1 Course Guide Logopedic treatment of voice disorders PCA-27-F-01 Ed. 00 COURSE GUIDE Universidad Católica de Valencia LOGOPEDIC TREATMENT OF VOICE DISORDERS Universidad Católica de Valencia “San Vicente Mártir” 2 Course guide Logopedic treatment of voice disorders Year 2014-15 COURSE GUIDE TO THE SUBJECT ECTS SUBJECT: Logopedic treatment of voice disorders 6 Field: Deficiency in the basic tools for reception and language production 24 Module: Disturbances, disorders and logopedic treatment 72 YEAR: 3rd Type of learning: Required Semester: 5th Department: Personality, Evaluation and Treatment in Teacher: Carlos Vidal Úbeda Health Sciences E-mail: carlosalberto.vidal@ucv.es COURSE DESCRIPTION: Relationship between the study plan and the professional activity The voice pathology area is a field of study and multiprofessional performance which represents the closest and interdependent relationship that exists between Otolaryngology and Speech Therapy. Nowadays it is one of the most highly demanded profesional fields in which speech therapy has proven to be an important contribution to people’s health and welfare. Speech therapists must be trained in the utilization and practice of the different treatment techniques already in use and be able to elaborate an carry out the appropriate treatment programmes for each pathology and each patient. Universidad Católica de Valencia “San Vicente Mártir” 3 Course Guide Logopedic treatment of voice disorders PCA-27-F-01 Ed. 00 MODULE ORGANIZATION ____________________________________________________________________________ Disturbances, disorders and logopedic treatment Nº ECTS 72 Duration and time framework within the study plan: this module is designed to be taught in the 3rd year of the degree programme, once the students have acquired the theoretical base in speech therapy and the assessment and diagnostic processes of disorders. In this way, knowledge about different disorders is deepened and the student is given the necessery knowledge to elaborate and set up the appropriate treatment programme. Fields and Subjects Field Language Pathology Deficiency in the basic tools for entertainment and language production Neuro-PsychoLinguistics Disorders ECTS 18 24 Subject Fluency Disorders 6 Alternative communication 6 Course/ semester Language pathologies I 6 1/1 Language pathologies II 6 1/2 Learning difficulties 6 2/4 6 3/5 6 3/5 6 3/5 6 3/6 6 2/4 6 3/6 6 3/6 6 3/5 6 3/6 Logopedic treatment of speech disorders and nonverbal oral functions Logopedic treatment of organical misarticulation and dysarthria Logopedic treatment of voice disorders 18 ECTS Logopedic treatment of hearing impairment Logopedic treatment of specific developmental disorders of speech and language Logopedic treatment of aphasia and related disorders Logopedic treatment of autism spectrum disorders and mental deficiency Logopedic treatment of stuttering and other disorders with psychosocial implications Augmentative and alternative communication systems Universidad Católica de Valencia “San Vicente Mártir” 4 Course guide Logopedic treatment of voice disorders COURSE GUIDE TO THE SUBJECT: Logopedic treatment of voice disorders Prerequisites: No prerequisites GENERAL GOALS • • • • • • To know normal voice physiology. To know physiopathhlogy of different voice disorders To know how to elaborate an appropriate treatment programme for each patient by means of data obtainet by voice assessment and to adapt it to his or her specific voice problem. To know how to write logopedic reports To learn an appropriate voice technique which is necessary for de application of different logopedic treatment techniques in the different voice disorders To know how to manage different treatment techniques for voice pathology which exist today CROSS-SECTIONAL COMPETENCES Competence measuring scale Instrumental 1 1. Analysis and synthesis. 2 3 4 x 2. Organize a work plan being able to carry it out within a specified period. X 3. Find, evaluate, organize and manage information systems. x 4. Speaking and writing fluently,appropriately and with the necessary consistency to meet the academic standards of correctness in the language of instruction. x 5. Make decisions and being responsibile for them. X Interpersonal 1 2 3 6. Use the techniques of verbal and nonverbal communication in order to optimize relevant communicative situations. 4 X 7. Critically evaluate own job performance and that of other professionals to improve results. X 8. Recognize, analyze and obtain solutions to ethical problems in professional practice situations. x 9. Gain a commitment to ethics and ethics in their professional field. x 10 Recognize, analyze and obtain solutions to ethical problems in professional practice situations. X Universidad Católica de Valencia “San Vicente Mártir” 5 Course Guide Logopedic treatment of voice disorders PCA-27-F-01 Ed. 00 Systemic 1 2 11. Adapt to new situations arising in their profession. 3 4 X 12. Having an open and flexible attitude to lifelong learning. X 13. Known and use the advance techniques in their profession. X SPECIFIC COMPETENCES FROM THIS MODULE 1 2 24. Know the classification, terminology and description of communication disorders, language, speech, and voice, in addition to hearing and nonverbal oral functions. 25. Know, recognize and discriminate among a variety of disorders: Dysphonia 3 4 x x 26. Know the general principles of speech therapy treatment. x 27. To know speech therapy intervention functions such as prevention, training, retraining, rehabilitation and treatment. x 28. Know and apply treatment models and techniques. x 29. To know the distinguishing characteristics of speech therapy treatment in such areas as the family, the school, the health system and the public assistance. x 30. Know and carry out logopedic treatment in voice disorders. x 34. Know how to design and write speech therapy reports. x 35. Know how to design, plan and assess logopedic intervention. x 38. Understand the organization of educational, health and social institutions. x OTHER SPECIFIC COMPETENCES FROM THE REST OF THE MODULES 1 2 3 14. Know and integrate the biological foundations of Speech Therapy: Anatomy and Physiology. x 18. Understand and integrate the methodological foundations for research in speech therapy. x 20. Know and apply the assessment models, techniques and instruments. x Universidad Católica de Valencia “San Vicente Mártir” 4 6 Course guide Logopedic treatment of voice disorders 40. To carry out strategic planning of logopedic intervention. x 44. Acquire and develop the personal resources for intervention such as social and communicatives abilities, professional abilities, self professional intervention assessment, observation techniques, dynamic techniques and decision-making. x X 45. Using information technology and communication 46 Final project involving transversally applicable material; to be carried out in association with different subjects. x GENERAL DEGREE COMPETENCES 1 47.Design, implement and assess communication and language disorder prevention actions. 48. Explore, assess, diagnose and give evolution forecast of communication and language disorders from an interdisciplinary perspective. 49. Use the exploration techniques and instruments belonging to the profession and record, synthesize and interpret the provided data, by integrating it into the set of information. 50. Master the terminology that allows one to interact effectively with other professionals. 51. Design and carry out logopedic treatment, not only in individuals but also in groups, setting objectives and stages with the most effective and appropriate methods, techniques and resources, and tacking into account the different evolutionary stages of the human being. 53. Advise families and the social context of patients, encouraging their participation and collaboration in speech therapy treatment. 54. Working in the school environment, and health care as part of the profesional team. Advise on the development, implementation of policies of care and education on issues related to Speech Therapy. 55 Understand and appreciate the scientific underpinning in the professional development of speech therapy. 2 3 4 x x x x x x x X 56. Know the limits of competences and when an interdisciplinary treatment is necessary x 57. Explaining and justifying the chosen treatment. x 58. Promote communication skills in the general population. 59.Being able to develop skills such as regulating one's own learning, solving problems, thinking critically and adapting to new situations. 60. Know and be able to integrate the biological, psychological, linguistic and pedagogic foundations of speech therapy treatment X x x Universidad Católica de Valencia “San Vicente Mártir” 7 Course Guide Logopedic treatment of voice disorders PCA-27-F-01 Ed. 00 with regards to communication, language, speech, hearing, voice and nonverbal oral functions. 61. Know the communication disorders, language, speech, hearing, voice and non-verbal oral functions 62. Understand and critically evaluate the techniques and tools of assessment and diagnosis in speech therapy, as well as speech therapy procedures. 63. Understand and critically evaluate the terminology and specific methodologies used in speech therapy research. 64. Communicate orally and writing their observations and conclusions to the patient, their families and other professionals involved in your care to adapt to the sociolinguistic features of the environment. 65. Develop and prepare reports of examination and diagnosis, monitoring, termination and referral. x x x x x 66. Have adequate speech production, structure of language and voice quality. 67. Manage communication technologies and information. LEARNING OUTCOMES R-1. The student must know normal voice physiology and the different ways that voice manifests it self and acquire the necessary vocal technique to be able to serve as a correct model during the treatment programme. R-2. The student must know how to elaborate and carry out the most appropriate treatment programme for each patient after voice assessment and diagnosis R-3. The student must know how to choose and apply in each case the different rehabilitation techniques, tools and materials which exist for different disorders R-4. The student must know how to get across verbal instructions to be followed both regarding measures for patients as well as different treatment techniques R-5. The student will recognize the limits of their skills and learn to integrate into multidisciplinary teams. Universidad Católica de Valencia “San Vicente Mártir” x X COMPETENCES 14,60 2,5,18,20,24,25,26,27,29,30,35,48,49 ,55,59,63 3,11,12,13,28,51,62 1,4,6,34,50,53,57,61,64,65,66,67 7,8,9,10,38,47,54,56 8 Course guide Logopedic treatment of voice disorders ON-CAMPUS EDUCATIONAL ACTIVITIES ACTIVITY ON-CAMPUS CLASS PRACTICAL CLASSES ASSESSMENT Teaching-Learning Methodology Teacher presentation of contents, analysis of competences, explanation and in-class display of skills, abilities and knowledge. Group work sessions supervised by the professor. Case studies, diagnostic tests, problems, field work, computer room, visits, data search, libraries, on-line, Internet, etc. Meaningful construction of knowledge through interaction and student activity. Set of oral and/or written tests used in initial, formative or additive assessment of the student Relationship With Learning Outcomes for the subject R-1,R-2,R-3,R-4 ECTS 1 R-1,R-2,R-3 1 R-1,R-2,R-3,R-4,R-5 0,4 Total 2,4 INDEPENDENT WORK ACTIVITIES ACTIVITY INDEPENDENT WORK Teaching-Learning Methodology Student study: Group Individual preparation of readings, essays, problem solving, seminars, papers, reports, etc. to be presented or submitted in theoretical lectures, practical and/or small-group tutoring sessions. Relationship of Course with Learning Outcomes ECTS R-1,R-2,R-3,R-4,R-5 3,6 Total 3,6 Work done on the university e-learning platform ( www.plataforma.ucv.es ) Universidad Católica de Valencia “San Vicente Mártir” 9 Course Guide Logopedic treatment of voice disorders PCA-27-F-01 Ed. 00 SYSTEM FOR ASSESSING THE ACQUISITION OF THE COMPETENCES AND ASSESSMENT SYSTEM Assessment Tool LEARNING OUTCOMES ASSESSED Allocated Percentage Multiple-choice test and/or questions to be answered in written form R1, R2, R3, R5 30% Practical clinical case studies R1, R2, R3, R4, R5 30% Practical exam including student voice technique and treatment techniques R1 40% Mention of distinction Having obtained a 9,5 or higher and having carried out a discriminative oral exam among the candidates DEVELOPMENT OF THE SUBJECT IN SECOND AND SUBSEQUENT ENROLLMENTS: There will be a special group for students who are not enrolling for the first time if they exceed the occupancy limit of the classroom and a teacher is assigned to that group. The professor in charge of this group will conduct 4 follow-up sessions and tutoring for 2 hours each. Assessment of skills and abilities will be done through the scheduled practice sessions In each session the subject will be developed so as to reinforce the work on the skills that each student needs to pass the course. Assessment of content and skills will be made during the examination set in the official calendar for this course. Universidad Católica de Valencia “San Vicente Mártir” 10 Course guide Logopedic treatment of voice disorders DESCRIPTION OF CONTENTS COMPETENCES Part I: NORMAL VOICE Unit 1. Introduction: definition, larynx functions, mechanism of voice production. Unit 2. Voice manifestations. Unit 3. Singing voice Unit 4. Vocal technique (practice) PART II: LOGOPEDIC TREATMENT IN VOICE DISORDERS Unit 5.General principles in vocal rehabilitation: aims, protocols, pre and post surgery treatment Unit 6. Vocal rehabilitation: philosophical orientations, global treatment of voice disorders: vocal orientation, vocal psychodynamics and vocal training (exercises and techniques) Unit 7. Functional dysphonia Unit 8. Acquired organic dysphonia Unit 9. Congenital organic dysphonia Unit 10. Psychogenic dysphonia. Unit 11. Puberphonia Unit 12. The voice of the transsexual Unit 13. Spasmodic dysphonia Unit 14. Vocal fold paralysis Unit 15. Pediatric dysphonia Unit 16. Presbyphonia Part III: ONCOLOGY AND VOICE Unit 17. Laryngectomy: description and classification. Treatments and consequences Unit:18. Logopedic treatment in laryngectomy 1,2,3,4,5,6,7,8,9,10,11, 12,13,14,18,20,24,25, 26,27,28,29, 30,34,35,38,40,44,45, 46,47,48,49,50,51,53, 54,55,56,57,58, 59,60,61,62,63,64,65, 66,67 REFERENCES • • • • • • • • • Acero Millan, P. & Gómez Cañete, Mª.J. (2005). Tratamiento de la voz. Manual Práctico. Madrid. Editorial CEPE. Amador, I.(1989). Guía práctica de relajación. Madrid. Editorial EDAF. Arias Marsal, C. (1994). Parálisis laríngeas. Barcelona: Masson. Arias, C. y Estapé, M. (2000). Disfonía infantil. Maleta de material didáctico: vídeo, cuento y fichas de reeducación. Barcelona: Editado por las autoras. Arias, C. y Estapé, M. (2005). Disfonía infantil. Diagnóstico y tratamiento. Barcelona: Ed. Ars Medica. Aronson, A.E. y Bless, D.M.(2009). Clinical Voice Disorders. New York: Thieme Behlau, M (Ed.) (2005). Voz. O livro do especialista.Vol. 1 y 2. Rio de Janeiro, Brasil: Revinter. Bermúdez de Alvear, R. (2003). Exploración clínica de los trastornos de la voz, el habla y la audición. Pautas y protocolos asistenciales. Málaga: Ediciones Aljibe. Bustos Sánchez, I. (2000). Trastornos de la voz en edad escolar. Málaga: Ediciones Universidad Católica de Valencia “San Vicente Mártir” 11 Course Guide Logopedic treatment of voice disorders PCA-27-F-01 Ed. 00 • • • • • • • • • • • • • • Aljibe. Bustos Sánchez, I. (1996). Discriminación auditiva y logopedia. Libro y cassette. Madrid: Editorial CEPE. Casado, J.C. y Adrián, J.A. (2002). La evaluación clínica de la voz. Fundamentos médicos y logopédicos. Málaga: Ediciones Aljibe. Echevarría Goñi, S. (1998). La voz infantil. Educación y reeducación. Madrid: Ed. CEPE. Garcia-Tapia, R. y Cobeta Marco, I. (1996) Diagnóstico y tratamiento de los trastornos de la voz. Madrid: Editorial Garsi Heuillet-Martín, Geneviéve; Conrad, Liliane (2003). Hablar sin laringe. Barcelona: Ediciones Lebón. Heuillet-Martin, Geneviève; Garson-Bavard, Hélène; Legré, Anne (2003). Una voz para todos (tomo I y II). Marsella: Solal. Jackson- Menaldi, M.C. (1992) La voz normal. Buenos Aires: Ed. Panamericana. Jackson- Menaldi, M.C. (2002) La voz patológica. Buenos Aires: Ed. Panamericana. Le Huche, F. y Allali, A. (2004). La voz (4 tomos). Barcelona: Ed. Masson. McCallion, M. (1998). El libro de la voz. Barcelona: Ediciones Urano. Morrison, M y Ramaje, L. (1996). Tratamiento de los trastornos de la voz. Barcelona: Ed. Masson. Peña-Casanova, J. (2002). Manual de logopedia. Barcelona: Masson, S.A. Prater, R.J. & Swift, R.W. (1986). Manual de terapéutica de la voz. Barcelona: Salvat. Vila, J.M (2010) Guía de intervención logopédica en la disfonía infantil. Madrid: Síntesis TEMPORAL ORGANIZATION OF LEARNING CONTENT/TEACHING UNIT # OF MEETINGS 1 Part I: Units 1 y 2 2 2 Part I: Unit 3 2 3 Part I: Unit 4 10 4 Part II: Units 5 y 6 2 5 Part II: Units 7, 8 y 9 2 6 Part II: Units 10,11 y 12 2 Universidad Católica de Valencia “San Vicente Mártir” 12 Course guide Logopedic treatment of voice disorders 7 Part II: Units 13 y 14 2 8 Part II: Units 15 y 16 2 9 Part III: Units 17 y 18 3 Universidad Católica de Valencia “San Vicente Mártir”