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Book Details
Abstract
With expanded and updated information including current techniques, approaches, and case studies, the 3rd edition of this bestselling book continues its reputation as a dependable and outstanding evidence-based source on acquired motor speech disorders in adults. It covers the substrates of motor speech and its disorders, the disorders and their diagnoses, and management -- focusing on integrating what is known about the bases of motor speech disorders with the realities of clinical practice to ensure readers have the key content they need to be effective practitioners.
- Three-part organization first covers the neurologic underpinnings of speech, then the various disorders resulting from problems in the nervous system, and then the basic principles and disorder-specific management strategies.
- Emphasis on evidence-based practice helps distill disparate information and stresses the best practices within motor speech disorders.
- Cutting-edge research ensures this book contains the most comprehensive and up-to-date look at the state of motor speech disorders.
- Case studies help clarify dense and difficult content and help hone your critical thinking skills.
- Summary tables and boxes offer easy access to important information such as causes and characteristics to aid in differential diagnosis.
- Chapter outline and summary sections keep you focused on the most significant information.
- NEW! Accompanying Evolve site features an interactive PowerPoint presentation with more than 60 audio and video clips demonstrating various disorders.
- NEW! Updated content incorporates Dr. Duffy’s findings from nearly 1,000 new articles on motor speech disorders.
- UNIQUE! Two-color design and larger trim size help highlight key information and allow for easier lay-flat reading.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Motor Speech Disorders: Substrates, Differential Diagnosis,\rand Management\r | iii | ||
| Copyright\r | iv | ||
| Dedication\r | v | ||
| Preface\r | vii | ||
| Acknowledgments\r | ix | ||
| Contents\x0B | xi | ||
| Part One Substrates \r | 1 | ||
| Chapter\r1 - Defining, Understanding, and Categorizing Motor Speech Disorders | 3 | ||
| THE NEUROLOGY OF SPEECH | 3 | ||
| THE NEUROLOGIC BREAKDOWN OF SPEECH | 3 | ||
| SOME BASIC DEFINITIONS | 4 | ||
| SPEECH DISTURBANCES THAT ARE DISTINGUISHABLE FROM MOTOR SPEECH DISORDERS | 5 | ||
| PREVALENCE AND DISTRIBUTION OF MOTOR SPEECH DISORDERS | 6 | ||
| METHODS FOR STUDYING MOTOR SPEECH DISORDERS | 7 | ||
| CATEGORIZING MOTOR SPEECH DISORDERS | 9 | ||
| SUMMARY | 11 | ||
| References | 12 | ||
| Chapter\r2 - Neurologic Bases of Motor Speech and Its Pathologies | 15 | ||
| PRIMARY STRUCTURAL ELEMENTS OF THE NERVOUS SYSTEM | 24 | ||
| CLINICOPATHOLOGIC CORRELATIONS | 28 | ||
| THE SPEECH MOTOR SYSTEM | 31 | ||
| THE CONCEPTUAL-PROGRAMMING LEVEL AND SPEECH | 49 | ||
| SUMMARY | 56 | ||
| References | 57 | ||
| Chapter\r3 - Examination of Motor Speech Disorders | 61 | ||
| PURPOSES OF MOTOR SPEECH EXAMINATION | 61 | ||
| GUIDELINES FOR EXAMINATION | 62 | ||
| THE MOTOR SPEECH EXAMINATION | 65 | ||
| SUMMARY | 87 | ||
| References | 88 | ||
| Part Two - The Disorders and their Diagnoses\r | 93 | ||
| Chapter\r4 - Flaccid Dysarthrias | 95 | ||
| CLINICAL CHARACTERISTICS OF FLACCID PARALYSIS | 96 | ||
| ETIOLOGIES | 96 | ||
| SPEECH PATHOLOGY | 100 | ||
| CASES | 116 | ||
| SUMMARY | 122 | ||
| References | 122 | ||
| Chapter\r5 - Spastic Dysarthria | 125 | ||
| ANATOMY AND BASIC FUNCTIONS OF THE DIRECT AND INDIRECT ACTIVATION PATHWAYS | 125 | ||
| CLINICAL CHARACTERISTICS OF UPPER MOTOR NEURON LESIONS AND SPASTIC PARALYSIS | 126 | ||
| THE RELATIONSHIP OF SPASTIC PARALYSIS TO SPASTIC DYSARTHRIA | 126 | ||
| ETIOLOGIES | 127 | ||
| SPEECH PATHOLOGY | 128 | ||
| CASES | 138 | ||
| SUMMARY | 141 | ||
| References | 141 | ||
| Chapter\r6 - Ataxic Dysarthria | 143 | ||
| ANATOMY AND BASIC FUNCTIONS OF THE CEREBELLAR CONTROL CIRCUIT | 143 | ||
| LOCALIZATION OF SPEECH WITHIN THE CEREBELLUM | 144 | ||
| CLINICAL CHARACTERISTICS OF CEREBELLAR LESIONS AND ATAXIA | 144 | ||
| ETIOLOGIES | 145 | ||
| SPEECH PATHOLOGY | 149 | ||
| CASES | 158 | ||
| SUMMARY | 161 | ||
| References | 161 | ||
| Chapter\r7 - Hypokinetic Dysarthria | 165 | ||
| ANATOMY AND BASIC FUNCTIONS OF THE BASAL GANGLIA CONTROL CIRCUIT | 165 | ||
| CLINICAL CHARACTERISTICS OF BASAL GANGLIA CONTROL CIRCUIT DISORDERS ASSOCIATED WITH HYPOKINETIC DYSARTHRIA | 166 | ||
| ETIOLOGIES | 167 | ||
| SPEECH PATHOLOGY | 169 | ||
| CASES | 182 | ||
| SUMMARY | 185 | ||
| References | 186 | ||
| Chapter\r8 - Hyperkinetic Dysarthrias | 191 | ||
| ANATOMY AND BASIC FUNCTIONS OF THE BASAL GANGLIA CONTROL CIRCUIT | 192 | ||
| CLINICAL CHARACTERISTICS OF BASAL GANGLIA CONTROL CIRCUIT DISORDERS ASSOCIATED WITH HYPERKINETIC DYSARTHRIAS | 192 | ||
| ETIOLOGIES | 195 | ||
| SPEECH PATHOLOGY | 197 | ||
| CASES | 214 | ||
| SUMMARY | 218 | ||
| References | 219 | ||
| Chapter\r9 - Unilateral Upper Motor Neuron Dysarthria | 223 | ||
| ANATOMY AND BASIC FUNCTIONS OF THE UPPER MOTOR NEURON SYSTEM | 224 | ||
| CLINICAL CHARACTERISTICS ASSOCIATED WITH UNILATERAL UPPER MOTOR NEURON LESIONS | 224 | ||
| ETIOLOGIES | 225 | ||
| SPEECH PATHOLOGY | 226 | ||
| THE DISTINCTIVENESS OF UNILATERAL UPPER MOTOR NEURON DYSARTHRIA: CONCLUSIONS AND CLINICAL SUGGESTIONS | 232 | ||
| CASES | 234 | ||
| SUMMARY | 236 | ||
| References | 236 | ||
| Chapter\r10 - Mixed Dysarthrias | 239 | ||
| ETIOLOGIES | 240 | ||
| SPEECH PATHOLOGY | 244 | ||
| CASES | 257 | ||
| SUMMARY | 263 | ||
| References | 263 | ||
| Chapter\r11 - Apraxia of Speech | 269 | ||
| ANATOMY AND BASIC FUNCTIONS OF THE MOTOR SPEECH PROGRAMMER | 270 | ||
| NONSPEECH, NONOROMOTOR, AND NONLINGUISTIC CHARACTERISTICS OF PATIENTS WITH APRAXIA OF SPEECH | 272 | ||
| ETIOLOGIES | 272 | ||
| SPEECH PATHOLOGY | 273 | ||
| CASES | 284 | ||
| SUMMARY | 289 | ||
| References | 289 | ||
| Chapter\r12 - Neurogenic Mutism | 293 | ||
| MOTOR SPEECH DISORDERS AND MUTISM | 293 | ||
| APHASIA AND MUTISM | 299 | ||
| DISORDERS OF AROUSAL, RESPONSIVENESS, AND DIFFUSE CORTICAL FUNCTIONS | 299 | ||
| ETIOLOGY-SPECIFIC NEUROGENIC MUTISM | 301 | ||
| CASES | 302 | ||
| SUMMARY | 305 | ||
| References | 305 | ||
| Chapter\r13 - Other Neurogenic Speech Disturbances | 309 | ||
| OTHER SPEECH DISTURBANCES ASSOCIATED WITH UNILATERAL, BILATERAL, MULTIFOCAL, OR DIFFUSE CENTRAL NERVOUS SYSTEM ABNORMALITIES | 309 | ||
| OTHER SPEECH DISTURBANCES ASSOCIATED WITH LEFT HEMISPHERE LESIONS | 316 | ||
| OTHER SPEECH DISTURBANCES ASSOCIATED WITH RIGHT HEMISPHERE LESIONS—APROSODIA | 319 | ||
| CASES | 323 | ||
| SUMMARY | 326 | ||
| References | 327 | ||
| Chapter\r14 - Acquired Psychogenic and Related Nonorganic Speech Disorders | 331 | ||
| ETIOLOGIES | 332 | ||
| SPEECH PATHOLOGY | 335 | ||
| CASES | 344 | ||
| SUMMARY | 352 | ||
| References | 352 | ||
| Chapter\r15 - Differential Diagnosis | 355 | ||
| GENERAL GUIDELINES FOR DIFFERENTIAL DIAGNOSIS | 356 | ||
| DISTINGUISHING AMONG THE DYSARTHRIAS | 357 | ||
| DISTINGUISHING DYSARTHRIAS FROM APRAXIA OF SPEECH | 364 | ||
| DISTINGUISHING MOTOR SPEECH DISORDERS FROM APHASIA | 365 | ||
| DISTINGUISHING AMONG FORMS OF NEUROGENIC MUTISM | 367 | ||
| DISTINGUISHING MOTOR SPEECH DISORDERS FROM OTHER NEUROGENIC SPEECH DISORDERS | 369 | ||
| DISTINGUISHING NEUROGENIC FROM PSYCHOGENIC SPEECH DISORDERS | 372 | ||
| CASES | 373 | ||
| SUMMARY | 374 | ||
| References | 374 | ||
| Part Three\rManagement | 377 | ||
| Chapter\r16 - Managing Motor Speech Disorders: General Considerations | 379 | ||
| MANAGEMENT ISSUES AND DECISIONS | 380 | ||
| APPROACHES TO MANAGEMENT | 383 | ||
| FOUNDATIONS FOR BEHAVIORAL MANAGEMENT | 387 | ||
| TREATMENT EFFICACY | 396 | ||
| SUMMARY | 397 | ||
| References | 398 | ||
| Chapter\r17 - Managing the Dysarthrias | 405 | ||
| SPEAKER-ORIENTED TREATMENT | 406 | ||
| SPEAKER-ORIENTED TREATMENT FOR SPECIFIC DYSARTHRIA TYPES | 421 | ||
| COMMUNICATION-ORIENTED TREATMENT | 429 | ||
| SUMMARY | 433 | ||
| References | 433 | ||
| Chapter\r18 - Managing Apraxia of Speech | 443 | ||
| GENERAL PERSPECTIVES | 443 | ||
| APPROACHES TO MANAGEMENT | 444 | ||
| PRINCIPLES AND GUIDELINES FOR BEHAVIORAL MANAGEMENT | 445 | ||
| BEHAVIORAL MANAGEMENT APPROACHES | 448 | ||
| SUMMARY | 455 | ||
| References | 455 | ||
| Chapter\r19 - Management of Other Neurogenic Speech Disturbances | 459 | ||
| NEUROGENIC STUTTERING | 459 | ||
| PALILALIA | 461 | ||
| ECHOLALIA | 462 | ||
| COGNITIVE AND AFFECTIVE DISTURBANCES | 462 | ||
| APHASIA | 462 | ||
| PSEUDOFOREIGN ACCENT | 462 | ||
| APROSODIA | 463 | ||
| SUMMARY | 464 | ||
| References | 464 | ||
| Chapter\r20 - Managing Acquired Psychogenic and Related Nonorganic Speech Disorders | 467 | ||
| GENERAL PRINCIPLES AND GUIDELINES | 467 | ||
| GENERAL TREATMENT TECHNIQUES | 471 | ||
| SYMPTOMATIC TREATMENT FOR SPECIFIC PNSDs\r | 475 | ||
| SUMMARY | 479 | ||
| References | 480 | ||
| Index | 481 |