COURSE DESCRIPTION

Differential diagnosis and management of the impairments, activity limitations, and participation restrictions related to aphasia, apraxia, dysarthria, and dysphagia. Special consideration will be give to age-, gender-, and culture-related differences.

COURSE MATERIALS

Required Texts

  • Halpern, H. (2000). Language and Motor Speech Disorders in Adults (2nd Edition). Austin, TX: Pro-Ed.
  • Logemann, J. A. (1998). Evaluation and treatment of swallowing disorders (2nd Edition). Austin: Pro-Ed.

Recommended Texts

  • Yorkston, K. M., Miller, R. M., & Strand, E. A. (1995). Management of speech and swallowing disorders in degenerative diseases. Tucson: Communication Skill Builders

Other materials

  • The course-pack and CD-ROM from CD 5731 Neurogenic Disorders I will be used
  • Additional information and/or materials will be posted on the class web site

COURSE OBJECTIVES

Students completing the course will
  1. gain skill in selecting and utilizing clinical tools for the assessment of communication and aerodigestive function
  2. gain skill in identifying and implementing strategies for managing communication and swallowing impairments, activity limitations, and participation restrictions
  3. appreciate the role of the speech language pathologist across health care settings including
    1. participation in and facilitation of patient and family centered service provision teams
    2. health promotion and wellness

COURSE REQUIREMENTS

General Expectations

According to the guidelines set forth by the Communication Disorders Program, students should commit 10 hours per week for each 3 semester hour course. In this course, the following guidelines for workload are recommended:
  • class meetings: 2.5 hrs per week
  • reading: 2 - 3hrs per week
  • studying and homework: 3 - 4hrs per week
  • service learning project: 20 hrs total

Specific Requirements

  1. Exams. A comprehensive final exam will be administered. The exam will be worth 100 points.
  2. Service Learning Project. Students will participate in a service learning project related to the course content. Details about the nature of scope of this project are included on the assignment page. Participation in this project will be worth 50 points.
  3. Assessment Protocol. Students will develop an assessment protocol to serve as a guide when developing assessment plans. The content and form of the assessment protocol are described on the assignment page. The protocol will be worth a total of 100 points.
  4. Treatment Guidesheets. Students will develop guide sheets summarizing treatment strategies for the various disorder areas.  The content and form of the guidesheets are described on the assignment page.The guide sheets will be worth a total of 50 points.
  5. Case Presentations. Students will present to the class a case study based on history information. The content and form of the presentation are described on the assignment page.The presentation will be worth a total of 50 points.
  6. Competencies. Students will demonstrate competence in the following skill areas:
  • Assessment
    • Aphasia battery
    • Motor speech assessment, including description of perceptual characteristics
    • Clinical swallowing examination, including oral motor exam
    • Observation and interpretation of videofluorographic swallow assessment
  • Treatment
    • Two swallowing maneuvers (Mendelsohn and Supraglottic Swallow)


    • The competencies will be graded pass/fail. Details about the competencies are included on the assignment page. Students demonstrating minimal competency will earn 50 points. Up to an additional 10 points may be earned for exceptional work.

Extra Credit

Students may earn up to 20 extra points by completing extra credit projects described on the extra credit page.

GRADING SCALE

95% 
93% 
91% 
88%		 A 
A- 
B+ 
B		 B- 
C+ 
C 
C- 
F		 85% 
82% 
78% 
75% 
Below 75%

Course Schedule

Date Topic Readings Other Activities
Jan 14 Course Overview
Care Settings		 Coursepack: Care Settings
Jan 21 The Assessment Process
Gathering History
Assessment of Participation		 Reserve Reading(s) ACT Program Presentation
Jan 28 Assessment of Orientation & Language    
Feb 4 Assessment of the Motor System  
Feb 11 Assessment of Speech Production Halpern Ch 7, pp 187 - 192 
Halpern Ch 8 pp 231 -235		  
Feb 18, 25 Assessment of Swallowing Logemann Ch 3 - 5 
MBS Training Tape & Study Guide 
Coursepack: Assessment of Dysphagia		  
Mar 3 The Treatment Context
Evidence-based Practice
Defining and Measuring Outcomes

ASHA NOMS
Mar 4, 18 Treatment of the Motor System Reserve Reading Assessment Protocol Due Mar 18 5:00 pm
Mar 11 ASU Spring Break No Class Meeting
Mar 25 No class meeting (Make up day Mar 3)

Assessment Competencies
Due Mar 31
Mar 18, Apr 1 Treatment of Swallowing Logemann Ch 6 -11, 12, 13 
Coursepack: Treatment of Dysphagia
Handout 		Dysphagia Treatment Competencies
Apr 1, Apr 8 Treatment of Speech Production Halpern Ch 4, pp 235 - 246
Halpern Ch 7, pp 192 - 215 
Coursepack: Treatment of Motor Speech Disorders 
Handout 		Treatment Guide Sheets Due April 26
Apr 8, 15 Treatment of Language Halpern Ch 4, pp 104 - 107 
Coursepack: Treatment of Aphasia		  
Apr 22 ASU Easter Break No Class Meeting
Apr 29 Case Presentations
 		 Service Learning Reflections Due May 6
May 6 6- 8:30 Final Exam
 
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