Speech Pathology and Audiology Program


Neuropathologies of Swallowing and Speech
CMSD 642

Spring 2008

Prerequisite: Neuroanatomy of Speech Swallowing and Language/on campus or on the Internet


Instructor: Patrick McCaffrey, Ph. D.


Office Hours: please call for scheduled hours

Days and Times: TBA
Office Location: AJH 112C


Class Information

Days and Times: MWF 10-10:50AM
Location: TBA
Also offered on the internet through Continuing Education 530-898-6105

Spring 2008 Class Schedule


Class Description

 

University Catalog Description


Learning Goals

The purpose of this course is to provide the students with the following:
a. an understanding of Dysphagia including prevention
b. an understanding of Apraxia including prevention
c. an understanding of Dysarthria including prevention
d. the ability to rehabilitate (when prognosis warrants) swallowing and speech dysfunction in patients who have incurred cerebral insults.


Course Requirements

1. Three hourly examinations.
2. A project involving one of the learning goals above.
3. Assigned readings. If you have special needs due to a disability please let me know before the second week of class.


Recommended Text

Evaluation and Treatment of Swallowing Disorders, 1998, Logemann, J.

Motor Speech Disorders Disorders, 2005, Duffy, J.



Course Outline

I.    The Role of the Speech-Language Pathologist in Dysphagia,
      Apraxia and Dysarthria.
 
II.    Causes, Incidence and Prevention
 
III.	Anatomy
	   A. Basic anatomical structures for swallowing and speech
	   B. Neurological innervation
 
IV.	Physiology of the Swallow
	   A. Oral preparatory stage
	   B. Oral stage
	   C. Pharyngeal stage
	   D. Esophageal stage
 
V.      Diagnosis of Dysphagia
	   A. Bedside evaluation
	   B. Modified Barium swallow using videoflouroscopy
	   C. Other procedures
 
VI.	Remediation of Dysphagia
	   A. Positioning
	   B. Oral motor and adduction exercises
	   C. Thermal stimulation
	   D. Oral prosthetics
	   E. Supraglottic swallow
	   F. Mendelsohn maneuver
 
VII.    Apraxia
	   A. Symptoms
	   B. Etiology
	   C. Diagnosis
	   D. Prognosis
	   E. Remediation
 
VIII.   Dysarthria versus Apraxia
	
IX.	Dysarthria
	   A. Etiology
	   B. Types
	   C. Diagnosis
	   D. Prognosis
	   E. Remediation
		1. Therapy for mild to moderate dysarthria
		2. Therapy for severe dysarthria