of hoarseness following endotracheal intubation ranges from 14% to 50% but is typically temporary. In a retrospective analysis of 3,093 patients who underwent endotracheal intubation during anesthesia, hoarseness was observed in 49% of patients in the early postoperative period.​ The initial investigation by Liu et al. (2021) demonstrated that telepractice voice therapy was a practical and successful approach to treating self-reported voice problems in female elementary school teachers. Method ​ A 78year old male with dysphonia from posterior glottic stenosis following prolonged intubations after coronary artery bypass graft, mitral valve replacement, and tricuspid valve repair was considered for the study. Written consent was collected from the client before the study. The client reported voice change and difficulty in increasing the loudness. When the client continues to speak for a longer duration, he gets better voice quality for a short span of time (less than a minute) as reported. Evaluation: The voice assessment conducted included both qualitative and quantitative measures. Qualitative evaluation was performed using Consensus Auditory-Perceptual Evaluation of  Voice (CAPE-V) and GRBAS (Table 2) to assess the severity of the client’s hoarse voice, which presented with asthenia and absence of aphonia. The quantitative evaluation involved aerodynamic measurements, specifically Maximum Phonation Duration (MPD) and s/z ratio (Table 1). For both measures, the duration was measured using a stopwatch, and the phonation with the longest duration was selected from three trials. For the recording task, it  was ensured that the client was seated in a noise free room and was asked to phonate /a/ at his comfortable pitch and loudness. The patient was asked to download the pitch tuner app and record the phonation sample. Self-perception of voice quality and its effect on quality of life was assessed through VRQOL and VHI 10 where the pre-therapy scores revealed a score of 30 (VRQOL) and 11 (VHI-10). Table1: Aerodynamic measures of the client during assessment (before voice therapy). Pre-therapy/a//i//u/MPD6 sec4 sec4 secS/Z Ratio1.5 Table 2: GRBAS ResultsPretherapy:GRBASGrade3Roughness3Breathiness3Asthenia2Strain3 After the assessment, the client was advised to take voice therapy sessions. The sessions were carried out using the Zoom video conferencing platform from October to January. Management The therapy sessions included vocal hygiene education and semi-occluded voice therapy, breathing exercises, warm-up, stretching, and Auditory perceptual analysis for 1 session per week for 4 months. Self-assessment protocols were conducted before the intervention and 4 months after the last intervention, and the differences before and after interventions were compared. Results: The progress of the therapy was measured through a comparison of pre and post-therapy samples. Qualitative evaluation was performed using Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) and GRBAS (Table 3) was performed at the end of 4 months revealing a moderate hoarse voice. Table 3: Aerodynamic measures of the client during assessment (after voice therapy).Post-therapy/a//i//u/MPD16 sec14 sec14 secS/Z Ratio1.3 Graph 1: Comparison of Pre and Post therapy MPD values *Above values are in seconds Table 4: GRBAS ResultsPost-therapy:GRBASGrade2Roughness2Breathiness1Asthenia1Strain2 Graph 2: GRBAS Results Comparison There was a significant reduction in VHI-10 and VRQOL scores by the end of 4 months Table 5: VHI 10 & VRQOL comparison Post-therapyPost-therapy VHI 10117VRQOL3017 Graph 3: VHI 10 & VRQOL comparison The participant reported a lot of positive feedback from his family and colleagues with significant improvements in his overall quality of life. Discussion and conclusion: Millions worldwide suffer from voice disorders, affecting individuals of all ages. These conditions have a profound impact on quality of life, leading to social isolation, depression, and overall well-being decline. The study aimed to highlight teletherapy’s effectiveness as a voice therapy treatment. Results showed significant improvements in qualitative and quantitative measures, indicating progress in voice disorder treatment. Tele therapists never run out of unique activities due to the benefit of technology. Right from Speech-Language Delays in children to Aphasia in adults we have got them all covered with our unlimited online resources. These findings can revolutionize voice therapy delivery and enhance the lives of those with voice disorders. #Pretherapy #Teletherapy #teletherapyasatreatment