Identifying Data 2022/23
Subject (*) Speech Therapy Intervention in Speech and Voice Disorders Code 652G04027
Study programme
Grao en Logopedia
Descriptors Cycle Period Year Type Credits
Graduate 2nd four-month period
Third Obligatory 6
Language
Spanish
Teaching method Hybrid
Prerequisites
Department Didácticas Específicas e Métodos de Investigación e Diagnóstico en Educación
Coordinador
Garcia Real, Teresa Juana
E-mail
teresa.greal@udc.es
Lecturers
Garcia Real, Teresa Juana
E-mail
teresa.greal@udc.es
Web
General description Esta asignatura pretende o aprendizaje dos recursos terapeúticos aplicables aos trastornos da fala e da voz (disartria, disglosia, dislalia, disfemia e disfonía)

Study programme competencies
Code Study programme competences
A1 Coñecer e integrar os fundamentos biolóxicos da Logopedia: a Anatomía e Fisioloxía.
A2 Coñecer e integrar os fundamentos psicolóxicos da Logopedia: o desenvolvemento da linguaxe, o desenvolvemento psicolóxico, a Neuropsicoloxía da linguaxe, os procesos básicos e a Psicolingüística.
A6 Coñecer a clasificación, a terminoloxía e a descrición dos trastornos da comunicación, a linguaxe, a fala, a voz e a audición e as funcións orais non verbais.
A7 Coñecer, recoñecer e discriminar entre a variedade das alteracións: os trastornos específicos do desenvolvemento da linguaxe, trastorno específico da linguaxe, retrasos da linguaxe, trastornos fonéticos e fonolóxicos; os trastornos da comunicación e a linguaxe asociados a déficit auditivos e visuais, o déficit de atención, a deficiencia mental, o trastorno xeneralizado do desenvolvemento, os trastornos do espectro autista, a parálise cerebral infantil e as plurideficiencias; os trastornos específicos da linguaxe escrita; as discalculias; as alteracións no desenvolvemento da linguaxe por deprivación social e as asociadas a contextos multiculturais e plurilingüismo; os trastornos da fluidez da fala; as afasias e os trastornos asociados; as disartrias; as disfonías; as disglosias; as alteracións da linguaxe no avellentamento e os trastornos dexenerativos; as alteracións da linguaxe e a comunicación en enfermidades mentais; o mutismo e as inhibicións da linguaxe; as alteracións das funcións orais non verbais: deglución atípica, disfagia e alteracións tubáricas.
A8 Coñecer os fundamentos do proceso de avaliación e diagnóstico.
A13 Coñecer os principios xenerais de la intervención logopédica.
A14 Coñecer as funcións da Intervención logopédica: prevención, educación, reeducación, rehabilitación e tratamento.
A15 Coñecer e aplicar os modelos e as técnicas de intervención.
A17 Coñecer e realizar a intervención logopédica nos trastornos específicos do desenvolvemento da linguaxe: trastorno específico da linguaxe, retrasos da linguaxe, trastornos fonéticos e fonolóxicos; os trastornos da comunicación e a linguaxe asociados a déficit auditivos e visuais, o déficit de atención, a deficiencia mental, o trastorno xeneralizado do desenvolvemento, os trastornos do espectro autista, a parálise cerebral infantil e as plurideficiencias; os trastornos específicos da linguaxe escrita; as discalculias; as alteracións no desenvolvemento da linguaxe por deprivación social e as asociadas a contextos multiculturais e plurilingüismo; os trastornos da fluidez da fala; as afasias e os trastornos asociados; as disartrias; as disfonías; as disglosias; as alteracións da linguaxe no avellentamento e os trastornos dexenerativos; as alteracións da linguaxe e a comunicación en enfermidades mentais; o mutismo e as inhibicións da linguaxe; as alteracións das funcións orais non verbais: deglución atípica, disfagia e alteracións tubáricas.
B1 Acceso, selección e xestión das fontes de información relevantes para a práctica profesional.
B3 Apreciar as distintas manifestacións da diversidade.
B5 Aprender autonomamente, e motivarse para facelo de forma continuada.
B7 Capacidade de análise e síntese.
B8 Capacidade de observar e de escoitar de forma activa.
B9 Capacidade de organizar e planificar.
B11 Comportarse con ética e responsabilidade social como cidadán e como profesional.
B13 Coñecer e manexar as novas tecnoloxías da comunicación e da información.
B14 Destreza e empatía nas relacións interpersoais.
B16 Resolver problemas de forma efectiva.
B17 Saber expresarse en público.
B19 Ter compromiso ético.
B21 Tomar decisións con autonomía e responsabilidade.
B22 Traballar de forma autónoma con iniciativa.
B24 Traballar en equipo e, de ser o caso, de forma interdisciplinar.
C1 Expresarse correctamente, tanto de forma oral coma escrita, nas linguas oficiais da comunidade autónoma.
C6 Valorar criticamente o coñecemento, a tecnoloxía e a información dispoñible para resolver os problemas cos que deben enfrontarse.
C7 Asumir como profesional e cidadán a importancia da aprendizaxe ao longo da vida.

Learning aims
Learning outcomes Study programme competences
Knowing the assessment protocols and therapy in these pathologies. A1
A2
A6
A7
A8
A13
A14
A15
A17
B1
B3
B5
B7
B8
B11
B13
B14
B16
B17
B19
B21
B22
B24
C1
C6
C7
Ability to design a treatment program and ability to solve problems during speech therapy process. B9
B16
B17
B19
B21
B22
B24
C1
C6
C7

Contents
Topic Sub-topic
UNIT 1.General aspects of the speech and voice therapy. 1.1. Anatomy and physiology for voice and speech systems.
1.2. Fundamental concepts of Linguistics.
1.3. Embryonic development.
1.4. Neuro-muscular control of speech.

UNIT 2. Vocal therapy for Dysphonia.
4.1. Concept of functional and organic dysphonias. Types of functional dysphonias.
4.2. Voice assessment: history and acoustic and visual exploration.
4.3. Objectives and bases for vocal therapy.
4.4 . Therapeutic approaches.
4.5. Overall treatment resources.


UNIT 3.Vocal technique:respiration, phonation and resonance aspects.
5.1.Physiological aspects.
5.2 Correction of the functional errors.
5.3 Specific vocal techniques.
UNIT 4. Therapy for specific dysphonia. 6.1. Vocal paralysis
6.2. Mutation disoders.
UNIT 5. Fundamental bases about Dysarthria 2.1. Concept, etiologies and clinical classification.
2.2. Assessment of dysarthria: history, exploration of respiration functions, swallowing, mastication, phonation and articulation

UNIT 6. Speech therapy in Dysarthria.
3.1. Objectives and principles
3.2. Therapeutic approaches.
3.3. Techniques and resources specific to swallowing and chewing problems.
3.4. Techniques and resources specific to respiration, phonation and articulation problems.

UNIT 7. Fundamental bases about Stuttering.
7.1. Concept and principal etiopathogenic theories.
7.2. Clinical feagtures and differential diagnostics.
7.3. Stuttering evaluation.
UNIT 8. Therapy for Stuttering. 8.1. Bases and objectives.
8.2. Specific resources for dysfluence, logofobie and neurovegetative symptoms.
UNIT 9.Speech therapy for Disglosias. 9.1.Concept, etiologies and types.
9.2. Speech therapy: principles, objectives and therapeutic resources.

Planning
Methodologies / tests Competencies Ordinary class hours Student’s personal work hours Total hours
Case study A1 A6 A7 A8 A13 A14 A15 A17 B1 B3 B5 B7 B8 B9 B11 B13 B14 B16 B17 B19 5 20 25
Introductory activities A1 A2 A6 A8 A13 A14 2 1 3
Clinical practice placement A6 A7 A8 A14 A15 A17 A22 A23 A27 B3 B4 B5 B6 B13 B22 C6 C8 21 0 21
Simulation A1 A6 A7 A8 A13 A14 A15 A17 B7 B8 B9 B11 B13 B14 B16 B19 B24 C1 C6 C7 3 9 12
Online discussion B5 B7 B8 B9 B11 B14 B16 B17 3 12 15
Multiple-choice questions A1 A6 A7 A8 A13 A14 A15 3 60 63
Critical bibliographical A7 A8 A14 A15 A17 B2 B5 B7 B9 B13 B21 B22 B24 C1 C6 3 6 9
 
Personalized attention 2 0 2
 
(*)The information in the planning table is for guidance only and does not take into account the heterogeneity of the students.

Methodologies
Methodologies Description
Case study Therapeutic programming of the language disorder study cases that have been taught in theoretical classes to learn how to design and treat with their objectives, systematic and selection of specific exercises.
This activity will be done in working groups of 5-6 people, on Mondays in interactive practical classes.
Introductory activities An initial questionnaire to evaluate students' previous competencies on the assessment and fundamentals of speech and voice disorders. This activity will be do the first day of class.
Clinical practice placement The theoretical and practical contents will be taught to the whole group (Fundamentals, assessment, intervention and
therapeutic programming) and every file will be attached to the Moodle platform previously teaching.
Simulation In order to learn some therapeutic practical skills, working groups will perform a logopaedic intervention simulation in a supposed patient with dysphonia (Role Playing). ICT media can be used (video presentation, power-point with audios, chat by TEAMS, Moodle forum, etc.) and each group´s student is going to have a different role (patient, evaluator/ra, programming, intervention). In this way, students will practice the theoretical knowledge, communication skills and problem solving in their teams. This activity will be done in a small group (5-6 students) and will be carried out virtually or in the class during interactive sessions. Any questions will be resolved in interactive sessions or in tutoring schedules. This activity computes for evaluation of the subject.
Online discussion Activity to think about the theoretical contents with questions related to the topic and it will be done at the end or beginning of each master session for the whole group. The time considered for this activity is about 20 minutes with TEAMS platform.
Multiple-choice questions Individual test to evaluate the knowledge and skills acquired during the learning of the subject. So, there will be two tests: Questionnaire 1, when topping at the end the voice module (dysphonia) and Questionnaire 2 to be carried out at the official examination date to evaluate all the theoretical and practical contents.
Critical bibliographical The student will do a bibliographic review about a topic or a clinical aspect.
This bibliograohical search will be presented in a written report, synthesizing the most relevant found in the literature (introduction) in 6-7 pages.
It will be accompanied by the references used, according to APA standards. Recent (last 5 years), quality, international and national contributions will be assessed, including at least 10 references in English.
This bibliographic recession will compute in the final evaluation of the subject.

Personalized attention
Methodologies
Case study
Critical bibliographical
Simulation
Online discussion
Description
Students will have a personalized attention to resolve doubts in practical activities (case studies, collaborative learning,ICT practices, virtual debate and bibliographic research.
This attention will be offered to the students in the schedules in which these activities are developed (interactive sessions) or in the schedules of tutorials (Tuesday 10-14 hours, 2nd semester).
This personalized attention will preferably be virtual (TEAMS-chat platform, Moodle-forum). Student will do an appointment by email or TEAMS chat for better organization.

Assessment
Methodologies Competencies Description Qualification
Critical bibliographical A7 A8 A14 A15 A17 B2 B5 B7 B9 B13 B21 B22 B24 C1 C6 About the evaluation criteria: capacity to synthesize, bibliographic quality - international and national reviews, last 5 years and from well-known and high-quality databases such as Web of Science, Scopus, PubMed, etc. - and correct written expression ( spelling, narration and bibliographical references according to APA). The search will be about voice disorders and the document there will be in 6-7 pa ges plus 1 in order to include the references.
It is an activity for working in group of 5-6 students.
10
Simulation A1 A6 A7 A8 A13 A14 A15 A17 B7 B8 B9 B11 B13 B14 B16 B19 B24 C1 C6 C7 Role playing in a case of dysphonia (group):
Evaluation criterias:
Same criteria as those presented in the case study. In addition, the following criterias will be considered:
1. Communication skills: sonority, clarity, diction and fluency in oral presentation.
2. Level of knowledge and use correct of technical terms.
3. Quality of the slides or video presented.
4. Spelling/ orthographic rules.
20
Multiple-choice questions A1 A6 A7 A8 A13 A14 A15 1st Test or Questionnaire 1 (Voice-dysphonia disorder): it will computes 20%.

2nd test or Questionnaire 2 (official examination) to evaluate all pathologies taught and it will computes 50%.

Each questionnaire will include four possible answers and each error will subtract 0.20 points.
70
 
Assessment comments
The competences of the students will be evaluated with the three sections indicated and to pass the subject the student 
attending the class must obtain 5 or more.

Students from previous courses (not assistants) will be evaluated with the final exam (official date, multiple-choice question and computes 100%).

Sources of information
Basic Perelló Gilberga Jordi (1982). Canto-dicción. Foniatría estética. Barcelon: Científico-Médica
Murdoch Bruce (1998). Dysarthria a physiological approach to assessment and treatment. United Kingdom: Stanley Thornes
Vila Josep (2009). Guía de intervención logopédica en las disfonías infantiles. Madrid: Síntesis
Fernández Zúñiga Alicia (2005). Guía de intervención logopédica en tartamudez infantil. Madrid: Síntesis
Verdolini Abbot Katherine (2008). Lessac-madsen Resonant Voice Therapy. San Diego: Plural Publishing
Zambrana Nidia (1998). Logopedia y ortopedia maxilar en la rehabilitación orofacial: Tratamiento precoz y preventivo. Barcelona: Masson
Conture Edward y Curlee Richard (2007). Stuttering and related disorders of fluency. New York: Thieme
Perelló Gilberga Jordi (1990). Trastornos de Habla. Barcelona: Masson
Morrison Murray (1996). Tratamiento de los trastornos de la voz. Barcelona: Masson
Sataloff Robert (2005). Treatment of voice disorders. San Diego: Plural Publishing
Roberston Sandra (1999). Working woth dysarthrics a practical guide to therapy for dysarthria. New York: Thieme

 LInks:

www.espaciologopedico.com

http:// www.asha.org.

Complementary

Journals.

Revista de Investigación en Logopedia. 

Revista de Logopedia, Foniatría y Audiología (suscrita la UDC)

Journal of Voice.

European Journal of Disorders of Communication.

Journal of Speech, Language and Hearing Research.

International Journal of Language and Communicaton Disroders.

International Journal of Speech-Language Pathology.

 Folia Phoniatrica et Logopaedica.


Recommendations
Subjects that it is recommended to have taken before
Linguistics/652G04004
Foundations of Speech Therapy Intervention/652G04005

Subjects that are recommended to be taken simultaneously
Augmentative and Alternative Communication/652G04022
The Professional Voice/652G04040

Subjects that continue the syllabus
Early Intervention Strategies/652G04025

Other comments
It is recommendable to know Enlish language (level B1) to use of bibliographical sources and to use a mask face during teaching.

 


(*)The teaching guide is the document in which the URV publishes the information about all its courses. It is a public document and cannot be modified. Only in exceptional cases can it be revised by the competent agent or duly revised so that it is in line with current legislation.