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
_________________________________________________________________
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:
-
discuss the mechanisms for central and peripheral control of the muscles
associated with speech production
-
discriminate among various types of motor speech disorders and relate each
site of lesion within the hierarchy of motor organization
-
identify various pathologic neuromuscular conditions associated with
dysarthria
-
discuss appropriate diagnostic procedures for determining presence and
severity of motor speech involvement in the communicatively disordered
client.
-
develop competency in administering selected standardized and nonstandardized
protocols for the evaluation of motor speech disorders
-
develop competency in the use of physiological and acoustic instrumentation
in the diagnosis and management of motor speech disorders
-
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:
-
Complete reading assignments from the course textbook and any outside readings
assigned by the instructor.
-
Successfully complete class exams. There will be at least 2 and possibly
3 exams.
-
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.
-
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
|
Chapter 6 |
Exam 1 |
|
Basal Ganglia Disorders
-
hypokinetic dysarthria
-
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 |
|