SLP 609

Disorders of Voice

Spring, 2010

Buffalo State College

Speech-Language Pathology Department


Course Description
Texts
Assignments
Grading Policy
Academic Integrity
Behavior Policy
Accommodations for Students with Disabilities
Outline

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Course Description

Instructor: Deborah Insalaco, Ph.D., CCC-Sp, Licensed Speech Pathologist, Teacher of the Speech and Hearing Handicapped

Room: Ketchum Hall 213 Phone: 878-5319

e-mail: insaladm@buffalostate.edu

Office Hours: to be arranged, tentatively F 8:30-11:30; Th 11-12

Class meeting hours: Monday 10:00-11:45 KH 212

The course provides students with an understanding of the nature, etiology, diagnosis, and intervention of voice disorders in adults and children.  Theoretical and practical applications of these principles are presented.

 

COURSE OBJECTIVE

 

The students will develop an understanding of the causes, characteristics, and clinical needs of persons across cultures that are dysphonic.  At the completion of this course each student should also be able to

 

  1. Define normal voice production
  2. Define or describe the causes of voice disorders
  3. Evaluate the voice of children and adults
  4. Select and effectively administer an appropriate treatment protocol

It partially fulfills the following ASHA standards:

·         Standard III-C - “demonstrate knowledge of the nature of speech, language, hearing disorders and differences, including their etiologies, characteristics, anatomical/physiological, acoustic, psychological, developmental, and linguistic and cultural correlates. Specific knowledge must be demonstrated in the following areas:”

o   etiologies and characteristics of voice and resonance disorders

·         Standard III-D – “possess knowledge of the principles and methods of prevention, assessment, and intervention for people with communication and swallowing disorders, including consideration of anatomical/physiological, psychological, developmental, and linguistic and cultural correlates of disorders”

o   prevention, assessment, and intervention for voice and resonance disorders

·         Standard IV-G – “complete a program of study … to achieve the following skills outcomes:

o   Diagnosis, screening, intervention – voice and resonance

o   “adhere to the ASHA Code of Ethics and behave professionally”

Critical Skill Areas

Technology: ANGEL is used as a tool for this course. It allows you to view and print out assignments and PowerPoint lecture notes, to view grades, and to e-mail classmates and me.

The following will not be taught. You are expected to be able to use:

  • e-mail, e-mail attachments, and to forward e-mail from your campus-assigned account to whatever you use most often
  • a word processing program (including margins, page breaks, headers, hanging indent, headings, outline view, track changes, tables)
  • PowerPoint both to do presentations and to download lecture notes
  • anti-virus software
  • Peer-Reviewed EZ and Medline
  • You are expected to keep back-ups of your work, just in case. Also be aware that you have space available on the z: drive of the server. Go to the CTS website or to the Help Desk in Butler Library or call 878-HELP for ANGEL, password, and other help and to http://www.buffalostate.edu/cts/x745.xml#q2 for network access information.

Writing Style: Speech-Language Pathology uses the American Psychological Association (APA) style. Become familiar with the Publication Manual, 6th edition which is available in the Reference area of the Butler Library. You will likely want to purchase a copy before you do your Master's Project as a graduate student. Butler Library has a quick guide to the 5th edition on the Butler Library website. Note that it is the 5th edition and is different from what the department asks for. See Speaking and Writing Tips.

Course Requirements

Attendance: Regular attendance and prompt arrival are required. You will miss out on assignments and oral directions on how to complete assignments if you are not present. If you are ill or cannot attend, look on Angel.

Interruptions: Unless you are expecting an important call, for example, from a sick family member for whom you have primary responsibility, all cell phones and pagers should be off.
 

REQUIRED TEXT

 Boone, D.R., McFarlane, S.C., Von Berg, S.L, & Zraick, R. I. (2010). The voice and voice therapy (8th ed.). Boston, MA: Allyn & Bacon.

 

Assignments

Summative Assessments

·         Final Examination (Individual) (20 pts.). This will be a closed-book, in-class examination.

Formative Assessments

·         3 Treatment Article summaries (Group of 3) 5 pts. each
Choose a recent (last 10 years) article on a treatment applicable to people affected by the impairment we are currently discussing. Include the citation, a brief description of the treatment (1 paragraph) and the type of study (case study, etc.). This will allow you to make a comment on the level of evidence for the treatments. Present the treatment in class for 3 min. and post your article summary on ANGEL. Each group member will have a turn presenting an article. I do expect the group members to assist!

·         4 Homework Assignments (Individual) 5 pts each
One of these will be a short write-up of what you did during the screening of the music students.

·         One Diagnostic Evaluation (Individual) 25 pts.
Watch the first case study on the text’s DVD, CS.1, Differential Diagnosis of a Complex Voice Disorder. Write the Background for 12 pts. and then the Assessment, Impressions, and Recommendations sections for 13 pts. Use the Clinic’s template. You will have the opportunity to write a draft, then final copy.

·         One Quiz (Individual) (10 pts.). This will be an in-class, open-book examination.

·         One Exhaustive Bibliography on a Treatment (Individual) (10 points). Choose one of Boone et al.’s facilitating approaches and research it. Find as many references for it as you can and determine the level of evidence for it. To avoid duplication of facilitating approaches you will let me know which approach you have chosen.

Grading Policy

You are welcome to discuss grades during office hours. If an answer has been marked incorrect, but you believe it to be correct, bring written material to support the contention.

Missed exams/assignments: If you miss an examination or cannot hand in a large assignment because of ill health, e-mail or telephone me before the exam/due date, then obtain a physician's note. Late homework will not receive full credit, 1/2 a point for each day late.

 

This is a guideline:

 

A = 100-95                                        B- = 82-80

A- = 94-90                                         C  = 79-75

B+= 89-87                                         E = <74

B  = 86-83

Academic Integrity

I encourage editing fellow's/sister's drafts and sharing notes. However, unless specifically noted otherwise, all work handed in must be unique. You may not hand in work from another course for credit in this course.

There are strict rules concerning authorship. When composing a narrative you must cite appropriately. Failure to do so constitutes plagiarism. Penalties range from a “0” for the question to “0” for the course at my discretion.

Academic misconduct refers to plagiarism or cheating on examinations or assignments, and is inconsistent with the aims and goals of Buffalo State College. Specifically, students may neither use the work of another individual without proper acknowledgment nor perform work for another individual. Other examples of inappropriate academic conduct include prior acquisition or possession of an examination or submission of false data. As a result of a sustained allegation of academic misconduct, a low or failing grade for part or all of the coursework may be given to the student at the discretion of the instructor. No penalty for an alleged instance of academic misconduct may be imposed unless the student has been apprised of the allegation, the penalty, and the procedures of due process that are available (BSC Graduate Catalog, p. 28).

If you are charged with academic misconduct, you have the right to due process according to the rules of the college. The first step in this process is discussion with me.

Behavior Policy

All students are expected to comport themselves in a manner that conveys respect, tolerance, and civility. All members of the college community are expected to contribute to the college environment to move the college community in the direction of respect for all.

I will have removed from the classroom anyone who, in my opinion, is disrupting the educational process and may pursue formal charges against the student under the college judicial system, pursuant to BSC's Procedure Regarding Disruptive Individuals.

Accommodations for Students with Disabilities

If you have a disability or suspect that you have a disability that requires any type of accommodation to fulfill the requirements of this course, please call the Disability Services Office at 878-4500.

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Outline

Week

Topic

Readings, Assignments

Week 1
 1-25

Introduction, normal voice and kinds of disorders

Ch. 1, Ch. 2

 

Assess Voice Class (Music Ed. Dept) students

In the Clinic Voice Room, afternoon

Week 2
 2-1

Organic voice disorders

Ch. 3

Week 3
 2-8

Neurogenic voice disorders: vocal fold paralysis and spasmodic dysphonia only; Psychogenic disorders

Ch. 4, pp. 82-92, 98-106; Ch. 5, pp. 113-120; Duffy

Week 4
 2-15

NO CLASS – PRESIDENTS’ DAY

 

Week 5
 2-22

Functional voice disorders

Ch. 5, pp. 118-132

Week 6
 3-1

Voice evaluation

Ch. 6
Diagnostic Background due

Week 7
 3-8

Voice evaluation con.’t

Ch. 6 con.’t


Week 8
 3-15

Voice therapy - children

Ch. 7
Diagnostic Assessment due

Week 9
 3-22

Voice therapy - adolescents

Ch. 7 con’t

Week 10
 3-29

NO CLASS - SPRING BREAK

 

Week 11
 4-5

Voice therapy – adults, professional voice users

Ch. 7 con’t

Week 12
 4-12

Management and therapy for special problems

Ch. 8
Quiz

Week 13
 4-19

Voice therapy following treatment for laryngeal cancer

Ch. 8, pp. 270-275

 

Assess Voice Class (Music Ed. Dept) students

In the Clinic Voice Room, afternoon

Week 14
 4-26

Therapy for Resonance Disorders

Ch. 9
Exhaustive Bibliography Due

Week 15
 5-3

Therapy for Resonance Disorders

Ch. 9

CEP Week
 5-10

FINAL EXAM 9:40-11:30

 Closed book

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