PLMCI1-Communication Impairment 1

Module Provider: Clinical Language Sciences
Number of credits: 20 [10 ECTS credits]
Terms in which taught: Autumn / Spring term module
Non-modular pre-requisites: All other MSc Speech and Language Therapy Year 1 modules
Modules excluded:
Module version for: 2017/8

Module Convenor: Dr David Ward


Summary module description:

This module covers the assessment, diagnosis and treatment of disorders of fluency and voice and an introduction to head and neck oncology.

The aims of this module are: to enable the students to understand both the theoretical and clinical basis of normal and pathological voice, fluency related to stammering and cluttering and speech disorders, arising from head and neck oncology and other oro-facial abnormalities; to explain and evaluate different diagnostic and treatment approaches to the above disorder groups.

Assessable learning outcomes:
By the end of the module it is expected that the students will be able to:
•Identify a range of procedures in order to quantify parameters of normal and disordered voice and fluency
•Distinguish the above parameters in a therapeutic diagnosis
•Analyse the impact of head and neck oncology on communication
•Formulate an appropriate treatment programme for the above client groups
•Evaluate the outcome of therapy in the above client groups

Additional outcomes:
Students will be able to demonstrate the ability to synthesise and integrate information from the medical and linguistic modules which relate to the clinical population studied. They will demonstrate, through discussion, a developing understanding of wider professional issues such as clinical audit, the function of a multi-disciplinary team and the evaluation of therapeutic outcomes. The students will also develop their bibliographic and IT skills using indicated resources.

Outline content:
This module examines parameters for the quantitative and qualitative analysis of abnormal speech associated with pathological conditions, including, head and neck oncology, voice disorders and disorders of fluency - stammering and cluttering. Separate strands within the module will cover identification and treatment of these disorders of speech.

Fluency begins with an historical perspective of developmental stammering, its incidence and precipitating factors before discussing the various theoretical perspectives of stammering including motoric, linguistic, neurological and psychological aspects. Therapeutic issues are then addressed with regard to paediatric and adult populations as are therapeutic and theoretical perspectives on acquired dysfluency and cluttering. The course includes discussion of different methods of assessment and intervention for both paediatric and adult clients. Students are given the opportunity to examine and evaluate examples of dysfluent speech.
Head and neck oncology includes laryngectomy (surgical removal of the larynx) and glossectomy (surgical removal of the tongue). This series of lectures covers the background to these two clinical procedures including the incidence of cancer, major lesion sites, the symptoms and related prognosis and the anatomy of the head and neck area pre-and post surgically. Postoperative care is described including such vocal rehabilitation regimes as oesophageal voice, the use of the artificial larynx and further surgical intervention. A typical case history is given to illustrate the different aspects of assessment, diagnosis and intervention, with particular attention being given to the multi-disciplinary nature of the care of these clients.
Voice disorders begins with the identification of what “normal voice” is. The life cycle of the voice is described and the importance of hormonal balance to laryngeal development and function is emphasised. Assessments, differential diagnosis and management of voice are then evaluated.

Brief description of teaching and learning methods:
Teaching will be mainly by lectures with extensive use of video presentations. There will be some practical classes included within the lecture courses. In the Autumn term there will be two introductory hours on disorders of voice, 20 hours on fluency, including theory, identification, assessment and treatment. In the spring term there will be a further 14 hours on disordered voice, and six hours on head and neck oncology. All courses will include practical classes, video presentations and some data analysis where appropriate.

Contact hours:
  Autumn Spring Summer
Lectures 19 20
Practicals classes and workshops 3
Guided independent study 78 80
Total hours by term 100.00 100.00
Total hours for module 200.00

Summative Assessment Methods:
Method Percentage
Class test administered by School 100

Other information on summative assessment:
There will be two one-hour classroom tests; one on disorders on fluency at the beginning of the Spring term (50%) and one on voice and oncology (50%) at the end of the Spring term. Both tests require students to answer 2 short essay questions from a choice of three.

Formative assessment methods:
There will be a true-false formative assessment posted on blackboard in week 6 of the autumn term to test students' understanding thus far

Penalties for late submission:
Penalties for late submission on this module are in accordance with the University policy. Please refer to page 5 of the Postgraduate Guide to Assessment for further information:

Length of examination:

Requirements for a pass:
A mark of 50% overall.

Reassessment arrangements:
Reassessment by September.

Additional Costs (specified where applicable):
1) Required text books:
2) Specialist equipment or materials:
3) Specialist clothing, footwear or headgear:
4) Printing and binding:
5) Computers and devices with a particular specification:
6) Travel, accommodation and subsistence:

Last updated: 31 March 2017

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