Anatomy and Physiology of Speech and Hearing Mechanisms

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Longwood University
College of Education and Human Services
Communication Sciences and Disorders Program
NEUROLOGY FOR HUMAN COMMUNICATION
CSDS 455; Fall 2009
Instructor: Dr. Michele L. Norman
Class: Tuesday/Thursday 2-3:15 pm
Office: Hull 224
Telephone: 434-395-2341
Office Hours: Monday 11-12 (LCCLL);
Tuesday 11-2 (Hull)
Email: normanml@longwood.edu
Course Description:
An overview of neurology as it relates to communication and communication disorders 3
credits. Prerequisites: CSDS 313
Required Text:
Webb, W. & Adler, R. (2008). Neurology for the speech-language pathologist (5th ed.).
Boston, MA: Butterworth and Heinemann.
Bhatnager, S.C. (2007). Neuroscience for the study of communicative disorders, (3rd
ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Course Objectives:
The following conceptual framework competencies guide the planning and delivery of
instruction in this course. Specific course objectives reflect this framework as they focus
on the needs of the Students for developing skills as professionals who will be
knowledgeable, caring and ethical decision-makers.
Longwood Conceptual Framework Competencies
CFC 1 – Plan for Instruction
CFC 2 – Implementation and Management of Instruction
CFC 3 – Evaluation and Assessment
CFC 4 – Knowledge of Subject
CFC 5 – Behavior Management
CFC 6 – Communication Skills
CFC 7 – Professional Responsibilities
CFC 8 – Technology
CFC 9 – Diversity
KASA Standards (applicable to this course)
Standard III-B. Demonstrate knowledge of basic human communication and swallowing
processes, including their biological, neurological, acoustic, psychological,
developmental, and linguistic and cultural bases
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Upon completion of this course, Students should be able to:
1. describe the organization of the brain, including lateralization, lobes, brainstem,
and cerebellum (CFC 4, KASA III-B)
2. describe hemisphere dominance for language (CFC 4, KASA III-B)
3. explain the function of the cranial nerves associated with human communication
(CFC 4, KASA III-B)
4. describe the functional categorizations of the nervous system (CFC 4, KASA IIIB)
5. explain neurons, synapses and the mechanisms of actions (CFC 4, KASA III-B)
6. describe the descending and ascending motor and sensory pathways (CFC 4,
KASA III-B)
7. describe the blood flow to the brain, including the circle of willis and the cerebral
arteries (CFC 4, KASA III-B)
8. discuss normal aging and its impact on the central nervous system (CFC 4,
KASA III-B)
9. explain impact of stroke and traumatic brain injury to the brain (CFC 4, 7, KASA
III-B)
Responsibilities of the Student- All students are expected to abide by the Honor Code,
and respect the intellectual property and copyright of others. Students are expected to
complete all assignments in a timely manner, including group projects. Students agree
to interact with others in the course in a courteous and professional manner,
recognizing the value of others opinions. Students will recognize that they are part of a
larger community of Students and that their diligent and regular participation in this
course is to the benefit of all Students.
No more than nine Longwood non-degree graduate hours may be counted toward a
degree, certificate or licensure program. Students are expected to apply to a Longwood
graduate program prior to enrolling in classes. At the latest, all application materials
should be received by the Graduate and Extended Studies Office before the completion
of six hours.
Policy on Late Work. Students are expected to submit assignments by the designated
date. Five percent of the total point value of the assignment will be lost for each
calendar day beyond the required submission date. It is important that you notify the
instructor as soon as possible if you are experiencing any problems with an assignment.
Honor Code: Students enrolled in this course are expected to abide by the Longwood
University Honor Code when completing assignments and interacting with Students.
This code is an affirmation of personal integrity and an acceptance of personal
responsibility. For more information about Longwood’s Honor Code visit
http://www.longwood.edu/judicial/the%20philosophy%20of%20The%20Honor%20Code.
htm. All assignments and examinations must be pledged in order for a grade to
be earned. The instructor will investigate any suspicion of an Honor Code infraction.
Disability Statement: The instructor is willing to meet reasonable accommodations for
any students with a documented disability. The student should submit supporting
material to the Longwood University Academic Support Center which will then inform
the instructor of the necessary accommodations. Submit the necessary documentation
by the end of the first scheduled day of the class.
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Course Requirements:
Assignments –These assignments focus on the application of the content material.
These assignments may be individual or group efforts per instructions. Group work will
be required within the course.
Assignment
#1
#2
Due
9/3
9/17
#3
#4
#5
#6
#7
10/8
10/22
11/5
11/17
12/3
TOTAL
Points
Task
10
Develop organization map of Nervous System
10
PowerPoint slide on the functions each cerebral lobe
and the cerebellum
75
Develop a model of the Circle of Willis
10
Study Guide: Cranial Nerve Worksheet
10
Case Study Questions
10
Design a 2-page fact sheet on one of the Aphasias
75
Research Paper: Aphasia, Dysarthria, CAPD, or
Autism
200
Examinations: Quizzes, Midterm, and Final: There will be 10 quizzes throughout the
semester. Some of them will be unannounced. The midterm (10/2/08) and final exam
(12/9/08) will require the student to demonstrate an ability to apply the learning related
to neurology of human communication. The examinations will be available online.
Additional information about the exam will be provided.
Requirement
Possible Points Awarded
Assignments
200 points
(various points each)
Quizzes
100 points
(10 points each)
Midterm
100 points
Final
100 points
Total Points
500 points
3
Grading Scale:
A+
488-500 points
C+
388-399 points
A
470-487 points
C
370-387 points
A-
450-469 points
C-
350-369 points
B+
438-449 points
D+
338-349 points
B
420-437 points
D
320-337 points
B-
400-419 points
D-
300- 319 points
F
0 – 299 points
Class Schedule
This schedule may be revised during the semester if necessary
Week
Date
1
8/25
8/27
2
Topic
Building Blocks and
Organizational Structure
of the Nervous System
Reading
Love CH 1, 2, & 4
Bhatnagar CH 1 & 5
9/1
9/3
3
Assignment
9/8
Assignment #1
The Human Brain
Love CH 2 & 3
Bhatnagar CH 2 & 3
9/10
4
9/15
9/17
5
9/22
Assignment #2
The Circulatory System
Love CH 3
Bhatnagar CH 17
9/24
6
9/29
4
10/1
7
MIDTERM EXAM
10/6
10/8
8
10/13
10/15
9
Assignment #3
Fall Break-No Class!
Cranial and Peripheral
Nerves
10/20
10/22
10
Love CH 7
Bhatnagar CH 15 &16
10/27
Assignment #4
Motor and Sensory
Functions
Love CH 5, 6, & 8
Bhatnagar CH 7, 1114
10/29
11
11/3
11/5
12
11/10
Assignment #5
Developmental Neurology
Love CH 10 & 11
Bhatnagar CH 4,
11/12
13
14
15
16
11/17
Assignment #6
11/19
(ASHA)
11/24
Normal Aging
11/26
Thanksgiving- No Class!
Love CH 9
Bhatnagar CH 19
12/1
12/3
Assignment #7
12/8
FINAL EXAM
Additional References:
Johnson, A., & Jacobson, B. (2007). Medical Speech-Language Pathology: A
Practioner’s Guide (2nd ed.). New York, NY: Thieme.
Nolte, J. (2002). The human brain: An introduction to functional anatomy, 5th Ed. St.
Louis, MO: Mosby.
Seikel, J., King, D., & Drumright, D. (1997). Anatomy and physiology for speech,
language, and hearing. San Diego, CA: Sing. Pub. Group.
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Longwood University
College of Education and Human Services
Communication Sciences and Disorders Program
NEUROLOGY FOR HUMAN COMMUNICATION (CSDS 455)
Assignments
ASSIGNMENT # 1: Organization Map
Create an organizational or concept map of the Nervous System. Design it in a way
that will be helpful for you to understand and study the system.
ASSIGNMENT #2: PowerPoint Presentation on the Cortex and Cerebellum
This is a group assignment. Create an 8 slide PowerPoint presentation on the cortex
and cerebellum. Each group is to submit one presentation. Each slide will discuss the
function of one of the 5 cerebral lobes (frontal, parietal, temporal, insular, and occipital)
one slide will discuss functions of the cerebellum, and one slide will be for references. I
encourage creativity. Pictures or diagrams are allowed. All group members will receive
the same grade.
The Groups are as assigned:
Group 1. Frontals- Adams; Kuhfuss; Stinespring
Group 2. Temporals- Durham; Owen; Wise
Group 3. Parietals – Galati; Semper; Vimpeny;
Group 4. Occipitals- Manikus; Mason; Toler; Turner
Group 5. Insulas- Grandy; Hosler; Hanrahan
Slide order is as follows:
Slide 1: Title/Authors/Introduction
Slide 5: One lobe and its functions
Slide 2: One lobe and its functions
Slide 6: One lobe and its functions
Slide 3: One lobe and its functions
Slide 7: Cerebellum and its functions
Slide 4: One lobe and its functions
Slide 8: References
6
ASSIGNMENT #3: Model of Circle of Willis
Construct a model of the Circle of Willis using whatever materials you
choose. I encourage you to be creative. The model must include the following
parts clearly labeled:
1. anterior communicating artery,
2. internal carotid arteries,
3. posterior communicating artery,
4. posterior cerebral arteries,
5. basilar artery
6. vertebral arteries,
7. middle cerebral arteries
8. anterior cerebral arteries
You are also required to submit a one page write up of the design benefits
of the actual Circle of Willis (not the model).
Have fun and get creative!
ASSIGNMENT #4: Study Guide
Complete the worksheet below including a mnemonic device to aid in the recall
of the Cranial Nerves involved in speech, swallowing and hearing. For example,
ROY G BIV to remember the colors of the rainbow or "My Very Eager Mother
Just Sewed Us New Pajamas" to recall the planets.)
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Name
________________________
What
is your original mnemonic device for remembering the 7 Cranial Nerves involved in speech, swallowing and hearing?
________________________
_________________
Roman
Name
Type
Muscles Innervated
Numeral
(sensory, motor,
mixed)
Impact on
Speech/Swallowing and/or
Hearing
8
ASSIGNMENT # 5: Case Study
A 42 year old woman woke up one morning and noticed that the right side of her face
was numb. When she looked in the mirror she noticed that her eye and lip were
drooping on the right side. She was unable to wrinkle her forehead. Believing that she
was experiencing a stroke, she went immediately to the Emergency Room at the local
hospital.
At the hospital, the physician obtained a medical history. This woman reported being in
general good health with the exception of elevated cholesterol and a “cold” the previous
week.
The physician conducted a cranial nerve exam which revealed:
 Olfaction WNL (within normal limits)
 Visual field, acuity and papillary light reflex WNL
 Facial sensation is slightly reduced on the right
 Facial tone was reduced on the right for the upper and lower portions of
the face.
There was no loss of consciousness and she was able to move all limbs. CT scans
were WNL.
Answer the following questions:
1. Which cranial nerve(s) was/were involved?
2. What is the name of this condition?
3. What is the cause of this condition?
4. What is the prognosis for this patient?
5. What are the implications for speech, swallowing and/or hearing?
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Assignment #6: Fact sheet
Create a two page fact sheet for one of the following neurogenic disorders:





Broca's aphasia
Wernicke's aphasia
Anomic Aphasia
Global Aphasia
Apraxia of Speech
Each fact sheet should include:






site of lesion (area of the brain affected)
modality affected (speech, comprehension, naming, writing, reading)
nature of errors (fluency, paraphasias, articulation, consistent, inconsistent)
possible related or co-occurring problems (hemiparesis of limb, agnosia)
name at least two test measures
include a list of references used to complete this assignment.
Your assigned readings in Love and Webb Chapter 9 should be helpful in completing
this assignment.
Assignment #7: Research paper
You have a choice of one of four topics:




Central Auditory Processing Disorders (sensory dysfunction);
Aphasia (language impairment);
Autism (developmental disorder); or
Dysarthria (a motor speech disorder).
The paper should be 3-5 pages not including the references, double spaced with a min
of 5 resources and only two of those can be a website. You are welcome to use the
web to obtain articles. You must adhere to APA format (5th ed.) for manuscript style.
If you use the writing center or library staff to assist you with this paper, provide written
proof of their assistance and you will earn an additional 5 points on this assignment.
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