BASLP - Semester III

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Course overview

The program shall be of 4 academic years including 1 year of internship and should be completed within six years from the date of admission.

What will i learn?

Function as audiologists and speech-language pathologists in different work settings
Understand concepts in speech, language, communication, hearing and disability
Screen, evaluate, diagnose and assess the severity of different disorders related to speech, language, swallowing and hearing,
Manage speech, language, swallowing and hearing disorders across life span
Counsel persons with disorders of communication and their family members
Rehabilitate persons with speech, language, swallowing and hearing disorders
Prevent speech, language, swallowing and hearing disorders
Liaise with professionals in allied fields and other stake holders
Implement public awareness and education program,
Undertake advocacy measures on behalf of and for persons with speech language and hearing disorders

Requirements

Pass in 12th Standard (50%)
Clearing Online Entrance examination of RCI (AIOAT).

Curriculum for this course

198 Lessons 00:00:00 Hours

Basic concepts in voice and its production

10 Lessons 00:00:00 Hours

Definition and functions of voice – biological and non-biological
.
Parameters of voice
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Structures and function of respiratory system for the purpose of phonation
.
Laryngeal anatomy – Structural support of larynx, muscles, vocal fold microstructure, blood supply, and innervations
.
Vocal tract resonance and voice quality
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Development of voice: Birth to senescence; structural and voice related changes
.
Aerodynamic myo-elastic theory of voice production
.
Voice mechanics – Physiologic, acoustic and aerodynamic correlates of voice
.
Pitch and loudness changing mechanism, voice registers and voice quality
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Description of normal and abnormal voice: Parametric, pathologic/perceptual, social
.

Characteristics and pathophysiology of voice disorders

10 Lessons 00:00:00 Hours

Pathologies of the laryngeal mechanism: classification of voice disorders, incidence, and prevalence
.
Etiology of voice disorders: voice misuse and abuse, medical related etiologies, primary disorder etiologies and personality related etiologies
.
Pathologies of vocal fold cover (infective and trauma related secondary conditions) and muscular dysfunction
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Non-organic voice disorders: functional disorders, psychosomatic- functional aphonia and physiological- voice abuse, puberphonia)
.
Congenital voice disorders
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Neurological voice disorders
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Voice problems in systemic illnesses and endocrine disorders
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Voice problems in transgenders
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Voice problems in the elderly
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Voice problems in professional voice users: teachers and singers
.

Assessment of voice

10 Lessons 00:00:00 Hours

Referral sources, medical examination and team approach
.
Protocol for voice assessment: components and philosophies (ICF, ICD)
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Clinical voice laboratory: principles of instrumental measurements – electrical error, electrical safety, hygiene safety; recording of data; storage; patented soft wares, free wares
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Perceptual evaluation of voice: GRBAS, CAPE -V
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Visualization procedures- indirect laryngoscopy, video laryngoscopy & stroboscopy
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Acoustic analysis of voice: F0 related measures, intensity related measures, quality related measures, phonetogram, DSI
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Electroglottography and inverse filtering procedures
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Aerodynamic analysis of voice: static & dynamic measures
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Self-evaluation of voice : PROM, VHI, V-DOP
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Reporting of voice findings, normative comparisons, differential diagnosis
.

Management of voice

9 Lessons 00:00:00 Hours

Voice therapy orientation: basic principles, goal setting and approaches
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Vocal hygiene and preventive counselling
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Symptomatic voice therapy – voice facilitation techniques
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Psychological approaches to voice therapy – psychoanalysis, rational emotive therapy and cognitive behavior therapy
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Physiological approach – breathing and postural techniques
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Holistic voice therapy approaches -1: accent therapy, confidential voice therapy,
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Holistic voice therapy approaches - 2: vocal function exercises, resonant voice therapy, Lee Silverman voice therapy
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Medical and surgical procedures in the treatment of benign vocal fold lesions: pharmaceutical effects on voice, phono surgery : re-innervation techniques, laryngeal framework surgeries, micro laryngeal excision
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Professional voice care
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Intervention strategies for voice disorders

12 Lessons 00:00:00 Hours

Vocal trauma related disorders
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Functional voice disorders – inappropriate vocal components
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Functional aphonia
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Puberphonia/mutational falsetto
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Muscle tension dysphonia
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Sulcus vocalis
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Vocal fold palsy
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Spasmodic dysphonia
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GERD/LPR
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Benign vocal fold lesions requiring surgical intervention
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Post-operative care for benign vocal fold lesions disorders
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Documenting voice therapy outcomes
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Practicals (Voice and its Disorders)

10 Lessons 00:00:00 Hours

Record phonation and speaking samples (counting numbers) from five children, adult men, adult women, geriatric men and geriatric women. Note recording parameters and differences in material.
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Make inferences on age and sex differences across the samples obtained in the previous experiment using perceptual voice profiling. Make a note of differences in pitch, loudness, quality and voice control. Explain how voice reflects ones personality and o
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Perform an acoustic voice analysis on phonation sample and generate a voice report based on acoustic findings. Compare findings between men & women.
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Perform MPT and s/z ratio. Infer differences across age and sex.
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Perform spirometry or any other appropriate aerodynamic procedure. Infer differences across age and sex.
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Perform acoustic analysis on five abnormal voice samples
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Observe and document findings from five laryngeal examinations (pre-recorded or live) such as VLS, stroboscopy or any other relevant.
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Administer a PROM on five individuals.
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Prepare a vocal hygiene checklist.
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Demonstrate therapy techniques such as vocal function exercise, resonant voice therapy, digital manipulation, push pull, relaxation exercises.
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Speech sound acquisition and development

10 Lessons 00:00:00 Hours

Fundamentals of articulatory phonetics - phonetic description of vowels & consonants.
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Phonology & phonological theories – generative phonology, natural phonology.
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Phonology & phonological theories – non-linear phonology, optimality theory.
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Methods to study speech sound acquisition – diary studies, cross sectional studies and longitudinal studies.
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Speech sound acquisition
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Acoustics of speech sounds
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Speech intelligibility, factors affecting speech intelligibility, assessment of speech intelligibility
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Co articulation: types and effects
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Phonological development in bilingual children.
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Phonological development in Indian languages.
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Assessment of speech sound disorders – I

7 Lessons 00:00:00 Hours

Current concepts in terminology and classification of speech sound disorders
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Factors related to speech sound disorders
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Introduction to assessment procedures: aims of assessment, screening and comprehensive assessment.
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Speech sound sampling procedures - issues related to single word and connected speech samples; imitation and spontaneous speech samples, contextual testing, recording of speech samples.
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Review of tests in English and other Indian languages - Single word articulation tests, deep articulation of articulation, and computerized tests of phonology.
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Influence of language and dialectal variations in assessment.
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Transcription of speech sample - transcription methods –IPA and extension of IPA; broad and narrow transcription.
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Assessment of speech sound disorders – II

10 Lessons 00:00:00 Hours

Introduction to independent and relational analysis.
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Independent analyses – phonetic inventory, phonemic inventory and phonotactic inventory (utility of independent analysis for analysis of speech of young children and children with severe speech sound disorders).
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Relational analyses – SODA, pattern analysis, (distinctive features, phonological process analysis).
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Phonological processes analyses - language specific issues, identification and classification of errors.
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Assessment of oral peripheral mechanism.
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Speech sound discrimination assessment, phonological contrast testing.
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Stimulability testing.
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Determining the need for intervention – speech intelligibility and speech severity assessment.
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Factors influencing target selection – stimulability, frequency of occurrence, developmental appropriateness, contextual testing, and phonological process analysis.
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Case study – Documenting the assessment findings and determining the need for intervention.
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Management – I

10 Lessons 00:00:00 Hours

Basic considerations in therapy – target selection, basic framework for therapy, goalattack strategies, organizing therapy sessions, individual vs. group therapy.
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Treatment continuum – establishment, generalization and maintenance; measuring clinical change.
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Facilitation of generalization.
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Maintenance and termination from therapy.
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Motor-based treatment approaches – Principles of motor learning.
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Discrimination/ear training and sound contrast training.
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Establishing production of target sound – imitation, phonetic placement, successive approximation, context utilization.
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Traditional approach, contextual/sensory-motor approaches.
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General guidelines for motor-based treatment approaches.
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Use of technology in articulation correction.
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Management – II

10 Lessons 00:00:00 Hours

Core vocabulary approach.
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Introduction to linguistically-based treatment approaches- Distinctive feature therapy.
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Minimal pair contrasts therapy.
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Metaphon therapy, Cycles approach.
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Broad-based language approaches.
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General guidelines for linguistically-based approaches.
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Phonological awareness and phonological disorders.
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Phonological awareness intervention for preschool children.
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Adapting intervention approaches to individuals from culturally and linguistically diverse backgrounds.
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Role of family in intervention for speech sound disorders.
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Practicals (Speech Sound Disorders)

10 Lessons 00:00:00 Hours

List the vowels and consonants in your primary language and provide phonetic and acoustic descriptions for the speech sounds.
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Identify the vowels and consonants of your language on the IPA chart and practice the IPA symbols by transcribing 25 words.
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Make a list of minimal pairs (pairs of words which differ by only one phoneme) in English.
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Make a list of minimal pairs in any language other than English.
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Identify the stages of speech sound acquisition by observations from videos of children from birth to 5 years of age.
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Record the speech of a two year old typically developing child, transcribe and analyze the speech sample.
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Record the speech of one typically developing child from 3-5 years of age (include single word and connected speech samples), transcribe the sample, and perform phonological assessment.
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Analyze transcribed speech samples of typically developing children – practice independent and relational analysis.
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Practice instructions for phonetic placement of selected sounds.
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Develop a home plan with activities for any one section of phonological awareness in English and in one Indian language.
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Introduction to diagnostic audiology

7 Lessons 00:00:00 Hours

Characteristics of a diagnostic test, difference between screening and diagnostic test, functions of a diagnostic test in Audiology
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Need for test battery approach in auditory diagnosis and integration of results of audiological tests, cross-check principle
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Concept of sensitivity, specificity, true positive, true negative, false positive, false negative, hit rate
.
Definition of behavioural and physiological tests and their characteristics in diagnostic audiology
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Theories and physiological bases of recruitment
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Theories and physiological bases of adaptation
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Clinical indications for cochlear pathology, retro-cochlear pathology, central auditory processing disorders, functional hearing loss, vestibular disorders
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Tests to identify cochlear and retro cochlear pathology

7 Lessons 00:00:00 Hours

ABLB, MLB and SISI tests
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Behavioural tests of adaptation
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Bekesy audiometry
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Brief tone audiometry
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PIPB function
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Glycerol test
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Test to identify dead regions of cochlea
.

Tests to diagnose functional hearing loss

4 Lessons 00:00:00 Hours

Behavioural and clinical indicators of functional hearing loss
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Pure tone tests including tone in noise test, Stenger test, BADGE, puretone DAF
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Speech tests including Lombard test, Stenger test, lip-reading test, Doerfler-Stewert test, Low level PB word test, Yes-No test, DAF test
.
Identification of functional hearing loss in children: Swinging story test, Pulse tone methods
.

Assessment of central auditory processing

10 Lessons 00:00:00 Hours

Definition, different behavioral processes
.
Behavioral and clinical indicators of central auditory processing disorders
.
Bottle neck and subtlety principles and their implications in
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Tests to detect central auditory processing disorders
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Monaural low redundancy tests - filtered speech tests, time compressed speech test, speech-in-noise test, SSI with ICM, other monaural low redundancy tests.
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Dichotic speech tests – Dichotic digit test, Staggered spondaic word test, Dichotic CV test, SSI with CCM, Competing sentence test, other dichotic speech tests.
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Binaural interaction tests – RASP, BFT, MLD, other binaural interaction tests
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Tests of Temporal processing – pitch pattern test, duration pattern tests, other temporal ordering tests, gap detection test, TMTF
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Variables influencing the assessment of central auditory processing: Procedural and subject variables
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Test findings of important tests in subjects with central auditory disorders: brainstem lesion, cortical, CAPD in children.
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Assessment of persons with vestibular disorder, tinnitus, hyperacusis

9 Lessons 00:00:00 Hours

Introduction to structure and function of vestibular system
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Vestibular ocular reflex and vestibulo spinal reflex
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Overview on other systems involved in balance
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Signs and Symptoms of vestibular disorders
.
Team in the assessment and management of vestibular disorders
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Behavioral tests to assess vestibular functioning: Fukuda stepping test, tandem gait test, finger nose pointing, Romberg test, Sharpened Romberg test, Dix-Hallpike test, Log-roll test
.
Overview of tinnitus and hyperacusis and tests for assessment
.
Pitch matching, loudness matching, residual inhibition, Feldman masking curves
.
Johnson Hyperacusis Dynamic Range Quotient
.

Types of hearing aids

5 Lessons 00:00:00 Hours

Historical development of hearing aids: development of concept of amplification, development of different types of amplification devices
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Review of basic elements of hearing aids: Microphone, Amplifier, Receiver/vibrator, Cords, Batteries.
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Classification and Types of hearing aids
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Group amplification – hard wired, induction loop, FM, infrared
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Assistive listening devices – types and selection (Telephones, Television, typing technology)
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Technological aspects in hearing aids

8 Lessons 00:00:00 Hours

Routing of signals, head shadow/baffle/diffraction effects
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Output limiting and issues related to them: peak clipping, compression
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Concept and use of compression in hearing aids: BILL, TILL, PILL, Wide Dynamic Range Compression, Syllabic Compression, Dual Compression
.
Signal processing in hearing aids – BILL, TILL, PILL
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Signal enhancing technology
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Noise reduction algorithms
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Extended low frequency amplification, frequency lowering technology (transposition, compression)
.
Recent advances in hearing aids
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Electro-acoustic measurements for hearing aids

5 Lessons 00:00:00 Hours

Purpose and Parameters to be considered: OSPL90, SSPL90,HFA SSPL90, Gain, Full on Gain, HFA Full on Gain, Reference test Gain, Basic Frequency Response, Total Harmonic distortion, Intermodulation Distortion, input Output functions, instrumentation, proced
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Electro-acoustic measurements, BIS, IEC and ANSI standards
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Environmental tests.
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Care, maintenance and troubleshooting of hearing aids
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Counselling and orienting the hearing aid user (Client and significant others)
.

Selection of hearing aids

5 Lessons 00:00:00 Hours

Pre-selection factors; Prescriptive and comparative procedures; Functional gain and insertion gain methods; Use of impedance, OAEs and AEPs audiometry; Hearing aids for conductive hearing loss; Hearing aids for children; Hearing aids for elderly; Selectio
.
Hearing aid programming
.
Methods for assessing hearing aid benefit
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Real ear insertion measurements for verification of hearing aid benefit: REIG, REUR, REAR, REOR, RESR, REIG, REAG, RECD
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Acoustic feedback in hearing aids
.

Mechano-acoustic couplers (Ear molds)

5 Lessons 00:00:00 Hours

Different types of molds
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Procedure for hard molds and soft mold
.
UV curing methods
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Special modifications in the ear molds: Vents (diagonal and parallel), deep canal molds, short canal, horns, Libby horn, reverse horn, acoustic modifier
.
Effects of mechano-acoustic couplers on the hearing aid output
.

Practicals (Amplification Devices)

11 Lessons 00:00:00 Hours

Listen to the output of different types and classes of hearing aids (monaural, binaural, analog, digital hearing aids), in different settings
.
Troubleshoot hearing aids: Check the continuity of the receiver cord using multi meter, measure the voltage of different sized batteries using multi meter, Check voltage of batteries different types and sizes
.
Carry out electroacoustic measurements for the body level and ear level hearing aids
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Program the hearing aid for different configuration and degrees of hearing loss (at least 5 different audiograms) using different prescriptive formulae e) Program the hearing aid for different listening situations (at least 3 different situations)
.
Vary the compression settings in a digital hearing aid and note down the differences in the output
.
Perform real ear insertion measurements using different hearing aids (body level and ear level, hearing aids of different gains)
.
Compare speech perception through conventional BTE and RIC hearing aids using a rating scale
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Observe assistive listening devices such as telephone amplifier, vibro-tactile alarms, note down the candidacy and their utility.
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Administer a questionnaire to assess hearing aid benefit on 2 persons using hearing aids.
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Carry out a role play activity of counselling a hearing aid user
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Ear Molds
.

Clinicals in Speech Language Pathology

2 Lessons 00:00:00 Hours

General considerations - Exposure is primarily aimed to be linked to the theory courses covered in the semester
.
General considerations - After completion of clinical postings in Speech –language diagnostics, the student will know (concepts), know how (ability to apply), show (demonstrate in a clinical diary/log book based on clinical reports/recordings, etc), and d
.

Clinicals in Audiology

2 Lessons 00:00:00 Hours

General considerations - Exposure is primarily aimed to be linked to the theory courses covered in the semester, however, not just limited to these areas.
.
General considerations - After completion of clinical postings in auditory diagnostics and auditory rehabilitation, the student will Know (concept), know how (ability to apply), show (demonstrate in a clinical diary/log book), and do (perform on patients/
.