There’s a lot that goes on behind the scenes when it comes to speech sound production. Speech is the collective movement and coordination of our tongue, lips, cheeks, jaw and palate to create specific sounds.

Some children and adults may have difficulty producing clear, easy to understand speech, making it hard for them to have their wants and needs met.

With children, this can often further impact their literacy development, confidence and schooling, whilst with adults it can affect job prospects and social confidence.

Our Speech Sound Services

Our speech pathologists use evidence-based techniques to teach children and adults how to coordinate all their muscles for speech.

  • Articulation approaches to speech sound development
  • Phonological approaches to speech sound development including minimal pairs, cycles, maximal oppositions, core vocab approach, and the complexity approach.
  • Compensatory strategies for dysarthria due to brain injury or progressive neurological diseases

At WA speech we are passionate about using fun and effective therapy strategies to support speech sound development and rehabilitation for all individuals.

What is the Pelvic Floor?

At Midland physiotherapy we offer specialised care for pelvic health of both men and women. This includes the assessment of pelvic floor muscles, ligaments and connective tissue and the management of issues that impact bladder, bowel and sexual function.​

Assessment areas

  • Pelvic floor muscle assessment and training

  • Urinary incontinence (bladder leakage)

  • Bladder urgency and frequency, including

  • Overactive Bladder Syndrome

  • Faecal incontinence (bowel leakage)

  • Pelvic Organ Prolapse management

  • Difficulty emptying the bladder

  • Constipation

  • Pelvic/genital pain

    • Endometriosis

    • Tailbone, sacrum, hip and lower back pain

    • Vulva, perineal or vaginal pain (in females)

    • Scrotal, penile or perineal pain (in males)

    • Sexual dysfunction

    • Pain with sexual intercourse

    • Bladder or bowel pain

  • Pre and post bladder, bowel or gynaecology surgery

  • Pre and post radical prostatectomy surgery

A real-time ultrasound assessment is often performed to assess your pelvic floor and abdominal muscles.

This is done by placing the ultrasound on your lower stomach. If further information about your pelvic floor is required, an internal examination (vaginal or rectal) can be performed at the second appointment. This is not a compulsory examination however it is very useful and can provide valuable information for both the physiotherapist and yourself. Any queries or concerns about this can be discussed with the physiotherapist at your appointment.

What should I do to prepare for my appointment?​

Please bring along any referrals you may have from your doctor or Specialist. If you have had any relevant investigations or imaging please bring a copy of the report if you have it.

The real-time ultrasound requires you to have a full bladder. Approximately 1 hour prior to your appointment go to the toilet and empty your bladder, then drink 1 – 2 glasses of water. It is important that you don’t go to the toilet again until you see the Physiotherapist.

For more information on booking please speak to our friendly staff at 9274 1482