Motor Speech Disorders

Motor Speech Disorders

Substrates, Differential Diagnosis, and Management

4th Edition - October 13, 2019

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  • Author: Joseph Duffy
  • Hardcover ISBN: 9780323530545
  • eBook ISBN: 9780323550512

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Ensure you’re up to speed with the most recent findings in motor speech disorders. One of the most trusted sources on this topic, Motor Speech Disorders integrates the latest neurological research with the realities of clinical practice. The fourth edition is divided into three sections which focus on substrates of motor speech and its disorders, the disorders and their diagnoses, and finally managing various treatment types. Additionally, new research on the neurologic organization of motor control, causes of motor speech disorders, and advances in the medical and behavioral management of specific disorders is incorporated throughout. Supported by a robust evolve site, this outstanding, evidence-based resource provides everything you need to become a skilled clinical practitioner.

Key Features

  • UPDATED! Over 400 literature references emphasize clinically important information for each major part of the textbook.
  • UPDATED Illustrations throughout text enhance your understanding of key concepts.
  • UPDATED Case studies in Disorders chapters help clarify dense and difficult content and help hone your critical thinking skills.
  • Cutting-edge research with an emphasis on evidence-based practice ensures that this book contains the most comprehensive and up-to-date look at the state of motor speech disorders.
  • Logical 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.
  • 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 highlight key points to help you to focus on the most significant information.

Table of Contents

  • Cover image
  • Title page
  • Table of Contents
  • Copyright
  • Dedication
  • Preface
  • Acknowledgments
  • PART 1. Substrates
  • 1. Defining, Understanding, and Categorizing Motor Speech Disorders
  • The Neurology of Speech
  • The Neurologic Breakdown of Speech
  • Some Basic Definitions
  • Speech Disturbances That Are Distinguishable From Motor Speech Disorders
  • Prevalence and Distribution of Motor Speech Disorders
  • Methods for Studying Motor Speech Disorders
  • Categorizing Motor Speech Disorders
  • 2. Neurologic Bases of Motor Speech and Its Disorders
  • Gross Neuroanatomy and Major Neurologic Systems
  • Primary Structural Elements of the Nervous System
  • Clinicopathologic Correlations
  • The Speech Motor System
  • Higher-Level Speech Motor Planning and Programming
  • 3. Examination of Motor Speech Disorders
  • Purposes of Motor Speech Examination
  • Guidelines for Examination
  • The Motor Speech Examination
  • PART 2. The Disorders and Their Diagnoses
  • 4. Flaccid Dysarthrias
  • Clinical Characteristics of Flaccid Paralysis
  • Etiologies
  • Speech Pathology
  • Cases
  • 5. Spastic Dysarthria
  • Anatomy and Basic Functions of the Direct and Indirect Activation Pathways
  • Clinical Characteristics of Upper Motor Neuron Lesions and Spastic Paralysis
  • The Relationship of Spastic Paralysis to Spastic Dysarthria
  • Etiologies
  • Speech Pathology
  • Cases
  • 6. Ataxic Dysarthria
  • Anatomy and Basic Functions of the Cerebellar Control Circuit
  • Localization of Speech within the Cerebellum
  • Clinical Characteristics of Cerebellar Lesions and Ataxia
  • Etiologies
  • Degenerative Diseases
  • Speech Pathology
  • Cases
  • 7. Hypokinetic Dysarthria
  • Anatomy and Basic Functions of the Basal Ganglia Control Circuit
  • Clinical Characteristics of Basal Ganglia Control Circuit Disorders Associated with Hypokinetic Dysarthria
  • Etiologies
  • Speech Pathology
  • Cases
  • 8. Hyperkinetic Dysarthrias
  • Anatomy and Basic Functions of the Basal Ganglia Control Circuit
  • Clinical Characteristics of Basal Ganglia Control Circuit Disorders Associated with Hyperkinetic Dysarthrias
  • Causes
  • Speech Pathology
  • Cases
  • 9. Unilateral Upper Motor Neuron Dysarthria
  • Anatomy and Basic Functions of the Upper Motor Neuron System
  • Clinical Characteristics Associated with Unilateral Upper Motor Neuron Lesions
  • Etiologies
  • Speech Pathology
  • The Perceptual Distinctiveness of Unilateral Upper Motor Neuron Dysarthria: Conclusions and Clinical Suggestions
  • Cases
  • 10. Mixed Dysarthrias
  • Etiologies
  • Vascular Disorders
  • Speech Pathology
  • Cases
  • 11. Apraxia of Speech
  • Anatomy and Basic Functions of the Motor Speech Programmer
  • Nonspeech, Nonoromotor, and Nonlinguistic Characteristics OF Patients with Apraxia of Speech
  • Etiologies
  • Speech Pathology
  • Cases
  • 12. Neurogenic Mutism
  • Motor Speech Disorders and Mutism
  • Aphasia and Mutism
  • Disorders of Arousal, Responsiveness, and Diffuse Cortical Functions
  • Etiology-Specific Neurogenic Mutism
  • Cases
  • 13. Other Neurogenic Speech Disturbances
  • Other Speech Disturbances Associated with Unilateral, Bilateral, Multifocal, or Diffuse Central Nervous System Abnormalities
  • Other Speech Disturbances Associated with Left Hemisphere Lesions
  • Other Speech Disturbances Associated with Right Hemisphere Lesions—Aprosodia
  • Cases
  • 14. Functional (Psychogenic) and Related Speech Disorders
  • Functional Neurologic Movement Disorders—Some Basics
  • Psychiatric Conditions that Can Alter Speech
  • Conditions Associated With Functional Speech Disorders
  • Volitional Disorders
  • Speech Pathology
  • Speech Characteristics Associated with Specific Psychiatric Conditions
  • Cases
  • 15. Differential Diagnosis
  • General Guidelines
  • Distinguishing Among the Dysarthrias
  • Distinguishing Dysarthrias from Apraxia of Speech
  • Distinguishing Motor Speech Disorders from Aphasia
  • Distinguishing Among Forms of Neurogenic Mutism
  • Distinguishing Motor Speech Disorders from Other Neurogenic Speech Disorders
  • Distinguishing Neurogenic from Functional (Psychogenic) and Related Speech Disorders
  • PART 3. Management
  • 16. Managing Motor Speech Disorders: Broad Overview
  • Management Issues and Decisions
  • Approaches to Management
  • Foundations for Behavioral Management
  • Treatment Efficacy
  • Evidence-Based Practice and Practice Guidelines
  • 17. Managing the Dysarthrias
  • Speaker-Oriented Treatment
  • Speaker-Oriented Treatment for Specific Dysarthria Types
  • Communication-Oriented Treatment
  • 18. Managing Apraxia of Speech
  • General Perspectives
  • Management Approaches
  • Principles and Guidelines for Behavioral Management
  • Behavioral Management Approaches
  • Neurodegenerative Apraxia of Speech
  • Efficacy
  • 19. Managing Other Neurogenic Speech Disturbances
  • Neurogenic Stuttering
  • Palilalia
  • Echolalia
  • Cognitive and Affective Disturbances
  • Aphasia
  • Foreign Accent Syndrome
  • Aprosodia
  • 20. Managing Functional (Psychogenic) Speech Disorders
  • General Principles, Guidelines, and Strategies
  • Practical Considerations
  • Symptomatic Therapy
  • Symptomatic Treatment for Specific Functional Speech Disorders
  • Index

Product details

  • No. of pages: 512
  • Language: English
  • Copyright: © Mosby 2019
  • Published: October 13, 2019
  • Imprint: Mosby
  • Hardcover ISBN: 9780323530545
  • eBook ISBN: 9780323550512

About the Author

Joseph Duffy

Affiliations and Expertise

Division of Speech Pathology, Department of Neurology, Mayo Clinic Emeritus Professor, Speech Pathology, Mayo Clinic College of Medicine, Rochester, Minnesota

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