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 Steps
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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6 Treatment of the Articulation Subsystem
When to Begin
Characteristic Differen~es 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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