Why positioning matters? 

Good positioning can support:

• improved control of chewing and swallowing

• reduced fatigue during meals

• better comfort and attention at the table

• safer sip size and pacing

• more consistent mealtime routines across settings

• confidence for the person and their carers/support team

What do we assess?

Depending on your needs, we may review:

• head/neck/trunk alignment and stability

• seating height, back support, hip/knee/foot placement

• table and plate/cup positioning

• supervision and cueing requirements

• adaptive utensils/cups (where appropriate)

• environmental factors (distractions, routine, setup consistency)

Outcomes you can expect

• practical positioning recommendations you can implement immediately

• advice on supportive seating options or equipment (if required)

• a written positioning guide and/or mealtime plan (where appropriate)

• education for families, carers, educators and support workers

• coordination with your wider support team (with consent)

Who can benefit?

Feeding & Swallowing assessments and plans may help:

Children with feeding challenges, sensory-based preferences, limited food range, or mealtime distress

Adults with swallowing difficulties (dysphagia), neurological conditions, or post-illness deconditioning

Older adults experiencing coughing/choking risk, fatigue, reduced appetite, or swallowing changes

People with disability who need consistent, safe mealtime strategies across settings

Positioning FAQ

Is positioning really that important?
Often, yes. Positioning can affect comfort, fatigue, and swallow efficiency. Small changes can make a meaningful difference.

Can you recommend seating or equipment?
Where appropriate, yes. OT involvement may be recommended if equipment options, home setup changes, or AT documentation are required.

Do you visit schools or homes to check setup?
Where clinically appropriate and by arrangement, yes. This can be helpful for consistent implementation.

Can this be done via telehealth?
Sometimes. Telehealth can work for setup coaching if you can show your current seating/mealtime environment on camera. We’ll advise if an in-person review is safer.

Book an Assessment with a Speech Pathologist

If you or someone you care for is showing signs of swallowing and mealtime difficulty, our Speech Pathology team can help assess swallowing concerns and provide practical guidance around safer eating and drinking.

Contact Palms Physiotherapy & Allied Health to ask about our therapy and assessments in Perth for adults and children.

Funding & referrals

We welcome a range of funding pathways and can help you understand the best option for your situation.

We see clients using:

Private (self-funded)

NDIS (self-managed and plan-managed)

Aged Care / Home Care Packages

Medicare (where eligible, with a GP referral)

DVA (eligible veterans)

Other funding pathways (e.g., insurers or schemes, where applicable)

Where clinically appropriate, we can provide supporting documentation to inform service planning and care coordination.

Signs you should seek urgent medical advice

Please seek urgent medical review if you notice any new or worsening:

frequent coughing/choking during meals or drinks

wet/gurgly voice after swallowing

recurrent chest infections or suspected aspiration

significant weight loss, dehydration, or inability to maintain intake

sudden change in swallow function, weakness, or breathing issues

In an emergency - pelase call 000.

Speech Therapy Services in Perth for Children & Adults

Speech Therapy (also called Speech Pathology) focuses on assessing, diagnosing, and treating communication and swallowing difficulties. At Palms Physiotherapy & Allied Health, our speech pathologists support children, teens, and adults to improve speech clarity, language skills, social communication, voice and fluency and swallowing safety.

How Can Speech Therapy Help You?

Speech therapy can help with a wide range of concerns, including:

• Speech delays in children: Supporting speech sound development, clarity, and age-appropriate communication.

• Speech sound disorders: Including articulation (sound production) and phonological (sound patterns) difficulties.

•  Language disorders: Helping with both receptive language (understanding) and expressive language (using words and sentences).

• Swallowing and feeding difficulties (dysphagia): Supporting people who have difficulty swallowing safely due to conditions such as stroke, traumatic brain injury, or neurological conditions.

• Social communication differences: Supporting conversational skills, turn-taking, perspective-taking, and understanding non-verbal communication.

•  Stuttering and fluency disorders: Helping clients manage fluency, reduce effort/tension, and build confidence in communication.

Speech Therapy Services We Provide

Paediatric Speech Therapy

• Paediatric speech therapy supports children with speech, language, communication, and early literacy needs using evidence-based and child-friendly approaches. Sessions may be play-based (especially for younger children), while still being structured and goal-directed.

• Common areas we support include:

  1. Speech sound development (clarity and intelligibility)

  2. Language delays and developmental language disorder

  3. Social communication support

  4. AAC (Augmentative and Alternative Communication) where appropriate

  5. Early literacy foundations (e.g., phonological awareness)

Adult Speech Therapy

• Adult speech therapy supports adults with communication and swallowing needs related to neurological conditions, injury, medical events, or age-related changes. Therapy is practical, functional, and designed around everyday participation (home, work, community).

• Common areas we support include:

  1. Communication changes after stroke, traumatic brain injury (TBI), or neurological illness

  2. Dysarthria and motor speech changes

  3. Cognitive-communication difficulties (attention, memory, organisation impacting communication)

  4. Voice therapy where indicated

  5. Dysphagia support and mealtime strategies

NDIS Speech Therapy Services

• NDIS speech therapy is available for self-managed and plan-managed participants. Therapy may focus on functional communication goals, speech clarity, social interaction and participation, and AAC support where required. We collaborate with participants, families, support coordinators, schools, and relevant providers to support practical, meaningful outcomes.

Speech Therapy for Swallowing Disorders (Dysphagia)

• Dysphagia (swallowing) support helps when swallowing difficulties affect hydration, nutrition, safety and confidence with eating and drinking. Our speech pathologists can complete clinical assessments (as appropriate), provide strategies for safer swallowing, recommend targeted exercises when indicated, and support shared-care referral pathways with GPs/ENT/medical teams when needed.

• Why Choose Palms Physiotherapy & Allied Health for Speech Therapy?

• Experienced Speech Pathologists: Skilled in paediatric and adult communication and swallowing support.

• NDIS Provider (self- and plan-managed): Therapy is aligned to participant goals and everyday function.

• Family-Centred Approach: We involve parents, carers, and supports where appropriate so strategies carry over into real life.

• Collaborative, Multidisciplinary Care: We work alongside our broader allied health team when integrated support is beneficial.

Sensory Room and Kids Therapy Gym

• Our sensory room and kids therapy gym can support therapy goals through a motivating, functional environment—particularly helpful for children who benefit from movement-based learning and sensory regulation strategies. These spaces may be used when clinically relevant to support engagement, attention, participation, and goal progress.

Locations

• We offer speech pathology services in Perth, including our Malaga and Noranda clinics.

Note: This page is general information only and does not replace medical advice. If you have urgent swallowing concerns, seek medical review.