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Motor Speech Disorders: Diagnosis and Treatment, Fourth Edition offers a detailed yet streamlined introduction to motor speech disorders for graduate speech-language pathology students and beginning clinicians. The text begins with a brief historical overview of motor speech disorders, providing useful context for understanding the technology and methodology used by today's speech-language pathologists for assessment and treatment. The book also provides a practical introduction to the human motor system with 45 full-color anatomical illustrations enabling readers to more easily understand the challenging material. A full chapter is dedicated to the assessment of the disorders and includes a detailed explanation of the complete motor speech examination.
The majority of the text is focused on the six pure dysarthrias, mixed dysarthria, and apraxia of speech. Throughout these chapters, a consistent organization is maintained to facilitate the reader's understanding of the disorders. Each chapter begins with the neurological basis of the condition, then covers the causes of the disorder, an examination of the relevant speech characteristics, and key evaluation tasks specific to the disorder; and concludes with treatment procedures.
The author uses an uncomplicated presentation of neurological conditions with an accessible writing style
Chapter outlines identify the major topics discussed in each chapter
A concise summary effectively wraps up each chapter to emphasize key points for students
End-of-chapter study questions prompt review and application of topics discussed in each chapter
230 bolded key terms throughout with an end-of-book glossary
18 clinical cases with videos of real patients with motor speech disorders
New to the Fourth Edition
Several new illustrations providing insight into how certain diseases affect the motor system
New information/developments related to:
conditions that can cause dysarthria
assessment of dysarthria and apraxia of speech
treatment tasks, with particular focus on evidence-based procedures
Many updated references and citations in nearly every chapter
Glossary eFlashcards for students
PluralPlus Online Ancillaries
For instructors: PowerPoint slides, Test bank, Image Bank, Clinical Case Videos
For students: eFlashcards, Clinical Case Videos
Don Freed, PhD, is a professor in the Department of Communicative Disorders and Deaf Studies at California State University, Fresno. He received his MS and PhD from the University of Oregon. Prior to his PhD, he worked as a speech-language pathologist in acute care and rehabilitative medical facilities. He also worked as a research speech pathologist for 3 years at the Portland VA Medical Center. His research has primarily concentrated on adult language and motor speech disorders.
Preface
About the Author
Chapter 1. A Brief Historical Review of Motor Speech Disorders
Case Reports From Ancient Greece
Case Reports From the Middle Ages and Renaissance
Two Early Theories on the Localization of Reason
From the 19th Century to Today
Chapter 2. The Motor System
Components of the Motor System
Structure and Function of the Motor System
Summary of the Motor System
Study Questions
Chapter 3. Evaluation of Motor Speech Disorders
Goals of a Motor Speech Evaluation
Speech Production Components and Disorders
Standardized Tests for Dysarthria
Standardized Tests for Apraxia of Speech
Conducting a Motor Speech Evaluation
Instructions for the Motor Speech Evaluation
Auditory-Perceptual Evaluations of the Motor Speech Mechanism
Summary of the Evaluation of Motor Speech Disorders
Study Questions
Appendix 3 1: Motor Speech Examination
Chapter 4. Flaccid Dysarthria
Definitions of Flaccid Dysarthria
Neurologic Basis of Flaccid Dysarthria
Causes of Flaccid Dysarthria
Speech Characteristics of Flaccid Dysarthria
Key Evaluation Tasks for Flaccid Dysarthria
Treatment of Motor Speech Disorders
Treatment of Flaccid Dysarthria
Summary of Flaccid Dysarthria
Study Questions
Chapter 5. Spastic Dysarthria
Definitions of Spastic Dysarthria
Neurologic Basis of Spastic Dysarthria
Causes of Spastic Dysarthria
Speech Characteristics of Spastic Dysarthria
Spastic Dysarthria Versus Flaccid Dysarthria
Key Evaluation Tasks for Spastic Dysarthria
Treatment of Spastic Dysarthria
Summary of Spastic Dysarthria
Study Questions
Chapter 6. Unilateral Upper Motor Neuron Dysarthria
Definitions of Unilateral Upper Motor Neuron Dysarthria
Neurologic Basis of Unilateral Upper Motor Neuron Dysarthria
Causes of Unilateral Upper Motor Neuron Dysarthria
Speech Characteristics of Unilateral Upper Motor Neuron Dysarthria
Key Evaluation Tasks for Unilateral Upper Motor Neuron Dysarthria
Treatment of Unilateral Upper Motor Neuron Dysarthria
Summary of Unilateral Upper Motor Neuron Dysarthria
Study Questions
Chapter 7. Ataxic Dysarthria
Definitions of Ataxic Dysarthria
Neurologic Basis of Ataxic Dysarthria
The Cerebellum and Speech
Causes of Ataxic Dysarthria
Speech Characteristics of Ataxic Dysarthria
Key Evaluation Tasks for Ataxic Dysarthria
Treatment of Ataxic Dysarthria
Summary of Ataxic Dysarthria
Study Questions
Chapter 8. Hypokinetic Dysarthria
Definitions of Hypokinetic Dysarthria
Neurologic Basis of Hypokinetic Dysarthria
Causes of Hypokinetic Dysarthria
Speech Characteristics of Hypokinetic Dysarthria
Key Evaluation Tasks for Hypokinetic Dysarthria
Treatment of Hypokinetic Dysarthria
Summary of Hypokinetic Dysarthria
Study Questions
Chapter 9. Hyperkinetic Dysarthria
Definitions of Hyperkinetic Dysarthria
Neurologic Basis of Hyperkinetic Dysarthria
Causes of Hyperkinetic Dysarthria
Key Evaluation Tasks for Hyperkinetic Dysarthria
Treatment of Hyperkinetic Dysarthria
Summary of Hyperkinetic Dysarthria
Study Questions
Chapter 10. Mixed Dysarthria
Definitions of Mixed Dysarthria
Neurologic Basis of Mixed Dysarthria
Causes of Mixed Dysarthria
Treatment of Mixed Dysarthria
Summary of Mixed Dysarthria
Study Questions
Chapter 11. Apraxia of Speech
Definition of Apraxia of Speech
Overview of the Apraxias
Neurologic Basis of Apraxia of Speech
Causes of Apraxia of Speech
Speech Characteristics of Apraxia of Speech
Assessment of Apraxia of Speech
Differential Diagnosis of Apraxia of Speech
Additional Diagnostic Considerations
Treatment of Apraxia of Speech
Summary of Apraxia of Speech
Study Questions
References
Glossary
Index