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2021/2022

Neurophonetic Prevention in Geriatrics

Code: 101692 ECTS Credits: 6
Degree Type Year Semester
2500893 Speech therapy OT 4 1
The proposed teaching and assessment methodology that appear in the guide may be subject to changes as a result of the restrictions to face-to-face class attendance imposed by the health authorities.

Contact

Name:
Andreu Sauca Balart
Email:
Andreu.Sauca@uab.cat

Use of Languages

Principal working language:
catalan (cat)
Some groups entirely in English:
No
Some groups entirely in Catalan:
Yes
Some groups entirely in Spanish:
No

Other comments on languages

Bibliografía can be in other languages, as spanish, catalan, french, italian, portuguese... Multiple choice exams are in Catalan. The works can be presented in Catalan or Spanish.

Prerequisites

Prerequisites:

- Acoustic Physics and Audiology

- Voice Alterations: Assessment and Intervention

- Neurodegenerative Diseases and Dementias

It would be interesting if students are taking, or have already taken, the subject:

- Voice Education and your Health

Objectives and Contextualisation

Students will gain the necessary basic knowledge about Voice and Speech, Applied Pathology and Speech Therapy and Basic Speech Therapy.
Students will learn to make a specific anamnesis and exploration of the voice for the elderly, taking into account all the variables that are related to this population.
Students will understand and learn the basics of voice aging.
Students will be prepared to make a correct early detection and prevention of voice in gerontology.

Competences

  • Act appropriately with respect to the profession’s ethical code: respect professional confidentiality, apply professional criteria in the completion and referral of treatment.
  • Critically evaluate the techniques and instruments of evaluation and diagnosis in speech therapy, as well as its procedures of intervention.
  • Demonstrate an understanding and correct use of the terminology and methodology of speech-therapy research.
  • Demonstrate an understanding of disorders in communication, language, speech, hearing, voice and non-verbal oral functions.
  • Design, implement and evaluate actions aimed at preventing communication and language disorders.
  • Explore, evaluate, diagnose and produce a prognosis of development for disorders of communication and language, from a multidisciplinary perspective.
  • Managing communication and information technologies.
  • Project design and management.

Learning Outcomes

  1. Collect and interpret all information obtained in anamnesis, physical examinations and complementary explorations.
  2. Describe and implement preventive interventions for speech disorders caused by aging.
  3. Describe the influence of aging on speech and voice.
  4. Describe the main instruments of assessment and diagnosis in speech therapy and in related disciplines (neurology, neuropsychology, etc.), and identify their usefulness.
  5. Inform patients and/or their families about the expected outcome of the intervention, without giving false expectations
  6. Managing communication and information technologies.
  7. Project design and management.
  8. Register and select the relevant information provided by the patient and/or those accompanying the patient.
  9. Use the basic terminology of research in the field of neurology, speech therapy and related disciplines.

Content

The subject will consist of the following contents, which will be open to extension according to the advances in the sector.

Initially, as an introduction and to facilitate the achievement of the specific contents of the subject, the necessary basic knowledge on Voice and speech, applied anatomophysiology and basic therapy will be taught.

INTRODUCTION:

   - What is Speech Therapy.

   - Anatomical and functional bases of the mechanisms involved in the voice and articulation.

   - Normal and pathological voice.

   - Anatomical-physiological bases of swallowing.

   - Exploration of the voice and articulation.

   - Questions about swallowing exploration.

   - Optimal functional use of the voice.

   - Rehabilitation techniques for voice and speech and swallowing disorders.

SPEECH THERAPY IN GERONTOLOGY:

   - Anatomical and functional concretions of the mechanisms involved in the voice and articulation of the elderly.

   - Aging of the voice.

   - Exploration of the voice and articulation in the elderly.

   - Early detection and prevention in gerontology.

Methodology

The subject will consist of a theoretical module of each topic.

Note: The proposed teaching methodology and assessment may be subject to change depending on the attendance restrictions imposed by the health authorities. The teaching staff will detail through the moodle classroom or the usual media the face-to-face or virtual / on-line format of the different directed and evaluation activities, taking into account the indications of the faculty according to what allows the health situation.

Note: at least 15 minutes of a class will be reserved, within the calendar established by the center / degree, for the complementation by the students of the surveys of evaluation of the performance of the teaching staff and of evaluation of the subject / module.

Annotation: Within the schedule set by the centre or degree programme, 15 minutes of one class will be reserved for students to evaluate their lecturers and their courses or modules through questionnaires.

Activities

Title Hours ECTS Learning Outcomes
Type: Directed      
Practical classes of exploration and critical analysis and discussion of practical cases 12 0.48 7, 8, 6
Theory classes with ICT support 24 0.96 4, 2, 3, 7, 5, 1, 8, 9, 6
Type: Supervised      
Tutorials 3.5 0.14 2, 7, 1
Type: Autonomous      
Personal study and search for information 97.5 3.9 4, 2, 3, 7, 5, 1, 8, 9, 6

Assessment

https://www.uab.cat/web/estudiar/graus/graus/avaluacions-1345722525858.html 

[EV1] Evidence 1 (25%): First evaluation period. Test-type exam, individual, online. Partial, of the subject taught until the week before the exam.

[EV2] Evidence 2 (45%): Second evaluation period. Test-type exam, individual, online. Cumulative of all the matter taught.

[EV3] Evidence 3 (30%): Second evaluation period. Group work (maximum three students) on the topic proposed by the teacher at the beginning of the course. 

Non-assessable student: if he / she has not delivered at least evidence of learning with a minimum weight of 40%.
Passed subject: pass with a 5 (scale 0-10) taking into account the percentage weight of each evidence mentioned above.

Reassessment Tests: Recovery period. Individual exam, online, test type. Cumulative of all the matter of the theoretical and practical part.

Students who have not met the criteria established to pass the subject and who have been previously evaluated in a set of activities whose weight is equivalent to a minimum of two thirds of the total grade of the subject. Only the option of retrieving evidence in which each student has demonstrated unsatisfactory performance will be given, if the course grade has been at least 3.5 (scale 0-10) and not higher than 5. The re-assessment may consist of two parts: a test-type test and the oral resolution of a case study or, alternatively, the student, in case of having failed a single test, may choose to be re-evaluated from the test not passed.

The teacher reserves the option of supplementing the students' grade by evaluating aspects such as interest in the subject, dedication, among others.

Honors:

In any case, the maximum achievable mark will be a 10, although the relative mark and the involvement of the student will be takeninto account when awarding possible Honors.

Chrono:

EV3 must be delivered no later than two weeks before EV2.

Assessment Activities

Title Weighting Hours ECTS Learning Outcomes
EV1. Midterm exam 25% 1 0.04 3, 9, 6
EV2. Group work and public presentation of the final work 30% 10 0.4 2, 3, 7, 6
EV3. Final exam 45% 2 0.08 4, 2, 3, 7, 5, 1, 8, 9, 6

Bibliography

FUNDAMENTAL:

WEB Articles:

https://www.researchgate.net/publication/309444551_False_Vocal_Fold_Characteristics_in_Presbylarynges_and_Recurrent_Laryngeal_Neuropathy 

COMPLEMENTARY:

  • Shindo ML, Hanson DG. Geriatric voice a laryngeal dysfunction. Otolaryngol Clin North Am 1009; 23: 1035-1044.
  • Woo P, Casper J, Colton R, Brewer D. Dysphonia in the aging: physiology versus disease. Laryngoscope 1992; 102: 139-144.
  • Mueller PB. GAT is normal aging? Part XII: The senescent voice. Geriatr Med Today 1985; 41: 48-57.
  • Shadden BB, Toner MA. Introduction: the continuum of life functions. In: Shadden BB,Tone MA, editors. Aging and communication for clinicians. Austin, TX, USA: Pro-ed, Inc.; 1997: 3-17.
  • Sato K, Hirano M. Aged-related changes in the human laryngeal glands. Am Otol Rhinol Laryngol 1998; 107: 525-529.
  • Luscheii ES, Raming LO, Baker Kl, Smith LE. Discharge characteristics of laryngeal single motor units during phonation in young and older adults and in persons with Parkinson’s disease. J Neurophysiol 1999; 81: 2131-2139.
  • Erim Z, Beg MF, Burke DT, De Luca CJ. Effects of aging on motor-unit control properties. J Neurophysiol 1999; 82: 2081-2091.
  • Odenhaimer Gl. Geriatric neurology. Neurol Clin 1998; 1: 561-567.
  • Colton RH, Casper JK. Understanding voice problems: a physiological perspectivefor diagnosis and treatment. 2nd ed. Baltimore, MD, USA: Williams/Wilkins; 1996: 91-97.
  • Hilel A, Dray T, Miller R, Yorkston K, Konikow N, Strande E, Browne J.Presentation of ALS to the otolaryngologist.Head and neck surgeons getting to the neurologist. Neurology 1999; 53: 522-525.
  • Robert D,Pouget J, Giovanni A, Azulay JP, Triglia JM. Quantitative voice analysis in the assessment of bulbar involvement in amyotrophic lateral sclerosis. Acta Otolaryngol 1999; 199: 724-731.
  • Lu FL, Casiano RR, Lundy DS, Xue JW. Vocal evaluations of thyroplasty type I in the treatment of nonparalytic glottic incompetence. Ann Otol Rhinol Laryngol 1998; 107: 113-119.
  • Ford CN. Advances and refinements in phonosurgery. Laryngoscope 1999; 109: 1899-1900.
  • Chodzko-Zaiko W, Ringer R. Physiological aspects of aging. J Voice 1987; 1: 18-26.
  • Benniger MS, Guillen JB, Altman JS. Changing etiology of vocal fold immobility. Laryngoscope 1998; 108: 1346-1350.
  • Gamboa J, Jiménez FJ, Nieto A, Cobeta I, Vegas A, Orti-Pareja M. Acoustic voice analysis in patients with essential tremor. J Voice 1998; 12: 444-452.
  • Berke GS, Gerrat B, Kreiman J, Jackson K. Treatment of Parkinson hypophonia with percutaneous collagen augmentation. Laryngoscope 1999; 109: 1295-1299. 

WEB Articles:

https://www.researchgate.net/scientific-contributions/Clark-A-Rosen-39783561/publications :

Software

  • Praat (Mac, Windows, Lynux)
  • Overtone Analyzer (Mac, Windows)
  • S/Z (App iOs)