BSLP Semester VI

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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

188 Lessons 00:00:00 Hours

Causes & Characteristics of dysarthria

12 Lessons 00:00:00 Hours

Definition, etiology and classification of acquired dysarthria
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General, speech and feeding related characteristics of acquired dysarthria with and without genetic underpinnings:
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Vascular lesions: dysarthria following stroke/CVA, cranial and peripheral nerve palsies
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Infectious condition of the nervous system: dysarthria following meningitis, encephalitis, polyneuritis, poliomyelitis, neurosyphilis.
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Traumatic lesions: Dysarthria following TBI.
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Toxic conditions of the nervous system: Dysarthria following exogenic and endogenic toxic conditions of the nervous system.
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Anoxia of the nervous system: Dysarthria following anoxic conditions
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Metabolic disorders affecting nervous system: Dysarthria following metabolic conditions that affect the nervous system, Wilson’s disease etc.
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Idiopathic causes: Dysarthria following idiopathic causes
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Neoplastic lesions of nervous system: Dysarthria following neoplastic lesions in the nervous system
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Demyelinating and degenerative conditions: Huntington ’s chorea, Parkinson’s, Multiple Sclerosis, Motor Neuron Diseases
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Administer bilingual aphasia test on 3 healthy normal adults.
.

Assessment and diagnosis of dysarthria

3 Lessons 00:00:00 Hours

Subjective assessment of dysarthria:
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Instrumental analysis of speech in dysarthria: Acoustic, kinematic and physiological
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Advantages and disadvantages of subjective and instrumental procedures in the assessment of dysarthria in adults
.

Management of dysarthria

7 Lessons 00:00:00 Hours

Management of acquired dysarthria
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General principles in the management of dysarthria
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Influence of medical, prosthetic and surgical procedures on the speech in persons with acquired dysarthria.
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Facilitative approach: vegetative, sensorimotor and reflex based.
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Systems approach: correction of respiratory, phonatory, resonatory, articulatory and prosodic errors.
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Strategies to improve speech intelligibility and speech enhancement techniques
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Strategies to improve feeding, swallowing behavior in persons with acquired dysarthria
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Assessment and management of apraxia in adults

6 Lessons 00:00:00 Hours

Definition, etiology and classification of acquired apraxia
.
Characteristics of nonverbal apraxia’s in adults
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Characteristics of verbal apraxia’s in adults
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Subjective assessment strategies: standard tests and scales, protocols and behavioral profiles
.
Instrumental analysis of the speech of apraxia in adults: Acoustic, Kinematic and Physiological
.
Management Approaches for verbal & nonverbal apraxia: principles and strategies
.

Management related issues in motor speech disorders

4 Lessons 00:00:00 Hours

Team involved in the management of persons with acquired dysarthria and apraxia
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Issues related to maintenance and generalization of speech in dysarthria and apraxia
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Counselling and guidance for persons with acquired dysarthria and apraxia
.
Augmentative and alternative strategies for persons with acquired dysarthria and apraxia
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Motor Speech Disorders in Adults Practicals

10 Lessons 00:00:00 Hours

Identify the cranial nerves and mention its origin and insertion from a picture/ model. Demonstrate methods to assess the cranial nerves.
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Assess the respiratory system using speech and non-speech tasks in 10 healthy adults.
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Assess the phonatory system using subjective and acoustic analysis in 10 healthy adults
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Looking at a video identify the clinical signs and symptoms of different neurological conditions resulting in Dysarthria.
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Record the speech sample of 5 normal adults and compare with the audio sample of individuals with Dysarthria.
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Administer Duffy’s intelligibility rating scale on 5 healthy adults.
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Administer Frenchay’s Dysarthria Assessment on 5 healthy adults.
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Demonstrate activities to improve the functions of speech subsystem.
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Identify the signs of UMN and LMN based on a video.
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Prepare a low tech AAC for functional communication for an individual with apraxia.
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Neural bases of language

4 Lessons 00:00:00 Hours

Correlates of language functions
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Neurolinguistic models of language processing
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Language process in bi/multilingualism
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Language processing in right hemisphere
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Language disorders in adults

2 Lessons 00:00:00 Hours

Definition, causes and characteristics of speech, language and cognition in Aphasia
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Differential diagnosis of various language disorders seen in adults.
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Assessment and diagnosis of language disorders

4 Lessons 00:00:00 Hours

Assessment of the following in aphasia, primary progressive aphasia, traumatic brain injury, right hemisphere damage, schizophasia and dementia
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Linguistic behaviour including speech: scales, tests, protocols.
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Assessment of cognitive, social, behavioural characteristics
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Medical Investigation: Neuroimaging
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Management of language disorders

1 Lessons 00:00:00 Hours

Medical, linguistic and programmed intervention for persons with Aphasia
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Rehabilitation issues relating to adult language disorders

9 Lessons 00:00:00 Hours

Team involved in the rehabilitation of persons with adult language disorders
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Factors influencing the assessment and intervention for language in the context of bilingual and multilingual influences.
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Factors influencing the assessment and management of language in persons who are preliterate, illiterate and literate.
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Assessment of quality of life
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Recovery patterns and prognosis in adults with language disorders
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Age related influence in adults with language disorders
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Counselling and guidance for adults with language disorders
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Generalization and maintenance issues in adults with language disorders
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Augmentative and alternative strategies for adults with language disorders
.

Language Disorders in Adults Practicals

9 Lessons 00:00:00 Hours

Identify different lobes of in the brain by looking at a model/ image and label the language areas.
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Administer a standardized test battery on 3 normal individuals to assess language and cognition.
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List the language characteristics in different types of aphasia from a video.
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Analyse the speech, linguistic and non-linguistic features seen in Right hemisphere damaged individual from a video.
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In a given brain model mark the subcortical structures involved in language processing/ production.
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Demonstrate various facilitatory and compensatory therapy techniques in the management of aphasia.
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Formulate activities to assess linguistic abilities in dementia and aphasia.
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Counsel by a role play for a given profile of an individual with adult language disorder.
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Prepare a counselling checklist /guideline that can be used with the family members of an individual with aphasia and traumatic brain injury.
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Aural rehabilitation

9 Lessons 00:00:00 Hours

Definition
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Scope of aural rehabilitation in adults
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Prevalence of hearing loss in children (global and Indian data)
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Prevalence of hearing loss in adults (global and Indian data)
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Relationship between audiometric data, hearing difficulties and amplification considerations
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Limitations of audiometric data
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Quality of life and impact on income, education, employment
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Assessing communication handicap : interviews, questionnaires
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Vocational rehabilitation
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Listening training and speech reading for adults

10 Lessons 00:00:00 Hours

Listening to speech with a hearing loss
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Candidacy for auditory training
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Listening training to improve speech perception
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Listening training to improve music perception
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Benefits of auditory training
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Speech reading for communication
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Characteristics of good lip readers versus good speech readers
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Factors affecting speech reading
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Assessing vision only auditory only processing
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Traditional methods of speech reading training.
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Communication strategies

6 Lessons 00:00:00 Hours

Factors that influence the reception of spoken message
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Facilitative communication strategies
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Repair strategies
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Repairing a communication breakdown
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Conversational styles
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Communication strategies training formal instruction, guided learning, real world practice
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Aural rehabilitation for adults

10 Lessons 00:00:00 Hours

Principles of aural rehabilitation in adults
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Psychological impact of hearing loss
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Support through counselling
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Orienting towards hearing aid use
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Needs assessment for non-hearing and assistive technology for adults
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Categories of assistive technology
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Aural rehabilitation programs: Individual vs group
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Components of aural rehabilitation program
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Process of aural rehabilitation
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Communication under adverse listing conditions
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Aural rehabilitation for older adults

10 Lessons 00:00:00 Hours

Influence of aging on the older adults: quality of life and psychological perspectives
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Influence of aging on the older adults: quality of life and social perspectives
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Auditory barriers to communication
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Non auditory barriers to communication
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Barriers to aural rehabilitation
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Factors influencing hearing aid use by the older adult
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Aural rehabilitation for different populations of older adult: independent and semi independent older adult
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Aural rehabilitation for different populations of older adult: dependent older adult
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Aural rehabilitation in an old age home
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Hearing aid orientation
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Aural Rehabilitation in Adults Practicals

9 Lessons 00:00:00 Hours

Listen to the speech recorded using hearing loss simulators (available on internet) and experience the sounds as heard by persons with different degrees of hearing loss. Write your observations on the same
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Simulate hearing loss by plugging ears and administer sentence tests of word recognition. Write a report on the performance
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Administer any three self-report questionnaires to three adults who have hearing loss and write a report of the relationship of their hearing loss to performance on the scale
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Administer any three self-report questionnaires to three older adults who have hearing loss and write a report of the relationship of their hearing loss to performance on the scale
.
Administer any three self-report questionnaires to three adults who wear hearing aids and write a report of the relationship of their hearing loss to performance on the scale
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Administer the hearing belief questionnaire (Saunders, 2013) on an adult. Identify the positive and negative attitude and behavior that may impact the success of aural rehabilitation
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Design a session of aural rehab program (Objectives, activities, outcomes assessment) for adults recently fitted with cochlear implant, group of 4 older adults.
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Design an individualised program for an executive using a hearing aid for the first time, and an adult moving from an analog to a digital hearing aid
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Develop a pamphlet in your local language that would address any topic in aural rehabilitation
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Scope, legislation and ethics in audiology

11 Lessons 00:00:00 Hours

Scope of practice in audiology (National – ISHA & International body - AAA)
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Professional ethics (ISHA)
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Legislations and conventions relating to disability: need and historical aspects
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Classification of hearing impairment and disability certification,
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Rehabilitation Council of India Act (1992) and its amendments
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Person with Disability Act (1995)
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National Trust Act (1999)
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Right to Education (2012)
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Biwako Millennium framework (2003) and Salamanca Statement 1994
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UNCRPD
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Concept of barrier free access and universal design relating to individuals with hearing impairment
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Hearing health and strategies for prevention of hearing impairment

8 Lessons 00:00:00 Hours

Epidemiology of hearing disorders
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ICD and ICF
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Levels of prevention: Primary, secondary and tertiary
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National programs and efforts national institutes
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Welfare measures by Government,
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Camps (planning, purpose, organizing and providing remedial measures)
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Public education and information (media, radio broadcasts, street plays)
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Hearing health and prevention programs (hearing help line, dangerous decibels, online hearing tests etc.)
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Audiological practice in different settings

10 Lessons 00:00:00 Hours

Audiological Private practice
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ENT clinics
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Paediatric / neonatology clinic/departments
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Neurology departments
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Factories and Industry
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Hearing aid dispensing centre/hearing aid industry
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Rehabilitation centres such as DRC/CRCs
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Schools for the hearing impaired
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Cochlear implant clinics
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Multiple handicap habilitation centre and others
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Noise and hearing conservation in industry and community

10 Lessons 00:00:00 Hours

Introduction to noise, types
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Sources of noise in the industry and community
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Effects of noise in the auditory system (outer, middle and inner ear)
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Temporary threshold shift, permanent threshold shift, factors increasing the risk of NIHL
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Non auditory effects of noise (physiological, psychological, stress, sleep, job productivity and accidents)
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Legislations related to noise, permissible noise exposure levels, workers compensation, OSHA standards, Indian legislations related to noise
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Instrumentation, measurement and procedure for measuring noise in industry
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Instrumentation, measurement and procedure for measuring noise in community
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Hearing conservation program (HCP), steps, record keeping,
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Ear protective devices
.

Scope and practice of tele audiology

10 Lessons 00:00:00 Hours

Introduction to tele-health: definition, history of tele-health
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Terminologies-tele-health, tele medicine, tele practice
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Connectivity: internet, satellite, mobile data
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Methods of tele-practice-store and forward and real time
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Ethics and Regulations for tele-audiology
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Requirements/Technology for tele- audiology: Web based platforms, Video conferencing, infrastructure
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Manpower at remote end and audiologist end, training assistants for tele-audiology
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Audiological screening using tele-technology: new born hearing screening, school screening, community screening, counselling
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Diagnostic audiological services using tele-technology : video otoscopy, pure tone audiometry, speech audiometry, oto acoustic emission, tympanometry, auditory brainstem response
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Intervention / aural rehabilitation using tele-technology: hearing aid counselling and troubleshooting, tinnitus, counseling, aural rehabilitation services, AVT, and counseling
.

Audiology in Practice Practicals

10 Lessons 00:00:00 Hours

Undertake the activities such as ‘Dangerous decibel” program (www.dangerousdecibels.org)
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Noise measurement and attenuation measurement of ear protection devices.
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Sound level meter measurement in different areas (generator room, audio rooms)
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Speech in noise assessment for 10 subjects
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Visit an audiologist in different practice settings and provide a report
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Administer ICF protocols for patients with different disorders
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Explore websites of national institutes, hearing aid companies, NGOs in disability field and describe the accessibility features and information provided
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Remote control a PC based audiology equipment connected to internet using any authorized desktop sharing software
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Develop one pamphlet/poster/ in local language that would address some aspect of audiology practice
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Perform Accessibility ability of your institute/center and prepare a report
.

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/
.