This podcast discusses differential diagnosis of motor speech disorders and talks through the usefulness of the linked tool for the assessment and differential diagnosis of dysarthria and apraxia of speech. Additionally, the importance of certain treatment principles are discussed. These principles include the importance of considering how a patient is going to generalise the skills they have learnt in therapy to other communication contexts, as well as the importance of the inclusion of family in therapy sessions so that they can help the patient practice and implement different communication strategies they are given at therapy to their home environment. The International Classification of Functioning, Disability and Health (ICF), which is a framework that is used to consider the domains of body functioning, body structure, activities and participation of a patient, is discussed with regard to treatment principles. The ICF is also applied to a case in this podcast in order to help clinicians understand the use of this framework when developing treatment goals that are patient-centred and inclusive of the multidisciplinary team (MDT).
Tool for differential diagnosis of motor speech disorders:
https://asha.figshare.com/articles/online_resource/Motor_speech_rating_tutorial_Iuzzini-Seigel_et_al_2022_/19709146?file=35021935
References:
American Speech-Language-Hearing Association. (n.d.). Family-Centered Practice. Retrieved October 18, 2022, from https://www.asha.org/practice-portal/clinical-topics/autism/family-centered-practice/
Enderby, P. (2013). Disorders of communication: dysarthria. Handbook of clinical neurology, 110, 273-281. https://doi.org/10.1016/b978-0-444-52901-5.00022-8
Iuzzini-Seigel, J., Allison, K. M., & Stoeckel, R. (2022, October 6). A Tool for Differential Diagnosis of Childhood Apraxia of Speech and Dysarthria in Children: A Tutorial. Language, Speech, and Hearing Services in Schools, 53(4), 926–946. https://doi.org/10.1044/2022_lshss-21-00164
McNeil, M. R., Ballard, K. J., Duffy, J. R., Wambaugh, J. U. L. I. E., van Lieshout, P., Maassen, B., & Terband, H. (2017). Apraxia of speech theory, assessment, differential diagnosis, and treatment: Past, present, and future. Speech motor control in normal and disordered speech: Future developments in theory and methodology, 195-221.
Link to MCQ:
https://forms.gle/wp7KDDCvGehzhrZh8
