BASLP - Semester II

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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

229 Lessons 00:00:00 Hours

Anatomy and physiology of the nervous system

9 Lessons 00:00:00 Hours

General introduction to basic neurological concepts
.
Organization of the neural system
.
Central, peripheral and autonomic neural system
.
Neural structures - applied anatomy and physiology
.
Cranial nerves and those important for speech, language, hearing and balance
.
Cerebral blood supply, nourishment and protection of the brain
.
General principles of neural organization
.
Transmission of information in neural system – nerve fibers, synaptic transmission, action potential, chemical transmission, excitatory and inhibitory potential & neuromuscular transmission
.
Cerebral plasticity and development of neural plasticity and cerebral dominance
.

Neural organization of speech and hearing processes

10 Lessons 00:00:00 Hours

Neurosensory organization of speech and hearing
.
Central auditory nervous system
.
Anatomy of oral sensation and oral sensory receptors
.
Neuromotor control of speech
.
The pyramidal, extra-pyramidal system, basal ganglia and cerebellar system
.
Lower and upper motor neuron
.
Alpha and gamma motor neurons
.
Sensory and motor examination, oral, peripheral and other reflexes
.
Swallowing mechanism and neural control
.
Screening and bedside neurological examination
.

Neural disorders associated with speech and hearing disorders – I

9 Lessons 00:00:00 Hours

Neural infections – meningitis, encephalitis
.
Developmental anomalies – spinal cord defects, syringomalacia and bulbia, Arnold chian malformations
.
Hydrocephalus – source and circulation of CSF, types and etiopathogenesis
.
UMN lesions –spastic dysarthria
.
LMN lesions –flaccid dysarthria
.
Mixed lesions
.
Extra pyramidal lesions – dyskinetic dysarthria
.
Cerebellum and cerebellar pathway lesions – ataxic dysarthria
.
Other diverse lesions and dysarthrias
.

Neural disorders associated with speech and hearing disorders – II

10 Lessons 00:00:00 Hours

Cerebrovascular diseases – ischemic brain damage – hypoxic ischemic encephalopathy, cerebral infarction – intracranial hemorrhage – intracranial, subarachnoid
.
Trauma to the CNS – subdural hematoma, epidural hematoma, parenchymal brain damages
.
Demyelinating diseases – multiple sclerosis, perivenous encephalomyelitis, Dementia
.
Degenerative, metabolic and nutritional disorders – Alzheimer’s disease, Parkinsonism
.
Metabolic, hereditary, acquired, neuronal storage disorders
.
Wilson’s disease, Phenylketonuria
.
Nutritional – Wernicke’s encephalopathy, pellagra
.
Alcoholic cerebellar degeneration
.
Clinical-pathological methods and Neuro-imaging
.
Tumors of the CNS – gliomas, embryonal tumors of meninges, metastasis, malignant tumors
.

Speech-language and swallowing disorders -

10 Lessons 00:00:00 Hours

Central language mechanism and its disorders
.
Developmental motor speech disorders – cerebral palsy, muscular dystrophy
.
Neurologic disorders with primitive reflexes, diagnosis and management
.
Clinical neurological syndromes associated with speech and language disorders
.
Childhood language disorders associated with neurologic disorders
.
Swallowing associated with neurogenic disorders and assessing mastication and deglutition
.
Agnosia and other conditions associated with speech and hearing disorders
.
Cognitive disorders associated with neurologic disorders
.
General management principles and options for childhood neurogenic speech, language and hearing disorders
.
General management principles and options for adult neurogenic speech, language and hearing disorders
.

External and middle ear and their disorders

11 Lessons 00:00:00 Hours

Clinical anatomy of the ear
.
Congenital anamolies
.
Diseases of the external ear
.
Tumors of the external ear
.
Perforation and ruptures of tympanic membrane
.
Eustachian tube dysfunction
.
Otitis media with effusion
.
Cholesteatoma and chronic suppurative otitis media
.
Otosclerosis
.
Trauma to temporal bone
.
Facial nerve and its disorder
.

Inner ear and its disorders

11 Lessons 00:00:00 Hours

Congenital anomalies
.
Meniere’s Disorder
.
Ototoxicity
.
Presbyacusis
.
Disorders of vestibular system
.
Vestibular Schwannoma
.
Tinnitus and medical line of treatment
.
Pre-surgical medical and radiological evaluations for implantable hearing devices
.
Overview of surgical technique for restoration and preservation of hearing
.
Post-surgical care and complication of surgery for cochlear implants
.
Overview of surgical technique, post-surgical care and complication of surgeries for implantable bone conducted hearing aids and middle ear implant
.

Oral cavity and its disorders

7 Lessons 00:00:00 Hours

Anatomy of the oral cavity
.
Common disorders of the oral cavity
.
Tumors of the oral cavity
.
Cleft lip and palate – medical aspects
.
Clinical anatomy and physiology of pharynx
.
Inflammatory conditions of the pharynx, tonsils and adenoids
.
Tumors of the pharynx
.

Larynx and its disorders

10 Lessons 00:00:00 Hours

Clinical anatomy of larynx
.
Difference between adult and infant larynx
.
Clinical examination of larynx
.
Stroboscopy - technique, procedure, interpretation and precautions
.
Congenital laryngeal pathologies
.
Inflammatory conditions of the larynx
.
Vocal nodule and other disorders of the vocal folds
.
Benign and malignant tumours of the larynx
.
Laryngectomy – overview of surgical procedure
.
Phono surgery and other voice restoration surgeries
.

Esophagus and its disorders

8 Lessons 00:00:00 Hours

Clinical anatomy and physiology of esophagus
.
Clinical examination of esophagus
.
Congenital anomalies of esophagus
.
Esophageal fistula
.
Inflammatory conditions of esophagus
.
Benign conditions of esophagus
.
Malignant conditions of the esophagus
.
Airway management procedures
.

Basic concepts and methods of diagnostics

11 Lessons 00:00:00 Hours

Introduction to Speech Language Disorders
.
Definition and descriptions of delay, deviancy and disorders; impairment, disability and handicap
.
Incidence and prevalence of speech and language disorders
.
Causes of speech and language disorders
.
Basic principles in assessment, evaluation and appraisal
.
Tools for diagnosis- case history, interview, self-reports, questionnaire & observations
.
Diagnostic models – SLPM, Wepman, Bloom and Lahey
.
Types of diagnoses – Clinical diagnosis, direct diagnosis, differential diagnosis, diagnosis by treatment, diagnosis by exclusion, team diagnosis, instrumental diagnosis, provocative diagnosis, tentative diagnosis advantage/disadvantages
.
Characteristics of a diagnostic clinician
.
Organization and basic requirements for clinical set up and team approach
.
DSM, ICD classification and ICF
.

Basic concepts and methods of therapeutics

10 Lessons 00:00:00 Hours

Basic concepts and terminologies in speech therapeutics
.
General principles of speech and language therapy
.
Speech therapy set-up
.
Individual and group therapy
.
Procedures and types of for speech-language therapy
.
Approaches to speech and language therapy – formal, informal and eclectic approaches
.
Planning for speech and language therapy – goals, steps, procedures and activities
.
Importance of reinforcement principles and strategies in speech and language therapy, types and schedules of rewards and punishment
.
Individual and group therapy
.
AAC and other nonverbal methods of therapy
.

Overview of basic assessment and management of speech disorders

5 Lessons 00:00:00 Hours

Causes of speech disorders
.
Overview of assessment procedures for voice disorders; articulation and phonological disorders; and fluency disorders
.
Overview of management procedures for voice disorders; articulation and phonological disorders; and fluency disorders
.
Early identification and prevention of speech disorders
.
Basic concepts in assessment and management of swallowing disorders
.

Overview of basic assessment and management of language disorders

6 Lessons 00:00:00 Hours

Types, characteristics and classification of language disorders
.
Causes of language disorders
.
Overview of assessment procedures for child language disorders; adult language disorders; and neurogenic language disorders
.
Overview of management procedures for child language disorders; adult language disorders; and neurogenic language disorders
.
Early identification and prevention of language disorders
.
Issues related to bi- /multilingualism
.

Other issues in practice as a speech - language pathologist

10 Lessons 00:00:00 Hours

Professional code of conduct – social, cultural and other ethical issues
.
Scope of practice –different set ups and prerequisites
.
Documentation of diagnostic, therapeutic and referral reports
.
Counselling, guidance, facilitation of parent participation and transfer of skills
.
Evaluation of therapy outcome and follow up
.
Evidence based practice
.
Community based rehabilitation
.
Role of itinerant speech therapist, Anganwadis, resource teachers etc.
.
PWD act, National Trust, Consumer protection Act, noise pollution Act and other public laws, RCI, ISHA and other organizations controlling the field
.
Facilities and concessions available for speech and hearing disabled
.

Differential sensitivity

10 Lessons 00:00:00 Hours

Concept of differential sensitivity, just noticeable difference
.
Weber’s fraction
.
Intensity discrimination
.
Frequency discrimination
.
Duration discrimination and temporal resolution
.
Applications of jnd’s
.
Magnitude estimation and production
.
Loudness – equal loudness level contours and its application
.
Loudness scales - sone, phone, Steven’s power law
.
Pitch- scales of pitch
.

Case history and tuning fork tests

9 Lessons 00:00:00 Hours

Need for case history
.
Basics of history taking
.
Essential factors to be included in case history for adults
.
Essential factors to be included in case history for children
.
Interpretation of case history
.
Audiological evaluation – rationale and purpose
.
Principles, procedure, interpretation, advantages and disadvantages of Rinne and Schwabach tuning fork test
.
Principles, procedure, interpretation, advantages and disadvantages of Weber and Bing tuning fork test
.
Audiometric version of Weber and Bing test
.

Pure tone Audiometry

6 Lessons 00:00:00 Hours

Classification of audiometers, Parts of an audiometer, characteristics and specifications of transducers used (earphones, bone vibrators, loud speakers)
.
Audiogram- concept and symbols used
.
Clinical method of threshold estimation
.
Factors affecting air conduction threshold
.
Bone conduction thresholds- measurements, factors effecting
.
Permissible noise levels in the audiometric room
.

Speech Audiometry

10 Lessons 00:00:00 Hours

Importance and purpose
.
Different types of stimuli used in speech audiometry
.
Concept of phonetically and phonemically balanced
.
Speech detection thresholds – procedure and application
.
Speech reception thresholds – procedures and application
.
Word recognition scores –procedure and applications
.
PIPB function – procedure and applications
.
Factors affecting speech audiometry
.
BC speech audiometry – procedure and its application
.
Test materials available in various languages
.

Clinical masking and instrumental calibration

12 Lessons 00:00:00 Hours

Definition and different terminologies
.
Purpose and rationale of clinical masking
.
Different types of stimulus employed in clinical masking
.
Interaural attenuation and factors affecting interaural attenuation
.
When to mask and how much to mask – importance of adequate noise levels
.
Different procedures for masking
.
Masking for speech audiometry
.
Calibration definition and purpose
.
Daily listening checks and subjective calibration
.
Objective calibration of air conduction transducers
.
Objective calibration of bone conduction transducers
.
Frequency calibration
.

Practicals (Speech-language Pathology)

18 Lessons 00:00:00 Hours

Measure the following in 5 normal subjects: (a) Habitual frequency (b) Frequency range (c) Intensity (d) Intensity range (e) Phonation duration (f) rate of speech (g) Alternate Motion Rates and Sequential Motion Rates (h) s/z ratio.
.
Prepare a report on the available clinical facilities and clinical activities of the institute.
.
Prepare a report on the available audiovisual material and printed material/pamphlets relating to speech-language pathology, public education of communication and hearing disorders, etc.
.
Familiarize with the sources for referral and parent counseling procedures.
.
Make a list of speech language stimulation techniques and other therapy techniques for various speech disorders.
.
Prepare a diagnostic and therapy kit.
.
Prepare a model diagnostic report of a patient with speech and language disorder.
.
Perceptual analysis of speech and language parameters in normal (2 children and 2 adults and persons with speech disorders (3 adults + 3 children).
.
Study the available normative data (Indian/Western) of language such as phonology, semantics, syntax, morphology and pragmatic measures.
.
Demonstrate normal aspects of speech and analyse perceptually variations in voice, articulation and fluency in different recorded speech samples of typical individuals at different age groups (children, adults and older adults) and sex.
.
Study the available normative data (Indian/Western) of speech such as respiratory, phonatory, resonatory and articulatory parameters.
.
Administer standardized tests for assessment of delayed speech and language development such as REEL, SECS, LAT, 3DLAT, ALD each on any 2 children.
.
Prepare a chart and show the developmental stages of speech and language behavior.
.
Oral mechanism examination on 5 normal children and 5 normal adults.
.
Record a standard passage, count number of syllables and words, identify syllable structure, syntactic structures in the passage.
.
Use IPA to transcribe spoken words.
.
Demonstrate stress, rhythm and intonation and variations in rate of speech and analyse perceptually variations in prosody in different recorded samples of typical individuals at different age groups (children, adults and older adults) and sex.
.
Demonstrate normal aspects of language and analyse perceptually variations in language in different recorded samples of typical individuals at different age groups (children, adults and older adults) and sex.
.

Practicals (Speech-language Pathology) - Clinical Practicum

5 Lessons 00:00:00 Hours

Observe the evaluation process and counselling of at least 5 different speech and language disorders in children.
.
Observe the evaluation process and counselling of at least 5 different speech and language disorders in adults.
.
Take case history of a minimum of 10 individuals (5 normal & 5 clients with complaints of speech-language problems).
.
Observation of diagnostic procedures.
.
Observe various therapeutic methods carried out with children and adults with speech and language disorders.
.

Practicals (Audiology)

4 Lessons 00:00:00 Hours

Calculate the relative intensities with different reference intensities.
.
Calculate decibels when sound intensities are doubled, increased by 4 times
.
Add decibels when two sounds with different intensities are produced simultaneously
.
Collect pictures of audiometers that existed between 1920 and 1990.
.

Practicals (Audiology) - Experiments

13 Lessons 00:00:00 Hours

Calculate reference equivalent sound pressure levels (RETSPL) for head phones and bone vibrator for any two frequencies using 30 participants.
.
Measure most comfortable level on 10 participants with normal hearing sensitivity.
.
Measure uncomfortable levels on 10 participants with normal hearing sensitivity.
.
Calculate the sensation levels of MCL and UCLs in above 10 participants.
.
Measure difference limen of intensity, frequency and duration on 10 normal hearing adults and plot it in graphical form and interpret the results.
.
Measure equal loudness level contours at minimum level, 40 dB SPL, 70 dB SPL (1 kHz) in 5 normal hearing adults.
.
Measure sone and mel in 5 normal hearing adults using scaling techniques.
.
Take case history on 5 adults and 5 children with hearing problem and correlate the information from case history to results of pure tone audiometry.
.
Administer different tuning fork tests on 5 simulated conductive and 5 sensori neural hearing loss individuals.
.
Carry out pure tone and speech audiometry on 10 normal hearing individuals.
.
Carry out clinical masking on 10 normal hearing individuals with simulated conductive hearing loss and carry out clinical masking on 5 individuals with conductive hearing loss and 5 individuals with sensori-neural hearing loss.
.
Carryout daily listening checks and subjective calibrations 20 times and observe objective calibration once
.
Perform otoscopy and draw the tympanic membrane of 10 healthy normal individuals
.

Practicals (Audiology) - Clinical Practicum

5 Lessons 00:00:00 Hours

Observe case history being taken on 5 adults and 5 children with hearing problem and correlate the information from case history to results of pure tone audiometry.
.
Administer different tuning fork tests on 5 conductive and 5 sensori neural hearing loss individuals.
.
Observe the pure tone audiometry being carried out on 30 clients.
.
Plot the audiogram, calculate the pure tone average and write the provisional diagnosis of observed clients.
.
Perform otoscopy (under supervision) on at least 1 client with following conditions: Tympanic membrane perforation, SOM, CSOM
.