CODI 555    MOTOR SPEECH DISORDERS
 Spring, 2003    MW 4:00 - 5:15
Instructor:  Dr. Nancye Roussel
Office: Burke-Hawthorne Hall, Room 215
Office Phone: 482-6727
E-mail: ncroussel@louisiana.edu
Website: http://www.ucs.louisiana.edu/~ncr3025/roussel/homepage.htm
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COURSE DESCRIPTION:  Motor Speech Disorders is a graduate level course involving the study of speech disorders resulting from central and/or peripheral nervous system damage.  The focus of the course is on the acquired disorders of dysarthria and apraxia of speech.  Students should have a thorough understanding of the neurological substrates of speech prior to enrolling in this course (CODI 519 or the equivilent).  Students completing the course will be able to identify the pathologic neuromuscular conditions associated with the various motor speech disorders as well as the associated speech symptoms and design a treatment program that addresses the specific deficits of an individual patient or patient group.

 REQUIRED TEXT:
 Duffy, Joseph R. (1995). Motor Speech Disorders.  St. Louis: Mosby-Year Book, Inc.
 

COMPETENCIES:
 Upon completion of this course, the student should be able to:

  1. discuss the mechanisms for central and peripheral control of the muscles associated with speech production
  2. discriminate among various types of motor speech disorders and relate each site of lesion within the hierarchy of motor organization
  3.  identify various pathologic neuromuscular conditions associated with dysarthria
  4. discuss appropriate diagnostic procedures for determining presence and severity of motor speech involvement in the communicatively disordered client.
  5. develop competency in administering selected standardized and nonstandardized protocols for the evaluation of motor speech disorders
  6. develop competency in the use of physiological and acoustic instrumentation in the diagnosis and management of motor speech disorders
  7. describe and evaluate various treatment options for the management of motor speech disorders.
COURSE REQUIREMENTS:
In order to be successful in this course, students must fulfill the following requirements:
  1. Complete reading assignments from the course textbook and any outside readings assigned by the instructor.
  2. Successfully complete class exams.  There will be at least 2 and possibly 3 exams.
  3. Complete any additional outside of class  assignments made throughout the semester by the instructor.  These assignments will be graded.  Students will be informed at the time of the assignment the point value for the exercise.
  4. Complete a class presentation on a specific treatment technique that has been used with the motor speech population.  The project will also include a written critique/summary of research supporting use of this technique. The presentations will be scheduled the last few weeks of class.


Course Grade:
 Students will receive numerical grades for exams, the project and for any additional home assignments. Grades will be based on the percentage of the total possible points acquired by the student on exams and outside assignments. The grading scale will be as follows:

   91 - 100  = A
   82 - 90   = B
   73 - 81   = C
   68 - 72   = D
   below 68 = F

Course Evaluation:
 Students will have the opportunity to evaluate the course by completing the Student Evaluation of Instruction administered the university near the end of the semester.

Emergency Evacuation Procedures:
 A map of this floor is posted near the elevator marking the evacuation route and the Designated Rescue Area.  This is an area where emergency service personnel will go first to look for individuals who need assistance in exiting the building.  Students who may need assistance should identify themselves to the teaching faculty.



CODI 555
COURSE OUTLINE
TOPIC READING ASSIGNMENTS

Introduction
  • defining motor speech disorders
  • aging and communication
Chapter 1
Caruso & Mueller "Age-Related Changes in Speech, Voice, and Swallowing"  - on reserve
Lower Motor Neuron Disorders/Flaccid Dysarthria
  • myasthenia gravis
  • brainstem disorders
  • peripheral disorders
Chapter 4
Upper Motor Neuron Disorders
  • spastic dysarthria
    • pseudobulbar palsy
    • cerebral palsy
    • PSP
  • unilateral upper motor neuron dysarthria
  • apraxia of speech
Chapters 5, 9, 11
Cerebellar Disorders/Ataxic Dysarthria
  • Friedreich's ataxia
  • OPCA
Chapter 6
Exam 1
Basal Ganglia Disorders
  • hypokinetic dysarthria
    • Parkinson's disease
  • hyperkinetic dysarthria
    • Huntington's disease
    • Tourette's syndrome
Chapters 7, 8
Multiple Lesion Sites/Mixed Dysarthria
  • Amyotrophic lateral sclerosis
  • Multiple sclerosis
  • Multiple systems atrophy (MSA)
Chapter 10
Other neurogenic speech disorders
  • neurogenic mutism
  • neurogenic dysfluency
  • palilalia
  • aprosodia associated with RH lesions
  • pseudoforeign accent
Chapters 12, 13
Exam II
Assessment of motor speech disorders
  • motor speech exam
  • specific assessment protocols for dysarthria & apraxia
  • differential diagnosis
Chapters 3, 15
Exam III - take home exam
Intervention planning
  • general approaches to management of motor speech disorders
  • selection & sequencing of treatment goals
Chapter 16
Treatment methods: a symptom-based approach for dysarthria
  • managing respiratory deficits
  • managing phonatory deficits
  • managing resonance deficits
  • managing articulatory deficits
  • managing prosodic deficits
  • communication-oriented treatment
Chapter 17
Treatment methods: apraxia of speech Chapter 18
Final Exam -Fri.  May 16 10:15-12:45