This physiotherapy treatment is for those who are suffering with disorders of speech, language and communication as well as for swallowing difficulties in children and adults. These problems can arise from neurological impairments like stroke, head injury and dementia, etc. A speech therapy program begins with an evaluation by a speech-language pathologist (SLP) to assess the person’s communication strengths and challenges. From this evaluation, the SLP creates individual goals for therapy. Common goals may include improving spoken language, learning nonverbal skills such as signs or gestures, or learning to communicate using an alternative method (such as pictures or technology).