CD 5673

Neurogenic Speech Disorders

Final Exam

Name__________________________________

ASSESSMENT:

For each case described, indicate the assessment instruments you would administer. Identify the target level of assessment for each instrument (e.g., impairment, disability, or handicap), as well as the type of observation (e.g., perceptual, acoustic, kinematic, physiologic). In addition, provide predicted findings and diagnosis. For diagnosis, indicate the type of dysarthria you suspect. Each case is worth 15 pts.

Assessment case #1. 69 year old female diagnosed with Parkinson's disease eighteen months previous.

A. Assessment instruments and predicted findings:

B. Diagnosis:

2. Assessment case #2. 42 year old man diagnosed with ALS 4 months previous. Now complains of extremely reduced intelligibility.

A. Assessment instruments and predicted findings:

B. Diagnosis:

3. Assessment case #3. 27 year old female, self-referred, with complaints of slurred speech. She is an elementary teacher who reports that she can speak for several minutes clearly but that her speech begins to break down and becomes steadily worse. It improves if she rests for several minutes.

A. Assessment instruments and predicted findings:

B. Diagnosis:

4. Assessment case #4. 76 year old man, 5 days s/p left hemisphere MCA stroke. Comprehension is good but verbal expression is severely impaired.

A. Assessment instruments and predicted findings:

B. Diagnosis:

TREATMENT:

For each case, provide long term goals and short term objectives. Indicate the target level for each goal or objective (e.g., impairment, disability, handicap). In addition, provide a lesson plan for a 30 minute therapy session, indicating which goals and objectives will be targeted by the specific activities. Each case is worth 20 points.

5. Therapy Case # 1. 35 year old male s/p viral encephalitis with resultant spastic quadriplegia (severe spastic dysarthria as well). Current speech functioning: undifferentiated vowels, maximum sustained phonation 1.5 seconds.

A. Goals and Objectives:

B. Lesson Plan:

6. Treatment case #2. See Assessment Case #1.