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Our Speech-Pathologists Come to You!

“Traumatic Brain Injury (TBI) can cause a variety of speech, language and communication deficits that entail the need of speech therapy. For this reason, Speech-Language Pathologists play a vital role in the assessment and rehabilitation process of traumatic brain injury patients.”

TBI Speech and Language Problems

Following a traumatic brain injury, a person may experience loss of consciousness varying from seconds, minutes, hours, days, months or even years. The longer the individual has lost consciousness, the more severe is the injury. In addition, a person may suffer secondary consequences which are considered more serious and dangerous than the primary injury itself.

Secondary consequences include damage to the brain's meninges, traumatic hematoma, increased intracranial pressure, herniation, hyperventilation, ischemic brain damage, and cerebral vasospasm. When such brain damage occurs, it tends to affect parts of the brain that are responsible for speech and language processing and production, thereby resulting in speech and language problems.

Traumatic brain injuries can cause permanent or temporary memory loss, orientation problems, reduced or slower cognitive performance, attention problems, mood problems and deterioration of skills in basic counting, spelling and writing. The individual may also experience Aphasia, where entails losses in language comprehension and/or oral communication.

Traumatic brain injury can also cause difficulty in reading simple and complex information. Naming skills of everyday objects and familiar people can also be affected. It can also bring about dysarthria, or problems with movement, that can cause a person to have shaky movements leading to difficulty speaking and writing.

An Independent Medical Examination (IME) or Insurer's Examination is performed when a confirmation or clarification of a diagnosis and prognosis is required. This assessment is conducted by a Speech-Language Pathologist specialist specific to the type of injury / illness in question through a comprehensive and interview and examination ( as appropriate), and a review of file documentation. The IME specialist prepares a report for the client and insures that a client's questions have been adequately addressed.

Issues our IME's may address include:

  • Determining cause (causation)
  • Determining relatedness (material contribution)
  • Determining correct diagnosis
  • Determining the clinical status of the examinee
  • Determining appropriateness of care
  • Recommendation of additional diagnostic tests and medical evaluation
  • Determining whether employee has reached maximum medical improvement
  • End of healing
  • Determining employee's ability to return to work (work capacity)
  • Rating the employees permanent impairments

Different speech & language treatments are provided for the early, middle and late stages of a traumatic brain injury.

Contact us to schedule an appointment at or by phone:416–800–4259 / GTA, 289–805–0048 / Mississauga, 905–581–0362 / Hamilton

Speech therapy home service is available in Toronto and the GTA including: Durham (Pickering, Ajax, Whitby, Oshawa, Brooklyn, Courtice), Halton / Peele (Mississauga, Brampton, Oakville, Burlington, Stoney Creek, Milton), Hamilton, Kitchener, Waterloo, Guelph, and York Region (Markham, Vaughan, Maple, Woodbridge, King City, Richmond Hill, Newmarket, Aurora, Thornhill)