SA SLP: Recent Episodes
Zakiyya Verachia
The South African Speech-Language Pathology podcast is a place where we discuss all things speech pathology related. From diagnosis to management to the South African context - we have you covered. With exciting guest speakers each week, this is the place to be if you’re a SA SLP!
This week Aneesah Moosa is back to chat all things intervention. We discuss some general considerations and principles of MSD treatment and then talk about specific treatment options for dysarthria and apraxia of speech. Please see the time stamps below for details of the discussion and don’t forget to check out the links we included.
Time stamps
0:30 - general treatment goals and principles for MSDs
0:45 - management and the ICF
1:40 - factors that may influence treatment
2:50 - dysarthria management
3:45 - dysarthria treatment options
4:47 - treating speech subsystems in dysarthria
7:34 - intervention for apraxia of speech
8:09 - modifying barriers to communication for apraxia
9:00 - approaches to apraxia management
10:05 - setting goals for dysarthria
11:13 - setting goals for apraxia
Important links:
AAC practise portal: https://www.asha.org/practice-portal/professional-issues/augmentative-and-alternative-communication/
Choosing treatment options for apraxia: https://www.google.co.za/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&ved=2ahUKEwiRnKGSqPH6AhWIS8AKHZXQCYYQFnoECCoQAQ&url=https%3A%2F%2Fwww.medbridgeeducation.com%2Fblog%2F2016%2F02%2Facquired-apraxia-of-speech-what-is-the-best-treatment-option%2F&usg=AOvVaw1kXgOtMjSZC16Ln4k94a6X
Treatment guidelines for apraxia: https://go.gale.com/ps/i.do?id=GALE%7CA147007296&sid=googleScholar&v=2.1=r&linkaccess=abs&issn=10651438&p=AONE&sw=w&userGroupName=anon%7E7398e1f4
Dysarthria resources: https://theadultspeechtherapyworkbook.com/dysarthria-exercises-for-adults/
Food for thought on dysarthria treatment: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6464736/
Apraxia case: https://www.asha.org/siteassets/uploadedfiles/person-centered-acquired-apraxia-speech.pdf
Dysarthria case: https://www.asha.org/siteassets/uploadedfiles/icf-dysarthria.pdf
CPD questions: https://docs.google.com/forms/d/e/1FAIpQLScVtg5EEhDL0Dvcn3IQe3Ras6s8X_vvAyLN9Ljl6pbZy4KdAw/viewform?usp=sf_link
Please find our references here: https://docs.google.com/document/d/14LNPBuY4f5O9zjc6FsU5B0VNNtwYPWkE7PfTA1x8iV4/edit
Welcome back! This week we are continuing with our topic and will be discussing the assessment of Motor Speech Disorders. Aneesah Moosa joined us again to share her tips and important points. In this episode, we go over the specific assessment protocol for dysarthria as well as apraxia, important considerations for assessment, how assessment assists with differential diagnosis(which we discussed in detail last week!) and we have included loads of resources to help you with assessment which you can find linked below.
Time stamps:
01:18 - assessment expectations
02:30 - assessment of dysarthria
02:53 - case history considerations for dysarthria
03:43 - additional assessment measures for dysarthria
06:38 - explanation of Newcastle dysarthria tool
08:01 - considerations for assessment
08:59 - assessment of apraxia
11:30 - assessment tools for apraxia
12:47 - housekeeping, CPD points
OSME checklist: https://www.lamar.edu/fine-arts-communication/_files/documents/speech-hearing/oral_mech.pdf
Newcastle dysarthria assessment tool: https://nswspeechpathologyebp.files.wordpress.com/2015/10/newcastle-ebp-dysarthria-assessment-tool-n-dat-dec-2015.pdf
Journal article reviewing dysarthria assessments: https://openpublichealthjournal.com/VOLUME/12/PAGE/384/FULLTEXT/
ASHA on Apraxia: https://www.asha.org/practice-portal/clinical-topics/acquired-apraxia-of-speech/#collapse_7
Apraxia and the ICF: https://www.asha.org/siteassets/uploadedfiles/person-centered-acquired-apraxia-speech.pdf
CPD points questionnaire: https://docs.google.com/forms/d/e/1FAIpQLSe_4nHUVeqjzaeaBxSRCI6dgj_VByF2kVUQPXcWEhE3Yg_5XA/viewform?usp=sf_link
References
Duffy, J. R. (2006). History, current practice, and future trends and goals. Motor speech disorders, 7-56.
Lehner, K., Ziegler, W., & KommPaS Study Group. (2021). Clinical measures of communication limitations in dysarthria assessed through crowdsourcing: Specificity, sensitivity, and retest-reliability. Clinical Linguistics & Phonetics, 1-22.
Lowit, A., & Kent, R. D. (2010). Assessment of motor speech disorders. Plural publishing.
Qualls, C. (2012). Chapter 8 - Neurogenic disorders of speech, language, cognition-communication, and swallowing. In Communication Disorders in Multicultural and International Populations (4th ed.). Retrieved 29 September 2022, from.
This week’s episode features special guest Aneesah Moosa - an expert in the field of motor speech disorders(MSDs) in adults. This is the first in a three part series where we will discuss MSDs in details. This first episode discusses the differential diagnosis of MSDs focusing on the key characteristics of apraxia and dysarthria with practical tips and advice from Aneesah.
Episode links:
Table for distinguishing dysarthria types: https://www.asha.org/practice-portal/clinical-topics/dysarthria-in-adults/distinguishing-perceptual-characteristics/
Differential diagnosis pdf: https://mcusercontent.com/9d6a74529e582194efdc47b87/files/bc013cf1-63ae-c098-b796-23264abe50c7/Differential_Diagnosis_Chart.01.pdf
Multiple choice quiz to obtain CPD points: https://docs.google.com/forms/d/1zKfsWK_DDFeZjzruHowpQehdQXFh_SOz4BLEa57LvzE/viewform?ts=633d8359&edit_requested=true