Bachelor's degree in Speech and Language Therapy (to qualify as a speech and language therapist)

Speech therapy rehabilitation of disorders of the adult (2019/2020)

Course code
4S000188
Credits
6
Coordinator
Anna Maria Rosa Aragno

Teaching is organised as follows:
Unit Credits Academic sector Period Academic staff
LOGOPEDIA DEI DISTURBI DELLA VOCE 2 MED/50-APPLIED MEDICAL TECHNOLOGY AND METHODOLOGY LOGO 3A2S Stefania Brotto
PATOLOGIE OTORINOLARINGOIATRICHE 2 MED/31-OTORHINOLARYNGOLOGY LOGO 3A2S Daniele Marchioni
FONIATRIA E MALATTIE DELLA VOCE 2 MED/32-AUDIOLOGY LOGO 3A2S Anna Maria Rosa Aragno

Learning outcomes

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MM: LOGOPEDIA DEI DISTURBI DELLA VOCE
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1) Provide the criteria for choosing proper Evaluation and Speech Therapy, with special focus on Evidence 2) Provide the Evaluation Methodology: perceptive, objective, subjective 3) Provide the Rehabilitative Techniques and Methodologies, with special focus on those based on Evidences
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MM: PATOLOGIE OTORINOLARINGOIATRICHE
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Provide students with the knowledge and skills necessary for understanding diagnostic and therapeutic ENT procedures. At the lessons' conclusion, students will obtain appropriate knowledge to be able to support a prompt and effective conversation with patients and their families about ENT diseases. Students will acquire both pathophysiological and clinical basic knowledge of adults and children ENT diseases and rudiments of ENT methodology and therapy, especially concerning diseases of urgency. Finally, students will be experienced in the main daily surgical ENT procedures.
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MM: FONIATRIA E MALATTIE DELLA VOCE
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Provide students with the knowledge of the main diseases of the voice, their perceptive characteristics, in order to be able to program a specific rehabilitative treatment plan.

Syllabus

------------------------ MM: LOGOPEDIA DEI DISTURBI DELLA VOCE ------------------------ Voice Definition and Function 
- Notions of Euphony, Dysphonia and Dysody  - Voice Parameters - Phonation Physiology: Phonation Theories - Postural and Respiratory Evaluation - Laryngeal Palpation and Manipulation - Instrumental Diagnostic Evaluation
- Speech Therapy, Evaluation Protocols - Voice Profile - Voice Disorders Self-Assessment - VHI - Laryngologic and Rehabilitative Diagnosis - Dysphonia Classification - Non-organic and Psychogenic Dysphonia - Organic Dysphonia - Logopedic Take in Charge - Voice Disorders Counseling - Posture and Voice - Rules of Voice Hygiene - Holistic Methods - An Overview on Artistic Voice: singers and actors - Child Dysphonia: Evalutation, Diagnosis and Treatment 
- Speech therapy in major surgery results 
- Laryngectomy rehabilitation Didactic methods Classroom lessons include frontal lectures (supported by slides), exercises and clinical case evaluations. Exam bibliography: 1) Frontal Lecture Slides 2) F. Fussi, M. Gilardone, Clinica della voce, Ed. Libreria Cortina, 2009 3) Disturbi della voce in età evolutiva
- A. Borragan et altri, Il Metodo Propriocettivo Elastico (PROEL) nella terapia vocale, Acta Phoniatrica Latina, Vol. XXX,
n.1, 2008, Ed. La Garangola, Padova
- 4) R. Mazzocchi, Le disfonie infantili: una proposta terapeutica. Ed. Mazzocchi, 2013
 5) S. Magnani, Le disfonie psicogene (ebook, 2018) 6) M. Rossi, P. Andretta, S. Brotto, Profilo Vocale, ed. Omega, Torino
- 7) O. Schindler (a cura di), “La voce. Fisiologia, patologia, clinica e terapia” ed. Piccin, Padova, 2010 (Chap. 6, 9, 10, 11, 23, 29, 30, 40, 41, 42, 45,49, 50)
 In addition to compulsory texts, students may refer to the following texts for more detailed background information: Il mio quaderno della voce, ed. Del Cerro, Tirrenia, 2005
 Acta Phoniatrica Latina, La valutazione dei risultati del trattamento logopedico delle disfonie. Il protocollo Sifel, vol. 24, fasc. 1-2 , 2002 ed. La Garangola, Padova.
 Accornero, Balbuzie, stato dell’arte e intervento logopedico, ed. Minerva Medica, 2010
 Acta Phoniatrica Latina Balbuzie-update vol.30 fasc 2-3, 2008, Ed La Garangola, Padova, pp. 260-319.
 S. Calva, M. Nervo, G. Brondino, Il rilassamento infantile: tecniche comportamentali; ed. Omega, Torino, 1983
 A. Cimmino, R. Sperandeo, Il counseling nella terapia logopedica, SiPGI, 2009
 M. Di Pietro, l’ABC delle mie emozioni, vol. 4-7, 8-13, ed. Erikson
 F. Fussi, S. Magnani, Lo spartito logopedico, Ed. Omega, Torino, 2003
 F. Fussi, E. Turlà, Il trattamento delle disfonie: una prospettiva per il metodo Estill VoiceCraft, Ed. Omega, Torino, 2008 pp. 101-139
 F. Fussi, S. Magnani, L'arte vocale, Omega ed. 1994 S. Magnani, Il bambino e la sua voce, ed. F. Angeli, Milano, 2007 S. Magnani, “ Curare la voce. Diagnosi e terapia dei disturbi della voce”, Ed. F. Angeli, 2006 S. Magnani, F. Fussi; “Ascoltare la voce” itinerario percettivo alla scoperta della qualità della voce, Ed. F. Angeli, 2008 W. De Colle, “Voce e computer”. Analisi acustica del segnale verbale (il sistema CSL-MDVP), Ed. Omega, 2001 Linee guida per la pratica clinica Disfonia (SINTESI) 2009 Traduzione di A Schindler, D. Ginocchio, O. Schindler, Schwarz SR, Cohen SM, Dailey SH, Rosenfeld RM, Deusch ES, Gillespie B et al.
 K. Verdolini Abbott, La voce in risonanza (LMRVT), Ph.D., CCC-SLP- University of Pittsburgh ------------------------ MM: PATOLOGIE OTORINOLARINGOIATRICHE ------------------------ -Ear anatomy and physiology. Otoscopic and otoendoscopic procedures. Hearing loss classification. - Functional diagnostics: objective and sobjective audiometry. Child audiometry. - Outer ear diseases. Middle ear diseases: media, acute and chronic otitis, cholestetoma, otosclerosis. Surgical techniques: myringoplasty, tympanoplasty, ossiculoplasty, stapedoplasty. - Vestibology: anatomical physiology. Clinical and instrumental semiotics. Diagnosis and treatment. - Pediatric hearing loss: classification, diagnostics and rehabilitation. Cochlear implants: surgical indications and techniques. Neonatal hearing screening. - Paranasal sinuses anatomy and physiology. Nose and sinuses inflammatory disease. Nasal and sinus polyposis. Epistaxis. - Skull base: anatomy. ENT anterior and lateral skull base deseases. Surgical procedures. - Benign and malignant tumors of paranasal sinuses. - Pharynx anatomy and physiology. Acute and chronic tonsillitis. Tonsillectomy. - Salivary glands: inflammatory and neoplastic iseases. - Larynx anatomy and physiology. Vocal cord paralysis. Larynx benign and malignant diseases. - Larynx surgery: cordectomies, reconstructive and total laryngectomies. - Dyspnea. Tracheotomy. - Neck anatomy. Lymph node levels. Neck masses' diagnostics. Lateral cervical lymph nodes draining. - Anatomy and pathology of salivary glands ------------------------ MM: FONIATRIA E MALATTIE DELLA VOCE ------------------------ Concept of euphony and dysphonia The physiology of the vocal tract Posture and voice The management of cost-diaphragmatic breathing The classification of dysphonia: congenital, acquired, organic and disfunctional dysphonia Congenital dysphonia: laryngomalacia, congenital glottic diafragm cri du chat, laryngeal papillomatosis in childhood, vergeture and sulcus, epidermoid cysts Acquired dysphonia. Organic: laryngitis, nodules, polyps, ritentional cysts, laringocele, submucosal hemorragy, laryngeal paralysis and neurological trouble. The cancer of the larynx: voice and swallowing rehabilitation after partial and total laryngectomy. Acquired dysphonia. Functional: hypokinetic and hyperkinetic dysphonia, vocal problem of children, disorders of the mutational voice, psychogenic dysphonia. Instrumental semiotics for the evaluation of voice disorders: fiberoptic laryngoscopy, laryngeal stroboscopy, electroacoustic parameters: spectrogram, MDVP, vocalgram

Assessment methods and criteria

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MM: LOGOPEDIA DEI DISTURBI DELLA VOCE
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Assessment modality: Oral examination Professor’s Contact Information: Telephone 3406587920 e-mail: stefania.brotto@gmail.com - stefania.brotto@univr.it Office hours: By appointment, before or after lessons hours
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MM: PATOLOGIE OTORINOLARINGOIATRICHE
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oral examination
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MM: FONIATRIA E MALATTIE DELLA VOCE
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The exam consists of a written test based on open-ended questions. In response questions, it is required the ability to match the synthesis and clarity. Each of the open questions is evaluated from 0 to 10 points, according to: a) relevance of the answer b) ability to synthesize c) properties of language

Reference books
Author Title Publisher Year ISBN Note
Oskar Schindler “La voce. Fisiologia patologia clinica e terapia” omega 2010
Roberto Albera, Giovanni Rossi Otorinolaringoiatria (Edizione 4) Minerva Medica 2016 887711875X

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