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Audiometry is a relatively simple procedure that can be performed and interpreted by a trained health care professional. Family physicians should feel comfortable performing this testing on adults and cooperative children. Physicians may consider performing audiometry when a patient reports a subjective sense of diminished hearing, or when a family member reports a patient's decreased conversational interaction. 8

Today more than ever evidence-based practice guides our examination and treatment. Manual therapy and its benefits to treating musculoskeletal impairment and pain have been proven over and over again. For this reason, it isessential that every practitioner be armed with the evidence, examination, and manual therapy skills to properly treat common musculoskeletal impairment. Through a strategically combined manual therapy and self-care exercise strategy, patient outcomes and satisfaction will greatly improve.

The next question patients have is whether there is a difference between a voice therapist and a speech therapist. Another question, may be what type of therapy is better for a given patient? Can a given therapist provide both speech and/or voice therapy or are there therapists that can only do one kind and not the other? This confusion is quite understandable given people (and even health professionals) often use "voice" and "speech" interchangeably. Rest assured, speech and voice are two completely different words with different meanings and as such are treated differently.

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