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 1 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. 2 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. 5 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.) 7 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? 9 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. 10