CD 5666
Voice Disorders
Fall 2008
Instructor:
Billy Irwin, Ph.D., CCC-SLP
Class:
Monday 5:30-9:00
Office:
Duncan Hall
Office Hours: Monday, 2-4:00; Tuesday & Thursday 8:00-11:00; Other times by appt.
email: irwinwh@appstate.edu office phone: 262-8313 home phone: 265-3234
Accomodations:
Appalachian State University is committed to making reasonable accommodations for individuals
with documented qualifying disabilities in accordance with the Americans with Disabilities Act
of 1990, and Section 504 of the Rehabilitation Act of 1973. Those seeking accommodations
based on a substantially limiting disability must contact and register with The Office of Disability
Services (ODS) at http://www.ods.appstate.edu/ or 828-262-3056. Once registration is complete,
individuals will meet with ODS staff to discuss eligibility and appropriate accommodations.
Please utilize the services/accommodations available if you have need of them.
Academic Integrity/Honor Pledge:
The Academic Integrity Code
Students attending Appalachian State University agree to abide by the following Code:
•
Students will not lie, cheat, or steal to gain academic advantage.
•
Students will oppose every instance of academic dishonesty.
Students shall agree to abide by the Academic Integrity Code when submitting the admission
application.
The Honor Pledge
The Honor Pledge is a cornerstone of the Appalachian State University’s Academic Integrity
Code and serves as a reminder of the University’s commitment to academic integrity. No Appalachian student shall unfairly further their own academic performance.
Students attending Appalachian State University pledge:
“I pledge on my honor that I have not violated the Appalachian State University
Academic Integrity Code.”
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 (Lab-must pass competency demonstration with 80%
accuracy)
(4) Measure and explain acoustic measures of voice (Quizzes, lab)
(5) Understand and explain perceptual and acoustic changes associated with
neuropathologies, mass lesions, benign lesions, and musculoskeletonal
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 (Exam)
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-90% correct)
(3)
Perform and interpret a videostroboscopic examination (lab-80% correct)
(4)
Demonstrate selected behavioral therapy approaches to voice disorders (
Class presentation- 90%)
Grading
Class Participation (including case discussions)
Lab write-up: Videostroboscopy
Acoustic analysis
Larynx model/quiz
Resource Notebook (Dx & Tx)
Treatment Demonstration/presentation
Exam 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%
=
20%
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 and will be either posted
on the website or distributed in class.
Week
Date
1
3
9/1
9/8
4
9/15
5
6
9/22
9/29
7
10/6
8
9
10/13
10/20
10
10/ 27
11
11/3
12
11/10
13
11/17
14
11/24
15
12/1
12/8
12/10
12/15
Topic
Labor Day
Anatomy and Physiology of Voice and Speech
Production A&P – Respiration, phonation,
articulation, resonation
Introduction, Overview of course, Syllabus,
Expectations
Cover-Body Model;
Neurology of Voice Production
Larynx model quizzes
Perceptual Evaluation of Voice
GRBAS, CAPE-V, ETC.
Instrumental Voice Evaluation
Acoustic
Aerodynamic
Electromyographic
Endoscopic/Videostroboscopic
Clinical Evaluation of Voice-Voice Lab Practice
Types of Voice Therapy
Symptomatic, Physiologic, Psychodynamic,
Holistic
Therapy Techniques
Pediatric Voice Disorders
Geriatric Voice Disorders
Neurologic Voice Disorders
Case presentations – Modeling Therapeutic
Techniques
Case presentations continued
Laryngectomy/tracheotomy- Voice restoration
following structural change
Resonance
Types of resonance disorders
Assessment of resonance, Intervention
Resonance continued
Review, Discussion of student selected topics,
Student evals of instructor
Reading Day
Final Exam
Monday, December 15 -6:00 PM - 8:30
PM
Reading (complete before
class)
Ch. 1, Power point slides,
virtual larynx
Ch.1
Larynx Model Due- Schedule
Quiz with Irwin
Ch. 2, handout, slides
Ch. 2, handouts
Exam
Ch. 2, handouts
Handouts
Ch. 3
Ch. 3,
Ch. 4-6
Ch. 7
Quiz
Handouts, online resources
EBP Reports Due
Handouts, online resources
Handouts, online resources
Resource Notebooks Due
Lab write-up due at final
Take home exam due