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Unit
1. The Role of the SLP
- Describe the
role of the speech pathologist in the prevention and management of
dysphagia.
- Discuss causes
and incidences of dysphagia.
- Describe
ischemic and hemorrhagic strokes.
- Discuss
transient ischemic attack.
- Discuss silent
aspiration.
Unit 2.
Causes and Incidence: Traumatic Brain Injury
- Describe
coup-contrecoup lesions and their consequences.
- Describe
acceleration-deceleration injuries and their
consequences.
- Decsribe
epidural, subdural, and subarachnoid bleeding. Include
whether it is venous or arterial.
- Discuss the
causes and effects of tentorial herniation.
Unit 3.
Anatomy of the Swallow
- Describe the
basic anatomical structures for swallowing and
speech.
- Discuss upper
and lower motor neuron innervation for swallowing.
- Discuss the
swallowing center of the medulla.
- Discuss
differences between the gag reflex and its relationship
to the swallow.
Unit 4.
Physiology of the Swallow
- Describe the
stages and sub-stages of the normal swallow.
- Why is tongue
driving force so important?
- What is the
pharyngeal tongue?
Unit 5. The Nature of
Dysphagia
- Describe the
various types of aspiration.
- Describe the
different types of dysphagia.
- Discuss
unilateral left and right hemisphere strokes as they
relate to swallowing problems.
- Discuss
recovery of the swallow.
Unit 6. The
Diagnosis of Dysphagia
- Describe the
bedside evaluation.
- Discuss the
video-fluroscopic dysphagia examination.
- Briefly
summarize other procedures for evaluating swallowing
dysfunction.
Unit 7.
Remediation of Dysphagia; Other Personnel
- Discuss
remedial techniques for dysphagia.
- Describe the
importance of posture in remediation.
- Discuss food
consistencies to increase safety while swallowing.
- Describe
airway protection techniques.
Unit 8. Apraxia: Definition and
Description; Site of Lesion
- Discuss
apraxia in general and define apraxia of speech (AOS).
- Discuss Meitus
and Weinberg's neurological model of oral
communication.
- Describe the
typical error patterns seen in apraxia.
- Differentiate between adult and childhood apraxia.
Unit 9. Diagnosis of
Apraxia
- Discuss
diagnostic procedures for apraxia of speech .
- Explain how AOS can be confused with Broca's aphasia.
Unit 10. Prognosis and Remediation of
Apraxia
- Discuss
prognosis in apraxia of speech.
- Discuss
remediation of apraxia of speech.
Unit 11. Dysarthria: Definition and
Description; Etiology
- Describe
lower motor neuron dysarthria.
- Discuss upper
motor neuron dysarthria.
- Can there be
an upper or lower motor neuron apraxia?
Unit 12.
Types of Dysarthria: Upper Motor Neuron
Damage
- Describe
spastic dysarthria. Include information on site of
lesion.
- Describe
hyperkinetic dysarthria. Include informaion on site of
lesion.
- Describe
hypokinetic dysarthria. Include information on site of
lesion.
Unit 13.
Types of Dysarthria: Lower Motor Neuron
Damage
- Discuss
flaccid dysarthria. Include information on site of
lesion.
- Differentiate between bulbar and peripheral dysarthria.
- Explain the final common pathway.
Unit 14.
Dysarthria; Charactaristics, Prognosis,
Remediation
- Describe characteristics, prognosis and remediation of the various
dysarthrias.
- Discuss the different speech characteristics between upper motor neuron and lower motor neuron dysarthrias.
Unit 15.
Dysarthria vs. Apraxia: A Comparison
- Compare and
contrast apraxia and dysarthria.
- How do therapies differ?.
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