Preface | p. ix |
About the Author | p. xv |
Using the Case Study DVD-ROM | p. xvi |
A Brier Histaricat Review of Motor Speech Disorders | p. 1 |
Case Reports from Ancient Greece | p. 3 |
Case Reports from the Middle Ages and Renaissance | p. 6 |
Two Early Theories on the Localization of Reason | p. 6 |
From the Nineteenth Century to Today | p. 8 |
The Motor System | p. 11 |
Components of the Motor System | p. 12 |
Structure and Function of the Motor System | p. 22 |
Summary of the Motor System | p. 45 |
Study Questions | p. 46 |
Eualuation or motor speech Disorders | p. 47 |
Goals of a Motor Speech Evaluation | p. 49 |
Speech Production Components and Disorders | p. 50 |
Conducting a Motor Speech Evaluation | p. 53 |
Instructions for the Motor Speech Evaluation | p. 55 |
Auditory-Perceptual Evaluations of the Motor Speech Mechanism | p. 62 |
Summary of the Evaluation of Motor Speech Disorders | p. 68 |
Study Questions | p. 69 |
Appendix 3-1: Motor Speech Examination | p. 70 |
Flaccid Dysarthria | p. 81 |
Definitions of Flaccid Dysarthria | p. 82 |
Neurologic Basis of Flaccid Dysarthria | p. 83 |
Causes of Flaccid Dysarthria | p. 95 |
Speech Characteristics of Flaccid Dysarthria | p. 98 |
Key Evaluation Tasks for Flaccid Dysarthria | p. 102 |
Treatment of Flaccid Dysarthria | p. 102 |
Summary of Flaccid Dysarthria | p. 112 |
Study Questions | p. 112 |
Spastic Dysarthria | p. 113 |
Definitions of Spastic Dysarthria | p. 114 |
Neurologic Basis of Spastic Dysarthria | p. 114 |
Causes of Spastic Dysarthria | p. 117 |
Speech Characteristics of Spastic Dysarthria | p. 119 |
Spastic Dysarthria versus Flaccid Dysarthria | p. 123 |
Key Evaluation Tasks for Spastic Dysarthria | p. 124 |
Treatment of Spastic Dysarthria | p. 125 |
Summary of Spastic Dysarthria | p. 131 |
Study Questions | p. 132 |
Unilateral Upper Motar Neuron Dysarthria | p. 133 |
Definitions of Unilateral Upper Motor Neuron Dysarthria | p. 134 |
Neurologic Basis of Unilateral Upper Motor Neuron Dysarthria | p. 134 |
Causes of Unilateral Upper Motor Neuron Dysarthria | p. 138 |
Speech Characteristics of Unilateral Upper Motor Neuron Dysarthria | p. 140 |
Key Evaluation Tasks for Unilateral Upper Motor Neuron Dysarthria | p. 144 |
Treatment of Unilateral Upper Motor Neuron Dysarthria | p. 144 |
Summary for Unilateral Upper Motor Neuron Dysarthria | p. 146 |
Study Questions | p. 146 |
Ataxic Dusarthria | p. 147 |
Definitions of Ataxic Dysarthria | p. 148 |
Neurologic Basis of Ataxic Dysarthria | p. 148 |
The Cerebellum and Speech | p. 153 |
Causes of Ataxic Dysarthria | p. 153 |
Speech Characteristics of Ataxic Dysarthria | p. 157 |
Key Evaluation Tasks for Ataxic Dysarthria | p. 160 |
Treatment of Ataxic Dysarthria | p. 161 |
Summary of Ataxic Dysarthria | p. 166 |
Study Questions | p. 166 |
Hypokinetic Dysarthria | p. 167 |
Definitions of Hypokinetic Dysarthria | p. 168 |
Neurologic Basis of Hypokinetic Dysarthria | p. 168 |
Causes of Hypokinetic Dysarthria | p. 173 |
Speech Characteristics of Hypokinetic Dysarthria | p. 176 |
Key Evaluation Tasks for Hypokinetic Dysarthria | p. 179 |
Treatment of Hypokinetic Dysarthria | p. 180 |
Summary of Hypokinetic Dysarthria | p. 192 |
Study Questions | p. 192 |
Hyperkinetic Dysarthria | p. 219 |
Definitions of Hyperkinetic Dysarthria | p. 194 |
Neurologic Basis of Hyperkinetic Dysarthria | p. 195 |
Causes of Hyperkinetic Dysarthria | p. 197 |
Key Evaluation Tasks for Hyperkinetic Dysarthria | p. 212 |
Treatment of Hyperkinetic Dysarthria | p. 213 |
Summary of Hyperkinetic Dysarthria | p. 217 |
Study Questions | p. 217 |
Mixed Dysarthria | p. 219 |
Definitions of Mixed Dysarthria | p. 220 |
Neurologic Basis of Mixed Dysarthria | p. 220 |
Causes of Mixed Dysarthria | p. 222 |
Treatment of Mixed Dysarthria | p. 231 |
Summary of Mixed Dysarthria | p. 234 |
Study Questions | p. 235 |
Apraxia of Speech | p. 237 |
Definition of Apraxia of Speech | p. 238 |
Overview of the Apraxias | p. 239 |
Neurologic Basis of Apraxia of Speech | p. 242 |
Causes of Apraxia of Speech | p. 244 |
Speech Characteristics of Apraxia of Speech | p. 245 |
Assessment of Apraxia of Speech | p. 249 |
Differential Diagnosis of Apraxia of Speech | p. 249 |
Additional Diagnostic Considerations | p. 252 |
Treatment of Apraxia of Speech | p. 257 |
Summary of Apraxia of Speech | p. 268 |
Study Questions | p. 269 |
References | p. 271 |
Glossary | p. 281 |
Index | p. 295 |
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