Unit SPEECH AND LANGUAGE THERAPY- PHONO-ARTICULATION AND DEGLUTITION DISORDERS

ODONTOSTOMATOLOGIC DISEASES

Code	50043401
CFU	1
Teacher	Guido Lombardo
Teachers	Guido Lombardo
Hours	12 ore - Guido Lombardo
Learning activities	Affine/integrativa
Area	Attività formative affini o integrative
Academic discipline	MED/28
Type of study-unit	Obbligatorio (Required)

SPEECH AND LANGUAGE THERAPY - ORAL AND ARTICOLATORY FUNCTION PATHOLOGIES

Code	50125402
CFU	2
Teacher	Cristina Angelini
Teachers	Cristina Angelini
Hours	24 ore - Cristina Angelini
Learning activities	Caratterizzante
Area	Scienze teorico-pratiche della logopedia
Academic discipline	MED/50
Type of study-unit	Obbligatorio (Required)
Language of instruction	italian
Contents	the motor system for language and swallowing; dysarthria; apraxia of speech; dysphagia; speech and swallowing assessment
Reference texts	"Deglutologia” di O. Schindler, G. Ruoppolo, A. Schindler, (OMEGA Ed.), II edizione; Linee guida sulla gestione del paziente disfagico adulto in Foniatria e Logopedia;“Le disartrie. Diagnosi e trattamento” di Donald B. Freed, edizioni Edises, 2015
Educational objectives	being able to recognize and evaluate speech and swallowing deficits
Prerequisites	know the anatomy and physiology of the functional systems underlying speech and swallowing
Teaching methods	lectures and workshops in small groups
Learning verification modality	oral examination
Extended program	The sensorimotor system and speech control, 3-level model, 4-level model. Clinic of Motor Speech Desorders (dysarthria and AOS), definitions, epidemiology, differential diagnoses. Principles of evaluation of MSDs, evaluation tools, PSME, PROFILE OF EVALUATION OF DYSARTHRIA (Robertson, 1982), PROTOCOL FOR THE EVALUATION OF MOTOR ASPECTS OF LANGUAGE (Freed, 2012), CES, DIP, Evaluation of intelligibility. Clinic of the different subtypes of Dysarthria (etiology, lesion sites, specific characteristics for subsystems) AOS clinic (etiology, lesion site, specific characteristics) Clinic of Oropharyngeal Neurogenic Dysphagia: elements of physiology of the phases of the degutatory act, elements of pathology of the phases. DYSPHAGIA EVALUATION: Screening procedures (GUSS, TOR-BSST, WATER BOLUS TEST), Clinical evaluation (BSA) (Logemann, MASA, Cranial nerve test), Instrumental evaluation (VFS, FEES). Oral Hygiene, Reflex Assessment, Counseling, Self Report Assessment Tools (EAT-10, SWAL-CARE, SWAL-QOL)

SPEECH AND LANGUAGES THERAPY - ORAL AND ARTICULATORY FUNCTION PATHOLOGIES

Code	50870402
CFU	2
Teacher	Valentina Romizi
Teachers	Valentina Romizi
Hours	24 ore - Valentina Romizi
Learning activities	Caratterizzante
Area	Scienze teorico-pratiche della logopedia
Academic discipline	MED/50
Type of study-unit	Obbligatorio (Required)
Language of instruction	italian
Contents	-Anatomical-physiological framework of vocal problems -How to evaluate a dysphonic problem from a rehabilitation perspective -Dysphonic problems in adults and children - stuttering -the S.M.O.F.
Reference texts	-"Le disfonie: fisiopatologia, clinica e aspetti medico-legali" - LXXXIX Congresso nazionale Società italiana di otorinolaringologia e chirurgia cervico-facciale, Pacini editore, 2002 - "Le tre età della voce" Magnani S., e-book 2017 -"Balbuzie: stato dell'arte e intervento logopedico" Accornero A., Edizioni Minerva Medica, 2010 -Protocollo S.I.F.E.L., 2002
Educational objectives	Acquisition of the knowledge necessary to develop the ability to evaluate the specific phoniatric problem, identifying the critical elements of the situation in such a way as to lay the foundations for subsequently drawing up a therapeutic program based on logical-scientific cause-effect reasoning
Prerequisites	-knowledge of the anatomy of the vocal and respiratory tract
Teaching methods	In-person lessons Laboratory activities Practical tests
Learning verification modality	Written exam with oral integration
Extended program	-Anatomo-physiological review: the voice in the various stages of life -How to evaluate dysphonia: anatomical and functional framework -the role of medical diagnosis, speech therapy evaluation, breathing assessment, The use of software for acoustic analysis of the voice, Vocal hygiene and the role of the speech therapist, Laryngeal manipulations: evaluative and rehabilitative role -Congenital lesions of the vocal cords: cyst, sulcus, vergeture, mucous bridge, microdiaphragm of the anterior commissure -Organic dysphonias: laryngeal monoplegia and diplegia post-surgical dysphonia (polyps, edema, ...) Total and reconstructive laryngectomies (clinical and anatomical overview) -Dysfunctional dysphonias -Chord nodules: etiopathogenesis and differential diagnosis -muscle chains and the voice: relationships and implications -Childhood dysphonia - Deviated swallowing/orofacial muscle disorder (clinical classification and evaluation) -Stuttering: clinical classification and evaluation