The Neuroscience on the Web Series:
CMSD 642 Neuropathologies of Swallowing and Speech

CSU, Chico, Patrick McCaffrey, Ph.D

Study Questions

Chapter 1. The Role of the SLP

  1. Describe the role of the speech pathologist in the prevention and management of dysphagia.
  2. Discuss causes and incidences of dysphagia.
  3. Describe ischemic and hemorrhagic strokes.
  4. Discuss transient ischemic attack (TIA).
  5. Discuss silent aspiration.

Chapter 2. Causes and Incidence: Traumatic Brain Injury

  1. Describe coup-contrecoup lesions and their consequences.
  2. Describe acceleration-deceleration injuries and their consequences.
  3. Decsribe epidural, subdural, and subarachnoid bleeding. Include whether it is venous or arterial.
  4. Discuss the causes and effects of tentorial herniation.

Chapter 3. Anatomy of the Swallow

  1. Describe the basic anatomical structures for swallowing and speech.
  2. Discuss upper and lower motor neuron innervation for swallowing.
  3. Discuss the swallowing center of the medulla.
  4. Discuss differences between the gag reflex and its relationship to the swallow.

Chapter 4. Physiology of the Swallow

  1. Describe the stages and sub-stages of the normal swallow.
  2. Why is tongue driving force so important?
  3. What is the pharyngeal tongue?

 Chapter 5. The Nature of Dysphagia

  1. Describe the various types of aspiration.
  2. Describe the different types of dysphagia.
  3. Discuss unilateral left and right hemisphere strokes as they relate to swallowing problems.
  4. Discuss recovery of the swallow.

Chapter 6. The Diagnosis of Dysphagia

  1. Describe the bedside evaluation.
  2. Discuss the video-fluroscopic dysphagia examination.
  3. Briefly summarize other procedures for evaluating swallowing dysfunction.

Chapter 7. Remediation of Dysphagia; Other Personnel

  1. Discuss remedial techniques for dysphagia.
  2. Describe the importance of posture in remediation.
  3. Discuss food consistencies to increase safety while swallowing.
  4. Describe airway protection techniques.

 Chapter 8. Apraxia: Definition and Description; Site of Lesion

  1. Discuss apraxia in general and define apraxia of speech (AOS).
  2. Discuss Meitus and Weinberg's neurological model of oral communication.
  3. Describe the typical error patterns seen in apraxia.
  4. Differentiate between adult and childhood apraxia.

 Chapter 9. Diagnosis of Apraxia

  1. Discuss diagnostic procedures for apraxia of speech .
  2. Explain how AOS can be confused with Broca's aphasia.

 Chapter 10. Prognosis and Remediation of Apraxia

  1. Discuss prognosis in apraxia of speech.
  2. Discuss remediation of apraxia of speech.

Chapter 11. Dysarthria: Definition and Description; Etiology

  1. Describe lower motor neuron dysarthria.
  2. Discuss upper motor neuron dysarthria.
  3. Can there be an upper or lower motor neuron apraxia?

Chapter 12. Types of Dysarthria: Upper Motor Neuron Damage

  1. Describe spastic dysarthria. Include information on site of lesion.
  2. Describe hyperkinetic dysarthria. Include informaion on site of lesion.
  3. Describe hypokinetic dysarthria. Include information on site of lesion.

Chapter 13. Types of Dysarthria: Lower Motor Neuron Damage

  1. Discuss flaccid dysarthria. Include information on site of lesion.
  2. Differentiate between bulbar and peripheral dysarthria.
  3. Explain the final common pathway.

Chapter 14. Dysarthria; Charactaristics, Prognosis, Remediation

  1. Describe characteristics, prognosis and remediation of the various dysarthrias.
  2. Discuss the different speech characteristics between upper motor neuron and lower motor neuron dysarthrias.

Chapter 15. Dysarthria vs. Apraxia: A Comparison

  1. Compare and contrast apraxia and dysarthria.
  2. How do the therapies differ?.

CSU Chico | Glossary | References | Neuroscience on the Web | CMSD642 Home | Next

Other courses in the Neuroscience on the Web series:
CMSD 620 (Neuroanatomy) | CMSD 636, Neuropathologies of Language and Cognition

Copyright, 1999-2011. Patrick McCaffrey, Ph.D. This page is freely distributable.