Objectives:
• To able the students to apply the techniques under supervision
Course Content:
LOWER MOTOR NEURON DISORDERS/FLACCID DYSARTHRIA
• myasthenia gravis
• brainstem disorders
• peripheral disorders
UPPER MOTOR NEURON DISORDERS
• spastic dysarthria
• pseudobulbar palsy
• cerebral palsy
• PSP (progressive supranuclear palsy )
• unilateral upper motor neuron dysarthria
• apraxia of speech
CEREBELLAR DISORDERS/ATAXIC DYSARTHRIA
• Friedreich's ataxia
• OPCA BASAL GANGLIA DISORDERS
• hypokinetic dysarthria
• Parkinson's disease
• hyperkinetic dysarthria
• Huntington's disease
• Tourette's syndrome
MULTIPLE LESION SITES/MIXED DYSARTHRIA
• Amyotrophic lateral sclerosis
• Multiple sclerosis
• Multiple systems atrophy (MSA)
OTHER NEUROGENIC SPEECH DISORDERS
• neurogenic mutism
• neurogenic dysfluency
• palilalia
• aprosodia associated with RH lesions
• pseudoforeign accent
ASSESSMENT OF MOTOR SPEECH DISORDERS
• motor speech exam
• specific assessment protocols for dysarthria & apraxia
• differential diagnosis INTERVENTION PLANNING
• general approaches to management of motor speech disorders
• selection & sequencing of treatment goals
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
DEVELOPMENTAL SPEECH DISORDERS;
Nature and assessment of developmental dysarthria, phonological disorder and developmental verbal dyspraxia Acquired Apraxia of speech: models, controversies, interventions and outcomes. Developmental Verbal Dyspraxia: Description, assessment and classification; associated factors and consequences; approaches to assessment: structuring and implementing assessment. Treatment approaches for apraxia of speech
. • Definitions of aphasia
• Etiology of aphasia
• Clinical features (linguistic, psycho-social and neurobehavioral) and Differential diagnosis
• Classification of aphasia based on anatomical, linguistic and psycholinguistic aspects
. • Approaches to aphasia assessment, including, discourse analysis, cognitive neuropsychological frameworks and quality of life measures; issues surrounding diagnostic testing and classificatory labels
. • Psychosocial issues in aphasia, including depression, employment, and the disabled identity in aphasia
• Recovery, the effects of SLT intervention and outcome research design
• Cognitive ability in aphasia
• Aphasia in bilingual population
• Assessment of skills (linguistic, cognitive and communicative ) informal and formal procedures
. • Intervention :
• Prognostic indicators
• spontaneous recovery
• General Principles
• Specific approaches / techniques
• Group therapy
• AAC
• Role of family
. • Linguistic investigations in aphasia.
• Associated problems in aphasia
• Primary Progressive Aphasia.
• Research design in adult acquired language deficits and aspects of diagnosis
• Traumatic brain injury: communication features, with particular reference to discourse, relationship between communication difficulties and other sequelae; assessment and clinical management
• Ageing and the dementias: communication decline and disorder, the role of the speech and language therapist in assessment and management. • The right hemisphere: language lateralization, communication and associated functions of the right hemisphere,
• communication features in right brain damage with particular reference to discourse; assessment and clinical management
• Schizophrenia: effects on communication and relation to thought disorder
• Acquired alexia and agraphia: factors contributing to reading and writing disorders in neurological damage, functional and cognitive neuropsychological approaches to theory, assessment and treatment.