Acquired Neurogenic Communication Disorders: An Integrated Clinical Approach

First Edition

Jerry K. Hoepner, Margaret Lehman Blake

Details: 400 pages, Full Color, Softcover, 8.5" x 11"

ISBN13: 978-1-63550-425-5

Release Date: 11/03/2023

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Available for purchase starting 10/03/2023

Print Book: $119.95
eBook: $119.95

About

Acquired Neurogenic Communication Disorders: An Integrated Clinical Approach provides an overview of acquired neurogenic communication and swallowing disorders for undergraduate courses in Communication Sciences and Disorders programs. Compared to other books on this subject, this text is organized by anatomical systems and locations, not by disorder. The authors aim to teach students about the cognitive, speech, language, and swallowing disorders that occur with damage to neurological systems in a manner that breaks down silos that artificially separate disorders that routinely co-occur. This approach reflects the reality that most individuals with acquired brain injuries have multiple cognitive, communication, and swallowing disorders.

This clinical, systems-based approach will better foster understanding of the effects of acquired damage and degeneration to neurological systems/networks. It includes cases to highlight the incidence and co-occurrence of speech, voice, language, cognitive, and swallowing impairments in real human beings who experience these forms of damage. Cases are also representative of a broad range of racial and cultural characteristics, which highlight both similarities (i.e., that anatomy and physiology is the same, regardless of race) and unique differences among people. Most chapters include clinical cases which integrate commonly co-occurring impairments. The intent is to help readers recognize that disorders like aphasia, dysarthria, dysphagia, and cognitive communication disorders don’t usually occur in isolation but rather together. Many cases include questions to provoke thinking about the overlap between speech, language, cognition, and swallowing.

Key Features

Videos of individuals with various acquired neurogenic disorders (e.g., aphasia, primary progressive aphasia (PPA), dysarthria, cognitive-communication disorders) and etiologies (e.g., stroke, Parkinson’s disease, traumatic brain injury) completing various speech, language, cognitive, and swallowing tasks. Partners of individuals with PPA were also interviewed.
Clinical cases based on real clients, embedded into chapters to illustrate specific characteristics of disorders
Full-color layout and illustrations help students make connections between functions, anatomy, and clinical impairments
Assessment and Intervention tables summarize common assessments and interventions for speech, language, cognition, and swallowing
Concept tables include information about subtypes of disorders, components of complex functions, and frameworks
Boxes with activities and additional information to link the content to everyday experiences for generalization of learning
Additional pedagogical aids include: chapter outlines, bolded key terms (as well as Latin and Greek origins and meaning), concise chapter summaries, key concepts lists, and numerous references.

PluralPlus Online Ancillary Resources

For Instructors: PowerPoint Slides, Test Bank, Case Studies, Videos

For Students: eFlashcards, Practice Activities, Videos

Preface
Acknowledgements
Reviewers

Chapter 1. Systems-Based Clinical Approach
Breaking Down the Silos
Models of Communication Systems

What Is the Value in Models?
Motor/Swallowing
Motor Speech
Language
Dual Stream Models

Putting It All Together
Key Concepts
References

Chapter 2. Overview of Neuroanatomy and Neurophysiology
Structures and Regions

Frontal Lobes
Parietal Lobes
Temporal Lobes
Occipital Lobes
Insula
Subcortical Regions and Structures

Subcortical White Matter
Subcortical Structures

Brainstem

Cranial Nerves

Cerebellum

Meninges and Ventricles
Blood Supply to the Brain
Neurophysiology
Normal Aging
Summary
Key Concepts
References

Chapter 3. Etiologies and Pathophysiology
Etiologies

Stroke
Anoxia and Hypoxia
Tumors
Traumatic Brain Injury
Degenerative Diseases
Dementias
Parkinson’s Disease
Huntington’s Disease
Multiple Sclerosis
Amyotrophic Lateral Sclerosis

Infectious Diseases

Prevalence Patterns
Brain Imaging

Anatomical/Structural Imaging
Functional Imaging

Concepts for Understanding Effects of Brain Injury
Key Concepts
References
Resources

Chapter 4. Communication, Cognition, and Swallowing
Definitions and Disorders
Speech

Disorders of the Motor System
Motor Speech Disorders

Language

Disorders of Language

Is it Speech? Or Language? Or Both?
Cognition

Attention

Attention of Networks
Disorders of Attention

Memory

Disorders of Memory

Executive Functions

Disorders of Executive Function

Awareness

Disorders of Awareness

Social Cognition

Disorders of Social Cognition

Is it Language? Or Cognition? Or Both?
Swallowing

Disorders of Swallowing

Summary
Key Concepts
References

Chapter 5. Foundational Knowledge for Neurorehabilitation
Neural Plasticity
Historical Context
Framing Assessment and Intervention in Neurorehabilitation
Rehabilitation Treatment Specification System (RTSS)
Health Equity, Social Determinant of Health, Cultural/Ethnic Issues

Keeping Up With Terminology
Social Determinants of Health

Access to Care and Healthy Living
Education and Socialization

The Coin Model
Summary

Key Concepts
References
Resources

Chapter 6. Pre-Frontal Lobes
Diseases and Disorders of the Frontal Lobes

Traumatic Brain Injury
Frontotemporal Dementia

Assessment
Frontal Damage Treatment

Speech Disorders
Language Disorders

Discourse

Cognitive Disorders

Attention

Impairments to Attention

Memory
Executive Functions
Awareness

Swallowing Disorders

Attention/Cognition Related

Key Concepts
References

Chapter 7. Left Hemisphere Perisylvian Region
Diseases and Disorders of the Left Hemisphere
Speech Disorders

Dysarthria
Apraxia of Speech (AOS)

Assessment
Treatment

Primary Progressive Apraxia of Speech (PPAOS)

Language Disorders

Aphasia

Global Aphasia
Mixed Transcortical Aphasia
Non-Fluent Aphasia
Transcortical Motor Aphasia
Fluent Aphasia
Transcortical Sensory Aphasia
Conduction Aphasia
Anomia

Disorders of Reading and Writing

Alexia and Agraphia
Gerstmann Syndrome
Surface Dyslexia/Dysgraphia

Degenerative and Progressive Aphasias

Primary Progressive Aphasia (PPA)

Assessment
Intervention

Cognitive Disorders

Attention
Memory
Executive Functions
Anosognosia
Non-Linguistic Cognitive Impairments in Post-Stroke Aphasia
Degenerative and Progressive Cognitive Disorders

Swallowing Disorders

Motor/Weakness Related
Sensory Related
Cognition/Attention Related

Key Concepts
References

Chapter 8. Right Hemisphere Perisylvian Region
Diseases and Disorders of the Right Hemisphere
Speech Disorders

Language Disorders: Apragmatism
Linguistic Aspects: Production
Linguistic Aspects: Comprehension
Paralinguistic Aspects: Aprosodia
Extralinguistic Aspects
Assessment of Apragmatism
Treatment of Apragmatism

Linguistic and Extralinguistic Apragmatism
Paralinguistic Apragmatism: Aprosodia
Discourse and pragmatics

Cognitive Disorders

Attention

Unilateral Neglect

Assessment of Unilateral Neglect
Treatment of Unilateral Neglect

Memory
Executive Function
Anosognosia
Social Cognition

Swallowing Disorders

Motor/Weakness Related
Sensory Related
Cognition/Attention Related

Key Concepts
References

Chapter 9. Cortical Posterior Regions
Diseases and Disorders of the Posterior Hemispheres
Visual Pathways

Visual Field Cuts
Visual Processing Disorders
Assessment and Treatment of Visual Disorders

Speech Disorders
Language Disorders
Cognitive Disorders

Visuoperception
Visuocontruction
Spatial Cognition
Assessment and Treatment of Cognitive Disorders

Posterior Damage Syndromes
Swallowing Disorders
Key Concepts
References

Chapter 10. Subcortical Structures
Basal Ganglia

Disorders and Diseases of the Basal Ganglia

Parkinson’s Disease
Huntington’s Disease
Corticobasal Syndrome

Speech Disorders
Language Disorders
Cognitive Disorders

Executive Function and Awareness
Memory and Attention
Social Cognition

Swallowing Disorders

Thalamus

Functions of the Thalamus

Sensorimotor Functions
Cognition and Emotion
Cortical Arousal

Disorders and Diseases of the Thalamus
Speech Disorders
Language Disorders
Cognitive Disorders
Swallowing Disorders

Key Concepts
References
Other Resources

Chapter 11. Brainstem, Cranial Nerves, and Cerebellum
Overview
Brainstem

Cranial Nerves
Disorders and Diseases of the Brainstem
Speech Disorders
Language Disorders
Cognitive Disorders
Swallowing Disorders

Cerebellum

Disorders and Diseases of the Cerebellum
Speech Disorders
Language Disorders
Cognitive Disorders
Swallowing Disorders

Summary
Key Concepts
References

Chapter 12. Assessment and Treatment of Cognitive Disorders
Assessment of Cognitive Disorders

Approaches to Assessment
Test Batteries and Participation-Level Assessments
Attention
Executive Function and Awareness
Memory
Social Cognition
Goal Attainment Scales

Treatment of Cognitive Disorders

Approaches to Treatment

Metacognitive Strategy Training

Generalized Attention
Executive Function and Anosognosia
Memory
Social Cognition

Key Concepts
References

Chapter 13. Assessment and Treatment of Dysarthria and Dysphagia
Assessment of Dysarthria and Dysphagia

Dysphagia

Perceptual Assessment
Motor Assessment (Strength and Tone)
Instrumental and Acoustic Assessment

Dysphagia

Dysfunction by Phases of Swallowing
Dysfunction by Underlying Disease Processes

Cranial Nerve Exam
Oral Mechanism Exam
Intervention for Dysarthria
Intervention for Dysphagia

Summary
Key Concepts
References

Chapter 14. Diffuse Brain Damage
Diffuse Etiologies

Traumatic Brain Injuries

Assessment
Intervention

Alzheimer’s Dementia

Assessment
Intervention

Multiple Sclerosis
Prion Diseases
Metastatic Tumors

Speech Disorders
Language Disorders

Social Communication

Cognitive Disorders
Swallowing Disorders
Summary
Key Concepts
References
Resources

Index

Authors

Jerry K. Hoepner

Jerry K. Hoepner, PhD, CCC-SLP, is a Professor in the Department of Communication Sciences and Disorders at the University of Wisconsin-Eau Claire. His research addresses cognitive-communication interventions and teaching pedagogies. He has taught neuroscience courses for more than 15 years and presents frequently on cognitive-communication rehabilitation. He is a past recipient of the University of Wisconsin-Eau Claire Excellence in Mentoring Research award and the University of Wisconsin Systems Regent's Excellence in Teaching award. Dr. Hoepner is also a 2021 ASHA Fellow recipient.

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Margaret Lehman Blake

Margaret Lehman Blake, PhD, CCC-SLP, is a Professor in the Department of Communication Sciences and Disorders at the University of Houston. Her research focuses on cognitive-communication disorders associated with right hemisphere brain damage and spans basic processes, assessment, and treatment. She has taught neuroscience courses for over 15 years, and frequently presents on acquired cognitive-communication disorders. She is a recipient of the University of Houston Teaching Excellence Award. Dr. Blake is the author of The Right Hemisphere and Disorders of Cognition and Communication: Theory and Clinical Practice, also published by Plural Publishing.

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Resources

Acquired Neurogenic Communication Disorders: An Integrated Clinical Approach comes with access to supplementary student and instructor resources on a PluralPlus companion website.

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