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• Cover image
• Title page
• Table of Contents
• Copyright
• Dedication
• Preface
• Acknowledgments
• Part One: Substrates
• Chapter 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
• Summary
• Chapter 2: Neurologic Bases of Motor Speech and Its Pathologies
• Gross Neuroanatomy and Major Neurologic Systems∗
• Primary Structural Elements of the Nervous System
• Clinicopathologic Correlations
• The Speech Motor System
• The Conceptual-Programming Level and Speech
• Summary
• Chapter 3: Examination of Motor Speech Disorders
• Purposes of Motor Speech Examination
• Guidelines for Examination
• The Motor Speech Examination
• Summary
• Appendix A Deviant Speech Characteristics Encountered in Motor Speech Disorders
• Appendix B Grandfather Passage13
• Part Two: The Disorders and Their Diagnoses
• Chapter 4: Flaccid Dysarthrias
• Clinical Characteristics of Flaccid Paralysis
• Etiologies
• Speech Pathology
• Cases
• Summary
• Chapter 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
• Summary
• Chapter 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
• Speech Pathology
• Cases
• Summary
• Chapter 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
• Summary
• Chapter 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
• Etiologies
• Speech Pathology
• Cases
• Summary
• Chapter 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 Distinctiveness of Unilateral Upper Motor Neuron Dysarthria: Conclusions and Clinical Suggestions
• Cases
• Summary
• Chapter 10: Mixed Dysarthrias
• Etiologies
• Speech Pathology
• Cases
• Summary
• Chapter 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
• Summary
• Chapter 12: Neurogenic Mutism
• Motor Speech Disorders and Mutism
• Aphasia and Mutism
• Disorders of Arousal, Responsiveness, and Diffuse Cortical Functions
• Etiology-Specific Neurogenic Mutism
• Cases
• Summary
• Chapter 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
• Summary
• Chapter 14: Acquired Psychogenic and Related Nonorganic Speech Disorders
• Etiologies
• Speech Pathology
• Cases
• Summary
• Chapter 15: Differential Diagnosis
• General Guidelines for Differential Diagnosis
• 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 Psychogenic Speech Disorders
• Summary
• Part Three: Management
• Chapter 16: Managing Motor Speech Disorders: General Considerations
• Management Issues and Decisions
• Approaches To Management
• Foundations for Behavioral Management
• Treatment Efficacy
• Summary
• APPENDIXA Information Resources
• APPENDIXB Practice Guidelines, Systematic Reviews, and Evidence-Based Practice Publications and Related Sources of Information Regarding Systematic Reviews and Evidence-Based Practice Guidelines for Speech-Language Pathology, with Emphasis on MSDs
• Chapter 17: Managing the Dysarthrias
• Speaker-Oriented Treatment
• Speaker-Oriented Treatment for Specific Dysarthria Types
• Communication-Oriented Treatment
• Summary
• Chapter 18: Managing Apraxia of Speech
• General Perspectives
• Approaches to Management
• Principles and Guidelines for Behavioral Management
• Behavioral Management Approaches
• Summary
• Chapter 19: Management of Other Neurogenic Speech Disturbances
• Neurogenic Stuttering
• Palilalia
• Echolalia
• Cognitive and Affective Disturbances
• Aphasia
• Pseudoforeign Accent
• Aprosodia
• Summary
• Chapter 20: Managing Acquired Psychogenic and Related Nonorganic Speech Disorders
• General Principles and Guidelines
• General Treatment Techniques
• Symptomatic Treatment for Specific PNSDs
• Summary
• Index