As I stroll along the beach I can feel the smooth, damp sand beneath my feet. I am taken in by the soothing atmosphere that encircles me. I close my eyes, letting myself absorb the warm rays of the sun. The glowing horizon slowly fades as it descends into the waves. I am comforted by the sounds of the ocean; the rhythmic pounding of the endless sea. I look into the cloudless cerulean blue sky and see the perfection of life. As I stare into the horizon and watch every wave crash, I am reminded of my childhood. When I was a kid I often traveled to the beach with my family. My uncle and I spent endless hours creating some of the most complex sand castles. The castles had intricate designs with golden bridges creating our beloved kingdom. I believed the sand castles had become a permanent part of the world and would be there forever. The inevitable waves soon came and attacked the kingdom taking every last piece of grain back into the ocean. As child I suffered from a speech impediment called Childhood Apraxia of Speech; it is a motor speech disorder. Children with Childhood Apraxia of Speech have problems saying words, sounds, and syllables. The brain has difficulty in planning to move the body parts necessary for speech, such as the jaw, lips, or tongue. I had difficulty using my tongue to pronounce words. I was constantly aware of what I wanted to say, but continuously faced with the challenge of articulating my thoughts. At the young age of five I still struggled to…
Scenario 1 The concerns that I have about this scenario is that CDA has been instructed by their supervising SLP to work on the patient’s speech output due to the severe nature of the patient’s dysarthria, while working on this they are also asked by a different specialty to monitor and document the patient’s ability to drink fluids during the session. It is not noted whether or not a swallowing assessment has been done by the SLP to determine if the patient should be even drinking fluids.…
Sullivan et al. (2000), found that 78% of children who have been diagnosed with CP have speech disorders, which caused delay in their speech development (BOOK). The primary speech impairment of CP patients is dysarthria, a neurologically based speech disorder which is the result of damage to the primary motor function area of the brain (frontal lobe). Dysarthria effects the patient’s speech muscles in speed, strength, steadiness, coordination, precision, tone, and range of motion. There are…
According to Palmer (2000), “dietary modification” and “compensatory maneuvers” are all appropriate treatments for dysphagia that is secondary to MS. Depending on what type of MS the patient currently has and the severity level, I would do my best to work on compensatory maneuvers first in an effort to allow the patient to still be able to enjoy life as again, many of life’s moments is centered around food. Also depending on type of MS as well as the severity level, dietary modification and…
Cognitive Effects of Cerebellar Dysfunction The cerebellum is regarded as an essential neural structure for motor control. At a tenth of the brain’s volume, it contains the majority of neurons in the brain. Many cortical areas project into the primate cerebellum; these include the primary motor and prefrontal cortices. Damage to the cerebellum is known to result in impaired motor function. Patients with cerebellar lesions may exhibit ataxia, unbalanced gait; dysmetria, lack of coordination in…
developing technologies. There are particular types of speech or language impairments (SLI) that will effect what issues need to be addressed. This disability category encompasses two separate and different disorders: 1) speech sound disorders and 2) language disorders. These can also be further broken down into specific types. According to Ducharme (2016), speech sound disorders are classified by motor-based articulation disorders, phonological disorders, neurological and muscular dysarthria,…
performing tasks requiring inhibition and planning. The prefrontal cognitive control-network that controls executive functions is not fully mature until early adulthood (Berk, 2014). If an adolescent gets a concussion, there is a good chance that the damaged the damage to this network—that is causing their executive dysfunctions—will not heal completely but will cause permanent damage to the prefrontal cognitive control-network. CTE is also associated with frontotemporal dementia. According to…
require plasmapheresis and IVIG therapy. Summary: • Myasthenia gravis is an autoimmune disease characterize by antibodies against acetylcholine receptors at the neuromuscular junction. • Patients frequently have abnormalities of the thymus gland such as thymoma. This may be a possible source of antibody formation as symptoms frequently resolve after thymectomy (thymus removal surgery). • Symptoms often include fluctuating muscle weakness with muscle fatigue. Muscle weakness is often worse…
Ramig, L. O., Sapir, S., Fox, C., & Countryman, S. (2001). Changes in vocal loudness following intensive voice treatment (LSVT®) in individuals with Parkinson 's disease: A comparison with untreated patients and normal age‐matched controls. Movement Disorders, 16(1), 79-83. Summary of the Research Study The research study addressed the efficacy of a voice treatment in improving the loudness of speech for people with Parkinson’s disease. For individuals with Parkinson’s disease it is common for…
My case study is about Robert who is a 65 years old male retired police officer and widow 5 years ago. He is right handed with a history of hypertension currently control and congestive heart failure and prior tobacco abuser. Robert lives along in a community gate house property. His has a friend that lives three blocks from Robert’s house and visit during weekend to play poker and have dinner. He also has a daughter that lives three hours from him. His daughter visits him every three months.…