Motor Speech Disorders A Treatment Guide

1 Motor Speech Disorders
Etiologic Agents of Motor Speech Disorders
Apraxia of Speech
The Dysarthrias
Spastic Dysarthria
Ataxic Dysarthria
Hypokinetic Dysarthria
Hyperkinetic Dysarthria
Flaccid Dysarthria
Mixed Dysarthria
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2 The Treatment Game: The Basics Clinical Step
s Differential Diagnosis
Specific Neuromuscular Impairments
Etiologic Agents
Medical Course
Prognosis
Physician Referral
Speech Therapy Intervention Plan
Therapy Intervention Design Treatment Tools
Treatment Preview
Types of Treatment Designs Treatment
Objectives and Outcomes Charting Progress
Baseline Behaviors
Great Expectations
Criteria for Treatment Advancement and Discontinuation
Rationale for the Treatment
Approaches to Speech
Neuromotor Rehabilitation
Guidelines for Selection and Sequence of Dysarthria Treatments
Guidelines for Selection and Sequence of Apraxia Treatments
Patient Resources
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3 Treatment of the Respiration Subsystem
General Rules of Thumb
Precursors to Intervention
Treatment Approaches
Treatment Materials
Relaxation and Postural Support Techniques Relaxation Exercises
Postural Exercises
Pressure-Generating Exercises
Prolonged Inhalation/Exhalation
Exercises Inhalation
Exhalation
Quick Breathing Exercise
Inhalatory/Exhalatory Synchronization Exercises Isolated Sound Production Exercises
Connected Speech Breathing Exercises Final Comments and Illustrative Case
Sample Illustrative Case
Air Pressure- Generating Therapy Inspiratory/Expiratory Prolongation Exercises
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4 Treatment of the Resonation Subsystem
Candidates for Treatment
Indications for Treatment
Precursors to Treatment
Treatment Procedures
Prosthetic Appliances Surgical Intervention
Behavioral Management Techniques Conclusion
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5 Treatment of the Phonation Subsystem
Potential Patients
Group 1 Patients
Group 2 Patients
Primary Focus and General Principles 'of Voice Therapy
Surgical Intervention
Vocal Fold Augmentation
Nerve Resection
Pharmaceutical Intervention
Voice Therapy Techniques
Treatment Materials
Patterns of Vocal Fold Vibration Abnormalities Treatments of the Hyperadductory Laryngeal Mechanism
Treatments of the Hypoadductory
Laryngeal Mechanism
Treatments of the Abnormally Fluctuating Laryngeal Mechanism
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s 6 Treatment of the Articulation Subsystem
When to Begin Characteristic Differences between Patients
Method to Follow When Employing the Articulation Subsystem Exercises
Treatment Materials , Treatment of Hypertonicity Jaw Hypertonicity
Treatment of Weakness
Crossbar for Tongue, Lip, and Jaw Strengthening Treatment of Abnormal Force Physiology Treatment of Articulatory Imprecision
Phonetic Simulation Techniques
Notes on Treatment of Articulatory
Imprecision Treatment of Motor Speech Planning Deficits Nonspeech Oral Motor Planning Exercises Speech Motor Planning Exercises
Comments on Treatment of Speech Motor Planning Illustrative Case No. 1
Illustrative Case No.2
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7 Treatment of the Prosody Subsystem When to Begin Therapy Treatment Materials
Treatment of Pitch Alteration
Abnormalities Treatment of Loudness Control Abnormalities
Treatment of Speaking Rate
Disturbances Treatment of Intonation Disturbances Treatment of Stress Control Disturbances
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