CD 5666
Voice Disorders
Spring 2008
Instructor:
Billy Irwin, Ph.D., CCC-SLP
Class:
Monday 5:00-7:45 (EDA107)
Office:
123A Duncan Hall
Office Hours: Monday 10-12:00 & 3:00-5:00; Wednesday 9-12, Other times by appt.
email: irwinwh@appstate.edu office phone: 262-8313 home phone: 265-3234
Course Description: Study of the etiology, evaluation, and rehabilitation of functional
and organic voice disorders in children and adults, including review of the anatomic and
physiological bases of phonation, respiration, and resonation; theories of voice
production; and physiologic and acoustic correlates of voice disorders (Meets ASHA IIB).
Knowledge Outcomes: The student will... (method of determining outcome)
(1) Demonstrate understanding of the anatomic, physiologic, and neurologic
basis of the human vocal mechanism (Model, Quiz)
(2) Explain the Myoelastic-Aerodynamic Theory of Phonation (Quiz)
(3) Demonstrate understanding of the basic science of laryngeal
videoendoscopy (Exam)
(4) Measure and explain acoustic measures of voice (Quizzes, lab)
(5) Understand and explain perceptual and acoustic changes associated with
neuropathologies, mass lesions, and musculoskeletal tension disorders
of the vocal mechanism (Quizzes, Exam)
(6) Understand and describe the anatomical, physiological, and psychological
changes experienced by persons with head and neck tissue pathology
following surgery, chemotherapy, and/or radiation treatment (Quizzes,
Exams)
(7) Understand and describe the procedures associated with tracheostomy,
tracheoesophageal punctures, the mechanics of tracheoesophageal voice
prostheses, and the production of esophageal voicing (Quizzes, Exams)
(8) Understand and describe the effects of, and management approaches to,
resonance disorders (Quizzes, Exams)
Competencies/skills students will demonstrate: The student will …
(1)
identify the anatomical components of the larynx and describe laryngeal
physiology for phonation (Larynx model quiz- 90% correct)
(2)
administer and analyze an acoustic-perceptual assessment of vocal quality,
pitch, and loudness (Class presentation-Must achieve 90% correct)
(3)
perform and interpret a videostroboscopic examination (lab-)
(5)
Demonstrate selected behavioral therapy approaches to voice disorders
(presentation-must achieve 80%)
Grading
Class Participation (including case discussions)
Lab write-up: Videostroboscopy
Acoustic analysis
Larynx model/quiz
Resource Notebook (Dx & Tx)
Treatment Demonstration/ Case presentation
Exam Average
Quiz average
Evidence Based-Report on Selected Topic
Grading Scale:
A
> 95%
B+
91
C+
82%
F
< 78%
AB
C
93
88%
78%
B-
No point value, but this is expected
=
5%
=
5%
=
15%
=
15%
=
15%
=
25%
=
10%
=
10%
100%
85%
Required Text:
Andrews, M. L. (2006) Manual of Voice Treatment: Pediatrics through Geriatrics,
Third Edition. Clifton, NY: Thomson Delmar.
Additional Readings will be assigned throughout the semester.
Week
Date
1
1/14
2
1/21
Topic
Introduction, Overview of course, Syllabus,
Expectations
Anatomy and Physiology of Voice and Speech
Production
Martin Luther King, Jr. Holiday
Celebrate the spirit of a great American who
was brave, wise, and true to himself- no matter
the personal cost.
A&P – Respiration, phonation, articulation,
resonation
Cover-Body Model;
Neurology of Voice Production
Reading (complete before
class); Due Dates
I have a dream speech
A time to break silenceAnother MLK speech that
resonates today- At least read
or listen to the first four
paragraphs!
Ch. 1, Power point slides
virtual larynx
Ch.1
Schedule Larynx Model Quiz
with Irwin
Ch. 2, handout, slides
3
1/28
4
2/4
5
2/11
6
2/18
7
2/25
8
9
10
10/15
3/11
3/18
11
3/25
12
4/1
Pediatric Voice Disorders
Geriatric Voice Disorders
Neurologic Voice Disorders
Ch. 4-6
EBP Reports Due
13
4/8
Case presentations – Modeling Therapeutic
Techniques
Ch. 7
Handouts, online resources
14
4/15
Laryngectomy/tracheotomy- Voice restoration
following structural change
Resonance
Types of resonance disorders
Ch. 8, Handouts, online
resources
Quiz
Perceptual Evaluation of Voice
GRBAS, CAPE-V, ETC.
Larynx model quizzes
Ch. 2, handouts
Larynx Model Due
Ch. 2, handouts
Exam- Anatomy, physiology,
neurology and perceptual
evaluation of voice
Instrumental Voice Evaluation
Acoustic
Aerodynamic
Electromyographic
Endoscopic/Videostroboscopic
Clinical Evaluation of Voice-Voice Lab Practice Handouts
Spring Break
Types of Voice Therapy
Ch. 3, 4-6
Symptomatic, Physiologic, Psychodynamic,
Holistic
Therapy Techniques
State Holiday
15
4/28
5/1
5/6
Assessment of resonance, Intervention
Resonance continued
Final discussion, questions
Last Class Period- Student evals of instructor
Handouts, online resources
Resource Notebooks Due
Reading Day
Final Exam (6:00-8:30)
Lab write-up due at final
Final Exam