Fall 2009 - Kean University



Fall 2009

KEAN UNIVERSITY

Union, New Jersey

APHASIA AND OTHER NEUROLOGICAL DISORDERS

OF SPEECH AND LANGUAGE

Course Number: CDD 5231

Semester Hours: 3

Prerequisites: None

Limitation on enrollment: 25

Required or elective: Required

Catalog Description:

Study of the nature, etiology and symptoms of aphasia and other neurologically based disorders that affect speech and language; discussion of assessment and intervention approaches and techniques.

N.B. In order to ensure full class participation, any student with a disabling condition requiring special accommodations (e.g., tape recorders, special adaptive equipment, special note-taking or test-taking procedures) is strongly encouraged to contact the professor at the beginning of the course. For the students’ convenience, both the professor’s phone number, office hours and email address is listed on the syllabus.

KEAN UNIVERSITY

Union, New Jersey

APHASIA AND OTHER NEUROLOGICAL DISORDERS

OF SPEECH AND LANGUAGE

Course Objectives

Students will achieve growth toward becoming informed, dynamic professionals, as evidenced by demonstration of proficiencies in knowledge comprehension, skill application and disposition development. Students will:

1 compare and contrast various definitions and classifications of aphasia in order to develop an ability for differential diagnosis. (K, S)

2 recognize and describe the characteristics of other neurological disorders of speech and language—Traumatic Brain Injury, Right Brain Syndrome, Parkinson’s disease, Dementia, etc. (K, S)

3 develop an historical perspective of the study of aphasiology, citing contributions of physicians, neuron-psychologists, linguists, and speech-language pathologists to the development of the discipline. (K)

4 describe those aspects of neuro-anatomy and neurophysiology relevant to an understanding of aphasia and other neurological disorders of speech and language. (K, S)

5 screen and assess the speech, language and communication skills of individuals with aphasia, considering educational, cultural, linguistic and cognitive factors. (K, S, D)

6 design language intervention programs and demonstrate strategies appropriate for individuals diagnosed with aphasia or other neurological disorders of speech and language. (K, S, D)

7 examine the delivery of speech-language pathology services in the healthcare system and discuss advocacy opportunities for persons with communication disorders due to neurological conditions. (K, S, D)

Course Content

1 Definitions and classifications of aphasia (K, S)

1 Definitions:

1 terms associated with linguistic disorders

2 terms associated with cognitive disorders

3 terms associated with processing disorders

2 Classifications of aphasia, such as:

1 Weisenberg and McBride, receptive & expressive

2 Schuell, prognostic syndromes

3 Gardner, fluent & non-fluent

4 Boston classification system

3 Differential diagnosis of aphasia:

1 Broca’s aphasia

2 Wernicke’s aphasia

3 Other clinical syndromes of aphasia

4 Global aphasia

2 Characteristics of other neurological disorders of speech and language (K, S)

1 Sudden-onset acquired disorders

1 Traumatic brain injury

2 Right hemisphere damage

2 Degenerative disorders

1 Dementias

2 Parkinson’s disease

3 Others—ALS, Huntington’s, etc.

3 Historical perspectives (K)

1 19th century contributions; location vs. process

1 Broca

2 Wernicke

3 Hughlings Jackson

2 20th century contributions; classification and test development

1 Goldstein

2 Luria

3 Schuell

4 Goodglass and Kaplan

5 Holland

4 Neuro-anatomy and physiology (K, S)

1 Central nervous system organization

1 Landmarks of the cortex

2 Cerebral blood supply

3 Ventricular system

4 Intra- and Inter-hemispheric fiber tracts

2 Physiology of “stroke” (CVA) and neural degeneration

3 Neuro-imaging and laboratory tests

4 Medical treatments for neurogenic disorders

5 Screening, assessment and diagnosis of aphasia and other neurological disorders (K, S, D)

a) Demonstration of screening, bedside instruments (standardized and informal)

b) Demonstration of comprehensive tests of aphasia

c) Demonstration of current tests for other neurological disorders

6 Language intervention programs and treatment strategies aimed at: (K, S, D)

1 The communication disabilities themselves (repairing the deficit)

2 The unimpaired communication abilities of the patient (utilizing strengths)

3 The patient as a whole person (life participation)

4 The communication process between the patient and his/her communication partner

5 The caregiver’s communication abilities

6 The communication opportunities available to the patient

7 The environment

7 Service delivery and advocacy (K, S, D)

1 Service Delivery sites

1 Acute care

2 Sub-acute care

3 Outpatient/rehabilitation services

4 Visiting nurse services

5 Long-term care facilities

6 Home programs and tele-practice

8 Advocacy opportunities

1 Legislation and regulation

2 Community activism

3 Building new communities

III. Methods of Instruction

9 Lectures; instructor and guests, supported by power point

10 Video presentations of disorders, evaluations, and treatments

11 Reading assignments

12 Collaborative projects and demonstrations

13 Clinical observations and written reports on individuals with neurological communication disorders

Methods of Evaluation

1 In-class and take-home examinations (K, S, D)

2 Group and individual presentations (S, D)

3 Written case studies and impression papers (S, D)

Suggested Text

Davis, G. (2007) Aphasiology: disorders and clinical practice, 2nd Edition. New York: Pearson/Allyn & Bacon.

LaPointe, L. Ed. (2005) Aphasia and related neurogenic language disorders (3rd edition). New York: Thieme.

IV. Bibliography

Print.

Basso, A. (2005). How intensive/prolonged should an intensive/prolonged treatment be? Aphasiology, 19, 975-984.

Boyle, M. (2004). Semantic feature analysis treatment for anomia in two fluent aphasia syndromes. American Journal of Speech-language Pathology, 13, 236-249.

Camp, C.J. (2006). Spaced retrieval: A model for dissemination of a cognitive intervention for persons with dementia. In D. Attix & K.Welsh-Bohmer (Eds.) Geriatric neuropsychology: assessment and intervention (pp. 275-292). New York: Guilford Press.

Chapey, R. (2008) Language intervention strategies in aphasia and related neurogenic communication disorders (5th edition). Baltimore: Lippincott Williams & Wilkins.

Chapman, S.B., Weiner, M.F., Rackley, A., Hynan, L.S., & Zientz, J. (2004). Effects of cognitive-communication stimulation for Alzheimer’s disease patients treated with Donepezil. Journal of Speech, Language, and Hearing Research, 47, 1149-1163.

Cruice, M., Worral, L., Hickson, L., & Murison, R. (2005). Measuring quality of life: Comparing family members’ and friends’ ratings with those of their aphasic partners. Aphasiology, 19, 111-129.

Fink, R.B., Brecher, S., Sobel, P., & Schwartz, M. F. (2005). Computer-assisted treatment of word retrieval deficits in aphasia, Aphasiology, 19, 943-954.

Garrard, P., Lambon Ralph, M.A., Patterson, K., Pratt, K.H. & Hodges, J.R. (2005) Semantic feature knowledge and picture naming in dementia of Alzheimer’s type: A new approach,. Brain and Language, 93, 79-94.

Goodglass, H., Kaplan, E., & Barresi, B. (2006). Boston diagnostic aphasia examination, 4th edition. Baltimore: Lippincott, Williams & Wilkins.

Kertesz, A. (2006). Western Aphasia Battery-Enhanced. San Antonio, TX: Harcourt Assessment.

Odell, K.H., Wollack, J.A., & Flynn, M. (2005). Functional outcomes in patients with right hemisphere brain damage. Aphasiology, 19, 807-830.

Small, J.A., & Perry, J. (2005). Do you remember? How caregivers question their spouses who have Alzheimer’s disease and the impact on communication. Journal of Speech, Language, and Hearing Research, 48, 125-136.

Thompson, C. K., & Johnson, N. (2006). Language interventions in dementia. In D.K. Attix & K.A. Welsh-Bohmer (Eds.), Geriatric neuropsychology: Assessment and intervention ( 315-332). New York: Guilford Press.

Wright, H. H., & Shisler, R. J. (2005). Working memory in aphasia: theory, measures, and clinical implications. American Journal of Speech-Language Pathology, 14, 107-118.

Seminal Works.

Beeson, P. (1999). Treating acquired writing impairment: Strengthening grapheme representations. Aphasiology, 13(9), 767-785.

Elman, R. (1999). Group treatment of neurogenic communication disorders: The expert clinician’s approach. Boston: Butterworth-Heinemann

Helm-Estabrooks, N. & Holland, A. (1998). Approaches to the treatment of aphasia. Clifton Park: Thomson Delmar Learning.

Holland, A., Fromm, D., DeRuyter, F. & Stein, M. (1996). Treatment efficacy: Aphasia. Journal of Speech and Hearing Research, 39, S27-S36.

Holland, A., Frattali, C. & Fromm, D., (1999). Communicative activities of daily living, 2nd edition. Austin: Pro-Ed.

Kagan, A., Black, S. & Duchan, J. (2001). Training volunteers as conversation partners using supported conversation for adults with aphasia: A controlled trial. Journal of Speech, Language, and Hearing Research, 44, 624-638.

LaPointe, L. & Horner, J. (1998). Reading comprehension battery of aphasia. Austin: Pro-Ed.

Murdoch, B., & Theodoros, D. (2001). Traumatic brain injury: associated speech, language and swallowing disorders. Clifton Park: Thomson Delmar Learning.

Myers, R. (1999). Right hemisphere damage: Disorders of communication and cognition. Clifton Park: Thomson Delmar Learning.

Robey, R. (1998). A meta-analysis of clinical outcomes in the treatment of aphasia. Journal of Speech, Language, and Hearing Research, 41, 172-187

Santo Pietro, M. & Ostuni, E. (2003). Successful communication with persons with Alzheimer’s disease. 2nd edition. St Louis: Elsevier.

Non-Print.

Departmental library of audio and video recordings of individuals with aphasia and other neurogenic disorders of speech and language

Departmental library of assessments and treatments including software packages

Availability of Institute for Adults Living with Communication Disabilities on campus

On-line resources

Academy of Aphasia.

American Speech-Language-Hearing Association.

National Aphasia Association.

National Institute of Deafness and other Communication disorders. nidcd.

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