Anatomy and Physiology of Speech and Hearing Mechanisms

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CSDS 313: Anatomy and Physiology of Speech and Hearing Mechanisms
Fall 2009
Instructor: Dr. Peggy Agee, CCC-SLP
On Campus Office: Hull 223
E-mail: ageepc@longwood.edu
Mailing Address:
Longwood University
201 High Street, Hull 223
Farmville, Virginia 23909
Phone: 434.395.2722 (office)
Fax: 434.395.4916
Course Schedule:
August 24, 2009 – December 11, 2009
Technology Support: 1-877-267-7883 (toll
free)
Meeting Time: Tuesday & Thursday,
9:30 – 10:45 am
Final Exam: Tues, December 18, 11:30 am
Location: Hull 128
Office Hours:
Mon: 1:00 – 3:00 pm
Tues & Thurs: 1:00 –2:30 pm
other times by appointment
Course Description:
This course provides information related to anatomical structures and neurology of the
human communication system and the physiology of related movement. Prerequisite:
Biology 101 or consent of instructor. 3 credits.
Required Text:
Seikel, J., King, D., & Drumright, D. (2010). Anatomy & physiology for
speech, language, and hearing 4th ed). Clifton Park, NY: Thomson Delmar Learning.
Technology Requirements:
 Windows Media Player will be necessary in order to view the video clips. It
is available as a free download from www.microsoft.com
 Submit reports and projects as Microsoft documents (either Word,
PowerPoint, Excel, etc as required by the assignment).
 View presentations with Microsoft PowerPoint.
 E-mail communication will be conducted by means of the Longwood E-mail
system. You have been provided a Longwood E-mail address. It is this same
address which has been entered into Blackboard and so all communication
from and through Blackboard (and so from the instructor) will use your
Longwood address.
Course Objectives:
Longwood College of Education and Human Services
Conceptual Framework Competencies (CFC)
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.
1.
Plan for Instruction
2.
Implementation and Management of Instruction
3.
Evaluation and Assessment
4.
Knowledge of Subject
5.
Behavior Management
6.
Communication Skills
7.
Professional Responsibilities
8.
Technology
9.
Diversity
The American Speech-Language-Hearing Association (ASHA) Knowledge and
Skills Assessment (KASA) Standards applicable to this course include:
 Standard III-B. Demonstrate knowledge of basic human communication and
swallowing processes, including their biological, neurological, acoustic,
psychological, developmental, and linguistic and cultural bases.
 Standard III-C. Demonstrate knowledge of the nature of speech, language,
hearing, and communication disorders and differences and swallowing disorders,
including their etiologies, characteristics, anatomical/physical, acoustic,
psychological, developmental, and linguistic and cultural correlates.
 Standards 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 the disorders.
Note: The above competencies and standards are coded to the course objectives as CFC
or KASA.
Through the successful completion of this course, the student will gain a working
knowledge of anatomy and physiology for speech-language-hearing.
1. The student will label major anatomical structures and systems for speech-languagehearing (CFC 4; KASA III-B, III-D)
2. The student will state the physiological functions of these structures and systems.
(CFC 4; KASA III-B, III-D)
3. The student will relate the anatomy and physiology of these structures and systems to
the professional responsibilities of the audiologist (A) and/or speech-language
pathologist (SLP). (CFC 4; KASA III-D)
Course Organization:
The course content will be organized into eight modules:
Module 1:
Module 2:
Module 3:
Module 4:
Module 5:
Module 6:
Module 7:
Module 8:
Introduction to Anatomy and Physiology
Respiration Anatomy and Physiology
Phonation Anatomy and Physiology
Articulation and Resonance Anatomy and Physiology
Hearing Anatomy and Physiology
Nervous System Anatomy and Physiology
Embryology (Re: Development of Speech and Hearing Systems)
Review of Course and Final Exam
For each of the modules, students will follow a similar learning and participation
plan with similar components: PowerPoint presentations to review, readings from the
text or supporting articles or web sources, online and classroom-based discussions and
activities, a learning lab (using the CD which accompanied the text), APPLYIT! (an
individual or group activity which may include diagramming), and a quiz. A timeline of
module assignments and activities concludes this syllabus. Two in-class examinations (a
mid-term and a final) will be offered. The mid-term exam will assess the learning of
Modules 1-3 and the final exam will assess learning of Modules 4-7. Students will be
asked to provide course feedback at two points during the course (Following Modules 4
and 9).
Because the course occurs over a fifteen-week period, students should plan to spend
approximately two weeks on each module. A new module will be posted on Blackboard
few days prior to its designated start date.
Course Policies and Procedures:
Policy on Student Attendance. Students are expected to attend each scheduled class and
to arrive PROMPTLY for the beginning of class. In accordance with the Longwood
University policy on class attendance, a student’s grade may be lowered by one letter
grade if that student misses 10% of the scheduled classes (3 in number) with unexcused
absences. A student may be assigned a grade of "F" if that student has missed a total
(excused and unexcused absences) of 25% of class meetings (7 in number). A pattern of
tardiness may also affect a student’s grade.
Policy on Response to Student Communication or Assignment. Students who send an
e-mail communication during the business week can expect to receive a response within
two business days (48 hours). Communications or assignments which are sent after noon
on Friday or on weekends or holidays will be addressed on the next business day. Every
effort will be made to review and grade written assignments within 12 business days
following receipt. Holidays and weekends are not counted as business days.
Note: If you have an urgent issue related to the course that needs immediate attention,
send an e-mail to the instructor with HAIR ON FIRE in subject line. I will respond as
quickly as possible.
Responsibilities of the Learner. All learners are expected to abide by the Honor Code,
and respect the intellectual property and copyright of others. Learners are expected to
complete all assignments, including group projects, in a timely manner. Learners agree
to interact with others in the course in a courteous and professional manner, recognizing
the value of others’ opinions. Learners will recognize that they are part of a larger
community of learners and that their diligent and regular participation in this course is to
the benefit of all learners.
Class Decorum.
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Be courteous and respectful in all interactions with faculty, students, and staff.
No food during class time; drinks are ok. You may snack before and after class
and during breaks.
Turn cell phones off.
Use computers for note-taking, but only if not distracting to others.
Return desks/chairs to original location and position.
Throw away all trash at the end of class.
During class time, please leave the classroom ONLY if absolutely necessary.
Please schedule breaks for before and after class.
iPods, text phones, and other technical devices not specifically required for classroom
activities will not be permitted during class time. Text messaging during class time will
be grounds for asking the student to leave the class even if an assignment, activity,
or assessment is not yet completed. The student will receive a grade of “0” on that
unfinished assignment or assessment
Policy on Plagiarism. The content (including the organization and the specific wording)
of articles whether online, in textbooks, or in journals is the intellectual property of the
author. As such, students in this course are expected to demonstrate respect for
intellectual property by carefully following acceptable practices for giving authors credit
for their work. Students will be expected to follow APA guidelines for citation and
referencing for all written work (including discussion forums, reports, and presentations)
which reports, describes, or explains the work of others. Visit the following site to gain a
better appreciation of how to quote, paraphrase, cite, and reference:
http://www.indiana.edu/~wts/pamphlets/plagiarism.shtml#wwwplagiarism
Policy on Late Work. Students are expected to submit assignments by the designated
date. The preferred means of submission of each assignment will be indicated in the
description/expectations for each assignment. Some assignments will be submitted in
class and others will be submitted through Blackboard’s Assignment feature. If the links
are not functioning within Blackboard, you may e-mail the assignment to the instructor.
Hard copy assignments may be submitted by fax or overland mail, but MUST be
postmarked or faxed by the target due date. E-mail submissions must be received by 8:00
pm on the due date. Work may be submitted late, BUT will be charged a 10% penalty
of total possible points for each day occurring after due date until date of actual
submission (limited to a total of 30% of possible points). It is important that you notify
the instructor as soon as possible if you are experiencing any problems with an
assignment.
ALL COURSE ASSIGNMENTS MUST BE SUBMITTED BY 5:00 PM FRIDAY,
DECEMBER 4. LATE WORK WILL NOT BE ACCEPTED AFTER THIS TIME.
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 Students will be expected to generate and sign a statement of the academic
pledge for each submitted assignment. FAILURE TO DO SO MAY RESULT IN A
GRADE OF “O” ON THAT ASSIGNMENT. Suspicion of any honor-related violation
will be investigated and university policy will be followed which may include a grade of
“F” in the course and or suspension from the university.
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 Disability Support Services Center which will then inform
the instructor of the necessary accommodations. Submit the necessary documentation
within 10 days of the course start date.
Course Evaluation. Students will be informed by e-mail near the end of the course
period of the online availability of a final course evaluation survey. This online
evaluation will assist the instructor to adjust the course to better meet learner needs and
expectations for future course sections. The instructor will request that students complete
the informal, open-ended course evaluation prior to the submission of the final exam.
Anatomy and Physiology Study Lab. A graduate student in CSDS has been assigned to
this course as a teaching assistant. The TA will meet one day per week to offer assistance
and support to students taking this course. The dates, time, and location of the study lab
will be announced within the first two weeks of the semester. Students will not need to
make an appointment. Students are encouraged to bring their study guide (even if it is
incomplete) for the current module to the study lab.
Students who are successful in this course:
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Devote a block of time each day to course work. expect to spend 6-8 hours per
week (including class time) on this course
Enter Blackboard frequently to read announcements or to work on content
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Create a personal plan for how/when to complete content and assignments.
Complete all assigned readings
Make use of the additional activities on the textbook CD as study aides.
Complete assignments according to directions and submit by the due dates
Interact frequently with other members of the learning community (other students
and instructor) through group page, attendance at office hours, participation in
class, etc.
Participate in the study labs with graduate assistant as needed.
E-mail the instructor with problems and concerns sooner rather than later.
Course Requirements:
1. Blackboard.longwood.edu Each student is responsible for verifying his or her
access to Blackboard, CSDS 313. Course announcements will be posted one to two times
per week. Documents and discussions will be made available as needed across the
duration of the course. Typically, a new module will be made available a few days prior
to the beginning of the new module period. Use Internet Explorer or Firefox to access
Blackboard. Other web browsers may not support all of Blackboard’s features.
2. Learning Labs. A CD-ROM accompanies your textbook. You will be required to
complete a learning lab for each module. The learning lab will include an interactive
quiz and an image labeling activity. Be prepared to record and enter the score at the end of
each activity on the Lab Log form which can be found on Blackboard.
Complete both the quiz and the image labeling activity for each module. Re-enter the
quiz 3 times for each module (you are likely to receive different questions for each
attempt). If you earn a score of 80% on the first attempt at the image labeling, you will
not need to repeat that activity. Submit page 2 with all of your scores at the conclusion of
each module via the Blackboard assignment link. Be sure to record a score for each
attempt at the quiz. Your goal will be to earn an average of 80% or greater on the
activities for each module. You will be awarded points equivalent to your average
percentage score. For example, if your average percentage score for Module 4 is 85%,
then your score for that module will be 85% x 30 points or 25.5 pts.
PLEASE NOTE: If you should have a technical difficulty with any of the labs,
substitute an alternate lab of your choice (within the same topic) and report that to
the instructor by inserting the new lab and highlighting the new lab number.
If you are unable to achieve a minimum average score of 80% on any module, PLEASE
CONTACT THE INSTRUCTOR ASAP.
IF YOU HAVE TECHNICAL DIFFICULTIES WITH ONE OF THE ASSIGNED
INTERACTIVE ACTIVITIES, contact the instructor to discuss an alternative
activity.
3. Embryology Module. Students will complete one module as an independent study.
The module on Embryology will become available on Blackboard on or around October
1. The quiz to close the module will become available the last week in October and will
be available until Monday, Nov 2 at 12 noon.
4. Study Guides. Each student will individually complete a study guide for Modules
1-7. Questions from quizzes and exams will be drawn from the study guides; study
questions may not be repeated verbatim on the assessments, but questions will draw on
the study guide content. Each study guide will include a group of terms to define, the
study questions from the end of the chapters, application questions to consider, and an
anatomical drawing to complete.
Study guides will be posted on Blackboard within the topical module. For example, the
study guide on anatomy and physiology of respiration will be posted in the module of
that same title. Each completed study guide will earn 10 of the points assigned for the
module. Study guides will be evaluated according to the following rubric:
Study Guide is highly accurate and highly complete
Study Guide is mostly accurate and complete
Study Guide is mostly complete, but a few ideas are underdeveloped
Study Guide is only somewhat accurate and/or some required questions
or terms are omitted or significantly underdeveloped
Study Guide contains multiple inaccuracies and/or multiple omissions.
5
4
3
2
(9- 10 pts.)
(8 pts)
(7 pts)
(6 pts)
1 (5 points)
If you earn a rubric score of 3 or less, schedule a conference with the instructor.
Scheduling conferences will be the student’s responsibility.
Note about drawings: For the anatomical drawings you are required to complete as part
of the study guide, keep the following expectations in mind:
a. Your drawing may be a tracing or a hand-drawn representation. NO
PHOTOCOPIES OR COMPUTER GENERATED IMAGES WILL BE
ACCEPTED AS DRAWINGS.
b. Only one drawing should appear on each sheet of paper (front side only), with
the drawing occupying the majority of the space on the paper.
c. Accuracy is essential. Be careful to accurately represent both location and
relative size.
d. Neatness counts!!
e. Be certain to title your drawing AND indicate the view or perspective (e.g.
transverse, sagittal, or coronal). Use appropriate terms (anterior, posterior,
medial, etc.) to appropriately orient your reader (that would be your instructor).
f. Don’t worry. This is not about “art.” This is a way for you to demonstrate your
understanding of the location and relationship of structures.
g. Use of color frequently separates and defines parts of structures more clearly
and so you are encouraged to use color in each of your drawings. Use colored
pencils and NOT markers, as markers often obscure lines and details.
h. Drawings should reflect planning and organization.
i. Be sure to proofread for spelling errors. Points will be deducted for
misspellings
j. Submit all drawings as one packet with title page at the beginning of either the
midterm or final exam. Drawings will be worth 10 points on the midterm exam
and 15 points on the final exam.
5. Quizzes. Quizzes will be used to asses the student’s progress toward learning the
material. One graded quiz per module will be administered by means of Blackboard.
Quizzes will be available for twenty-four hours, opening on the Wednesday following the
conclusion of each module. Quizzes will be available from noon on Wednesday until
noon on Thursday. The quiz will disappear at the conclusion of the assessment
period. The quiz will appear as an announcement on Blackboard and also within the
appropriate module content folder under “Course Modules”. As a rule, you may only
take each quiz once. However, students may request to complete ONE quiz retake, if the
grade on the quiz is at or less than 69%.
If you encounter a technical difficulty before the quiz can be submitted, you may re-enter
the quiz one additional time. Begin the second attempt at the point of interruption to the
first. The instructor will add the scores from the first and second quiz attempts to arrive
at the score which will be posted in the Blackboard gradebook. If technology problems
interrupt your second attempt at the quiz, notify the instructor as soon as is reasonable
(through e-mail or by phone). Failure to notify the instructor in a timely manner of your
technology issue may result in the forfeiture of the points for that particular quiz.
6. Model of Larynx. Each student will present an independently constructed,
original, 3-D model of a human larynx. The model must include a representation of all
cartilages, additional major structures, visible membranes and muscles, and neural
innervation. Novel materials may be used as long as a reasonable (and recognizable)
facsimile is created. Additional information and a scoring rubric will be posted on
Blackboard. Models will be presented in class on December 1 and December 3.
Presentation dates will be assigned by lottery.
7. Exams. Both the mid-term and the final exam will be administered by means of
Blackboard but within the classroom during the scheduled exam time. The computer lab
site of the exam will be announced at a future time. Failure to take a test or exam at
the scheduled time without prior consultation with the instructor will result in a
grade of "0" on that test or exam.
Requirement
Quizzes (7)
Study Guides
Possible Points Awarded
280 points
(40 points x 7 modules)
70 points
(10 x 7)
Model of Larynx
125 points
Learning Lab
180 points
(30 points x 6 modules)
Mid-Term Exam
150 points
Final Exam
195 points
Total Points
1000 points
Grading Scale:
Grading Policies:
A+
980 – 1000 points
A
930 – 979 points
A-
900 – 929 points
B+
880 – 899 points
B
830 – 879 points
B-
800 – 829 points
C+
780 – 799 points
C
730 – 779 points
C-
700 – 729 points
D+
680 – 699 points
D
630 – 679 points
D-
600 – 629 points
F
0 – 599 points
1) Grades are earned, not gifts. The instructor does not GIVE grades; rather the
student EARNS the grade through organization, diligence, planning, and execution.
Students are expected to assume individual responsibility for the quality,
presentation, and timeliness of their own work.
2) Grades are assigned based on how the student’s overall performance aligns with
the established rubrics. Therefore, it is imperative that students review the grading
rubrics before submitting assignments.
3) This instructor makes every effort to evaluate students’ work equitably and fairly.
Grades are not negotiable. The instructor is willing to review and recalculate
grades when a computational error is suspected. A student may request a review
of computation only. Requests to otherwise alter a grade will not be honored.
4) The actual points earned will be used to determine the letter grade equivalency.
Point values are rounded neither up nor down to assign a grade equivalent.
Therefore, if you earn 899 points, your grade will be a B+. If you currently hold a
bachelaureate degree, Longwood’s registrar considers you a graduate student
(even though you are taking this undergraduate level course). As a graduate
student, you are not permitted to earn a grade of “D”. Therefore, a score of 699 or
fewer points will earn a grade of “F”.
5) Individual requests for extra credit will not be honored. Any extra credit
opportunities offered at the discretion of the instructor will only be offered to the
entire class as optional credit opportunities.
Additional References:
Johnson, A., & Jacobson, B. (1998). Medical Speech-Language Pathology: A
Practioner’s Guide. New York, NY: Thieme.
Love, R., & Webb, W. (2001). Neurology for the speech-language pathologist (4th
edition). Boston, MA: Butterworth-Heinemann.
Perkins, W., & Kent, R. (1986). Functional anatomy of speech, language, and hearing:
A primer. Boston, MA: Allyn & Bacon.
Roeser, R. J. et al. (1998). Speech-language pathology desk reference. New York, NY:
Thieme.
Seikel, J., King, D., & Drumright, D. (1997). Anatomy and physiology for speech,
language, and hearing. San Diego, CA: Sing. Pub. Group.
Zemlin, W. (1999). Speech and Hearing Science: Anatomy and Physiology. Boston:
Allyn & Bacon.
Zuidema., G., ed. (1997). The Johns Hopkins atlas of human functional anatomy (4th
Edition).Baltimore, MD: The Johns Hopkins University Press.
Tentative Schedule of Modules and Activities
Note: All dates and times are based on Eastern Standard Time.
Module 1:Intro to Anat and Phys of Speech and Hearing
Activity
Target Date
Assigned Reading: Basic Elements of
Anatomy (textbook, Chap 1)
Additional Reading: Overview of SpeechLanguage Hearing Disorders
View PowerPoints:
The Speech Chain
Medical Terminology
Anatomical Points and Planes
Tissues, Organs, and Systems
The Work of Muscles
Study Guide
August 28
September 1
Lab: Quiz and Image Labeling
September 3
Quiz: Terminology
August 27
Available, Wednesday Sept 9 @ 12 noon
EST – Thurs., Sept 10 @ 12 noon
Module 2: Respiration Anatomy and Physiology
Activity
Assigned Reading:
Respiration Anatomy (chapter 2)
Respiration Physiology (chapter 3)
View PowerPoint Presentations:
Inhalation Anatomy
Target Date
Sept 8
Sept 10
Exhalation Anatomy
Respiration Physiology
Study Guide
Sept 15
Lab: Quiz and Image Labeling
Sept 18
Quiz: Respiration
Available, Wed, Sept 23 @ 12 noon EST –
Thurs., Sept 24 @ 12 noon EST
Module 3: Phonation Anatomy and Physiology
Activity
Assigned Reading:
Anatomy of Phonation (Chap 4)
Physiology of Phonation (Chap 5)
View PowerPoint Presentation:
Target Date
Sept 22
Sept 29
Laryngeal Framework
Extrinsic and Intrinsic Laryngeal Muscles
Laryngeal Places and Spaces
Laryngeal Physiology
Study Guide
Oct 1
Lab: Quiz and Image Labeling
Oct. 6
Quiz: Phonation
MID-TERM EXAM
MID-SEMESTER COURSE SURVEY
(online)
NOTE: This one is different. It will be
delivered in class as a review for midterm
exam.
Thursday, Oct 8
(submit assigned drawings for Modules
1-3)
Please complete by October 16
Module 4:
Articulation and Resonance Anatomy and Physiology
Activity
Assigned Reading:
Anatomy of Artic and Resonation (Chap 6)
Physiology of Articulation and Resonation
(Chap 7)
View PowerPoint Presentations:
Target Date
October 15
October 22
Bones of the Face and Skull
The Nasal and Pharyngeal Cavities
The Oral Cavity
Articulation and Resonance Physiology
Study Guide
October 23
Lab: Quiz and Image Labeling
October 26
Quiz: Module 5
Available, Wednesday, October 28 @ 12
noon EST – Thurs., Oct 29 @ 12 noon
EST
Module 5:
Anatomy and Physiology of Hearing
Activity
Assigned Reading:
Anatomy of Hearing
Physiology of Hearing
View PowerPoint Presentations:
Outer Ear
Middle Ear
Inner Ear
Central Ear
Study Guide
Lab: Quiz and Image Labeling
Quiz: Module 6
Target Date (if different from above)
Chap 9
Chap 10
Nov 6
Nov 10
Available, Wed, Nov 11 @ 12 noon EST –
Thurs, Nov 12 @ 12 noon EST
Module 6:
Neuroanatomy and Physiology of Human Communication
Activity
Assigned Reading:
Neuroanatomy (Chap 11)
Neurophysiology( Chap 12)
View PowerPoint Presentations:
Target Date (if different from above)
November 12
November 19
The Neuron
Nervous System Overview
Central Nervous System
Peripheral Nervous System
Study Guide
Nov 20
Lab: Quiz and Image Labeling
Nov 24
Quiz: Module 7
LARYNGEAL MODEL
PRESENTATIONS
Available, Wed, Dec 2 @ 12 noon EST –
Thurs, Dec 3 @ 12 noon EST
DEC 1 and DEC 3
Module 7:
Embryology and Speech-Language-Hearing
Independent Study
Module will become available on or around October 1
Complete activities at your own pace BUT no later than 12 noon on
Monday, Nov 2
Activity
Target Date
Assigned Reading: There is no textbook
chapter. Web-based readings will be
assigned. See Blackboard for details.
View PowerPoint Presentation:
Embryology of Speech and Hearing
Study Guide
Submit no later than October 26
Labs (No required labs for this module)
n/a
Quiz
Available from October 9 until Nov 2
Module 8:
Course Review/Exam Preparation
Activity
Target Date (if different from above)
Revisit Learning Outcomes (posted on
Blackboard) for Each Module
Review Previous Quizzes
Review Study Guides for Each Module
Review Assigned Anatomical Drawings for
Each Module
FINAL EXAM
Tues, December 18, 11:30 am
(submit assigned drawings for modules
4-6)
The End!
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