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R equir emen t f or this essa y: W rit ten r e vie ws should include the f ollo wing: ● An in troduction tha t includes iden tification of the module and t opic and pa tien t(s) disor der. ● Ans wer the f ollo wing ques tions: ● 1. Iden tify each pa tien t disor der ● 2. Thor ough de finition the pa tien t disor der (primar y disor der and sec ondar y when appr opria te) with necessar y cit ations ● 3. Of fering e xamples (3) of s ymp toms each pa tien t displa ys of the disor der ● 6. Wha t ques tions do y ou ha ve about the pr esen ta tion of this disor der?

Introduction to Motor Speech Disorders: Motor Speech Disorders (MSDs) encompass a range of neurological conditions that af fect the motor control of speech production. These disorders manifest in various ways, including dif ficulties in articulation, phonation, and overall speech intelligibility . MSDs can arise from diverse etiologies, such as traumatic brain injury (TBI), neurological diseases, or structural abnormalities. Understanding the specific etiology of MSDs is crucial for accurate diagnosis and ef fective treatment planning. According to the American Speech-Language-Hearing Association (ASHA), motor speech disorders can result from damage to the central or peripheral nervous system, impacting the neural pathways responsible for speech motor control and coordination. These disorders can lead to impairments in speech production, including reduced intelligibility , imprecise articulation, and abnormal prosody . ( cite an ASHA Source) John and Ali both present with motor speech disorders, albeit stemming from dif ferent etiologies. In John's session with Clinician Jill Bates, John shows signs of Motor Speech Disorders through dif ficulties in multi-modal communication, motor speech skill development, and functional memory skills. According to the clinicians background history , John suf fers from a Severe T raumatic Brain injury (TBI) and uses an AAC device to better communicate. During the session the clinician focused on utilizing open-ended conversation and practicing oral motor exercises. In the beginning of the session the clinician asks John about a previous trip he went on with a goal of staying on topic and using verbalization skills. John attempts to respond, but is hard to understand due to mumbling and lack of articulation. He then turns to his AAC device which he seems to be more comfortable with (John, 3:51-5:39). John also couldn’ t seem to get his facts together about the trip so the clinician included pictures to work on functional memory skills. W ith an image of a cruise John was able to elaborate on bits and pieces of his trip (John, 5:50-5:53). After working on verbalization and memory the clinician moves on to producing sounds. She gives John “Mama” to repeat, but he doesn’ t fully present the sound due to mumbling (John, 19:53-20:45). When he is pushed John is able to accomplish precise sound with the use of the AAC, but with guidance. Ali's condition resulted from a tragic car accident, leaving her paralyzed and with limited speech ability . The severity of her injuries initially led medical professionals to doubt her chances of recovery , but Ali's determination and resilience have been remarkable. Her clinician describes Ali's condition, noting her confinement to a wheelchair and limited speech abilities (Evidence: Allie, 10:55-1 1:09). Ali's speech dif ficulties extend beyond mere articulation; every chew and manipulation of food requires cognitive management, demonstrating the profound impact of her motor speech disorder on daily activities (Evidence: Allie, 10:55-1 1:03). Despite these challenges, Ali actively participates in therapy sessions, engaging in conversation and demonstrating her progress in vocalization exercises (Evidence: Allie, 35:26-35:37). During therapy , the clinician introduced a nose clip as part of vocalization exercises to enhance Ali's breath control and support for speech production (Evidence: Allie, 35:26-35:37). This tool aids Ali in focusing on diaphragmatic breathing, crucial for generating clear and resonant speech sounds. By incorporating the nose clip into her therapy regimen, Ali can work towards improving her speech clarity and overall communication ef fectiveness, demonstrating her commitment to rehabilitation and communication improvement. Etiology of Symptoms: John's motor speech disorder is a direct consequence of his severe traumatic brain injury , which likely resulted in damage to neural pathways responsible for speech motor control and coordination. The traumatic nature of the injury may have led to widespread neural disruption, af fecting various aspects of speech production and cognition. In Ali's case, the motor speech disorder and voice problems arise from physical trauma sustained during a car accident, leading to paralysis and associated speech impairments. The accident-induced paralysis likely af fects the neuromuscular control necessary for speech articulation and phonation, contributing to Ali's communication dif ficulties. Conclusion: John and Ali's cases highlight the diverse etiologies and presentations of motor speech disorders within the field of speech pathology . Understanding the underlying causes of these disorders is crucial for tailoring ef fective treatment strategies aimed at improving communication abilities and overall quality of life for individuals af fected by MSDs. Further research and clinical interventions focused on addressing the specific needs of patients like John and Ali are essential for advancing the field of speech pathology and enhancing outcomes for individuals with motor speech disorders.