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Unit outline_

CSCD5062: Voice and Resonance Impairment

Semester 1, 2022 [Normal day] - Camperdown/Darlington, Sydney

This unit of study will enable students to describe, analyse and apply their understanding of: i) Anatomy and physiology of the laryngeal, articulatory, respiratory and neurological systems to diagnose and plan therapy for individuals with a variety of voice and resonance disorders; ii) Evidence-based practice to outline client centered assessment, management and therapy with individuals with a variety of voice and resonance disorders; iii) Principles of motor learning to facilitate voice and resonance change for individuals with a variety of voice and resonance disorders.

Unit details and rules

Academic unit Communication Sciences
Credit points 6
Prerequisites
? 
None
Corequisites
? 
None
Prohibitions
? 
None
Assumed knowledge
? 

Normal head and neck anatomy, and neurology of the speech system including the nervous system and motor control

Available to study abroad and exchange students

No

Teaching staff

Coordinator Katrina Blyth, katrina.blyth@sydney.edu.au
Type Description Weight Due Length
Assignment Online Quizzes
Multiple question format
40% Progressive
Closing date: 12 Apr 2022
Up to 4 questions per quiz
Outcomes assessed: LO1 LO3 LO7 LO2 LO4 LO5
Skills-based evaluation hurdle task Entry level listening activity
Listening and rating task
0% Week 06
Due date: 30 Mar 2022 at 09:30

Closing date: 30 Mar 2022
20 minute task
Outcomes assessed: LO1 LO4
Assignment group assignment Assessment Plan & Report
Case-based assignment
20% Week 09
Due date: 29 Apr 2022 at 23:59
2 pages plus references
Outcomes assessed: LO1 LO2 LO3 LO4 LO5 LO6 LO7 LO8 LO9
Skills-based evaluation hurdle task group assignment Entry level voice therapy technique
Video demonstrating voice technique
10% Week 11
Due date: 06 May 2022 at 23:59
2 minute video
Outcomes assessed: LO1 LO8 LO4 LO3
Assignment Management & Therapy Plan
This is a continuation of the assessment plan and report task
30% Week 13
Due date: 29 May 2022 at 23:59
2 pages + references
Outcomes assessed: LO2 LO4 LO5 LO6 LO7 LO9
hurdle task = hurdle task ?
group assignment = group assignment ?
Group assignment with individually assessed component = group assignment with individually assessed component ?

Assessment summary

  • Entry level listening activity: This is an online auditory-perceptual rating task to make judgements of provided voice and resonance recordings. Students will listen to 5 samples from different clients and rate the quality and characteristics of their voice and resonance using online software. This is a barrier task. Students will be given further opportunities to pass the task but a pass for this task is required to pass the unit of study, regardless of marks acheived in other assessment tasks. 

  • Online Quizzes (8% each = 40%): Students are required to complete five weekly quizzes within weeks 4-7. Each quiz will contain up to 4 questions in a variety of question formats via Canvas. Feedback from each quiz will guide student performance and understanding with future assessment tasks in this unit. 
  • Entry level voice therapy technique (10%): Students can work solo or in pairs to prepare a video. Each student is required to individually submit a 2 min video explaining and demonstrating a voice therapy technique used to treat hyper-functional voice disorders. This is a barrier task. Students will be given a second opportunity to pass the task but must pass this second opportunity in order to pass the unit of study. The initial mark will be retained regardless of resit.  
  • Assessment Plan & Report (20%): Students will work and submit in pairs the following for a specific case provided via canvas:
    • 1 page: assessment plan (including case history questions & additional assessments required to assist diagnosis process)
    • 1 page: assessment report to a GP using ISBAR format
    • Reference list: Must contain all citations
  • Feedback from this assessment will guide student performance with the management and therapy plan assessment task
  • Management & Therapy Plan (30%): Using the same provided case, students are required to individually submit the following: 
    • 1 page: management plan
    • 1 page: therapy plan
    • Reference list: Must contain all citations

Detailed information for each assessment can be found on Canvas.

Assessment criteria

The University awards common result grades, set out in the Coursework Policy 2014 (Schedule 1).

As a general guide, a high distinction indicates work of an exceptional standard, a distinction a very high standard, a credit a good standard, and a pass an acceptable standard.

Result name

Mark range

Description

High distinction

85 - 100

 

Distinction

75 - 84

 

Credit

65 - 74

 

Pass

50 - 64

 

Fail

0 - 49

When you don’t meet the learning outcomes of the unit to a satisfactory standard.

For more information see guide to grades.

Late submission

In accordance with University policy, these penalties apply when written work is submitted after 11:59pm on the due date:

  • Deduction of 5% of the maximum mark for each calendar day after the due date.
  • After ten calendar days late, a mark of zero will be awarded.

This unit has an exception to the standard University policy or supplementary information has been provided by the unit coordinator. This information is displayed below:

Assignments have a specific due date. This is to allow marked work to be returned to you in a time frame that allows you to continue to the next assignment. The faculty specifies the following penalty for late assignment submissions. • If your assignment is submitted after the due date and time it will be considered to have been submitted late. • For every calendar day up to and including ten calendar days after the due date, a penalty of 5% of the maximum awardable marks will be applied to late work. • The penalty will be calculated by first marking the work, and then subtracting 5% of the maximum awardable mark for each calendar day after the due date. • For work submitted more than ten calendar days after the due date a mark of zero will be awarded. The marker may elect to, but is not required to, provide feedback on such work. You are responsible for ensuring that your assignment is submitted on time. This includes planning to submit your assignment sufficiently before the time it is due. In the event that you have technical difficulties, you MUST email a copy of the assignment to the unit of study coordinator and continue to attempt to upload it. As long as the version you upload is identical to the one you emailed, a penalty will not be applied. All assignments must be submitted via the required LMS. Assignments that are emailed will not be marked.

Academic integrity

The Current Student website provides information on academic integrity and the resources available to all students. The University expects students and staff to act ethically and honestly and will treat all allegations of academic integrity breaches seriously.

We use similarity detection software to detect potential instances of plagiarism or other forms of academic integrity breach. If such matches indicate evidence of plagiarism or other forms of academic integrity breaches, your teacher is required to report your work for further investigation.

Use of generative artificial intelligence (AI) and automated writing tools

You may only use generative AI and automated writing tools in assessment tasks if you are permitted to by your unit coordinator. If you do use these tools, you must acknowledge this in your work, either in a footnote or an acknowledgement section. The assessment instructions or unit outline will give guidance of the types of tools that are permitted and how the tools should be used.

Your final submitted work must be your own, original work. You must acknowledge any use of generative AI tools that have been used in the assessment, and any material that forms part of your submission must be appropriately referenced. For guidance on how to acknowledge the use of AI, please refer to the AI in Education Canvas site.

The unapproved use of these tools or unacknowledged use will be considered a breach of the Academic Integrity Policy and penalties may apply.

Studiosity is permitted unless otherwise indicated by the unit coordinator. The use of this service must be acknowledged in your submission as detailed on the Learning Hub’s Canvas page.

Outside assessment tasks, generative AI tools may be used to support your learning. The AI in Education Canvas site contains a number of productive ways that students are using AI to improve their learning.

Simple extensions

If you encounter a problem submitting your work on time, you may be able to apply for an extension of five calendar days through a simple extension.  The application process will be different depending on the type of assessment and extensions cannot be granted for some assessment types like exams.

Special consideration

If exceptional circumstances mean you can’t complete an assessment, you need consideration for a longer period of time, or if you have essential commitments which impact your performance in an assessment, you may be eligible for special consideration or special arrangements.

Special consideration applications will not be affected by a simple extension application.

Using AI responsibly

Co-created with students, AI in Education includes lots of helpful examples of how students use generative AI tools to support their learning. It explains how generative AI works, the different tools available and how to use them responsibly and productively.

WK Topic Learning activity Learning outcomes
Week 02 Voice disorders Lecture (2 hr)  
How the voice works Tutorial (1 hr)  
Week 03 Signs and Symptoms, Case history, voice screeners Lecture (2 hr)  
1. Identify signs and symptoms from class case; 2. Case history and interview practice Tutorial (1 hr)  
Week 04 Auditory Perceptual Analysis Functional Assessment Tasks Lecture (2 hr)  
1. Auditory-perceptual voice assessment practice; 2. Functional voice assessment practice Tutorial (1 hr)  
Week 05 Resonance: Auditory perceptual rating Tutorial (1 hr)  
Practice resonance assessment Tutorial (1 hr)  
Week 06 Visual Assessment ISBAR Lecture (2 hr)  
Practice clinical handover using ISBAR Tutorial (1 hr)  
Week 07 Acoustic Analysis Lecture (2 hr)  
Interpretation of acoustic analyses of class cases Tutorial (1 hr)  
Week 08 Differential Diagnosis Lecture (2 hr)  
Practice differential diagnosis and review clinical handover using ISBAR Tutorial (1 hr)  
Week 09 Management Plans Lecture (2 hr)  
Management planning: SMART goals for class cases Tutorial (1 hr)  
Week 10 Direct therapies & EBP Lecture (2 hr)  
Direct therapy feedback, motor planning with therapy Tutorial (1 hr)  
Week 11 Resonance: instrumental assessment and therapy Lecture (2 hr)  
Signs and Symptoms of resonance disorders Tutorial (1 hr)  
Week 12 Therapy Planning and service delivery Lecture (2 hr)  
Session plan and role playing therapy Tutorial (1 hr)  
Week 13 Voice in special populations - chronic cough, transgender, professional voice users Lecture (2 hr)  
Assessment Support - Management & Therapy plans Tutorial (1 hr)  

Attendance and class requirements

While attendance is not compulsory for this online unit, we strongly recommend you do so. If you can't attend, please watch the recorded lectures in your own time as well as conduct the tasks outlined each week on canvas. We know that students who don't engage during lectures, tutorials or via the discussion board on canvas struggle to keep up during this course.

Study commitment

Typically, there is a minimum expectation of 1.5-2 hours of student effort per week per credit point for units of study offered over a full semester. For a 6 credit point unit, this equates to roughly 120-150 hours of student effort in total.

Required readings

These textbooks are suggested readings:

OR    

A list of journal articles are provided on Canvas within each weekly module. 

You will need to investigate and incorporate further readings when completing written assessments.

You will also be required to look at several learning tasks and use the auditory-perceptual rating application on Bridge2practice which can be accessed via https://bridge2practice.com/. More information about how to use this will be presented in class.

Learning outcomes are what students know, understand and are able to do on completion of a unit of study. They are aligned with the University's graduate qualities and are assessed as part of the curriculum.

At the completion of this unit, you should be able to:

  • LO1. Depth of disciplinary expertise: • Describe vocal function in terms of anatomical structures, physiological, biomechanical, aerodynamic and acoustic principles, including how we adjust pitch, volume and voice quality. • Describe and differentiate the four categories of voice impairment (organic, neurogenic, functional and psychogenic) based on their aetiology, associated signs and symptoms. • Conduct and document an auditory - perceptual evaluation of voice. • Conduct and document an acoustic analysis of voice. • Using E3BP principles and ICF, identify and select appropriate assessment tasks to diagnose voice disorders. • Analyse and interpret assessment results in terms of anatomical structures, physiological, biomechanical, aerodynamic and acoustic features of clients with voice disorders. • Identify and describe the needs of the professional voice user – e.g., singers, actors, teachers – as differentiated from the non-professional voice user. • Explain and facilitate (incorporating instructions, modelling and PML feedback) change in a client’s voice production using a variety common vocal techniques. • Consider ICF to generate SMART goals for a voice client and incorporate into management and therapy plans. • Identify appropriate client/patient outcome measures to undertake pre, during and post voice treatment to determine treatment effectiveness and incorporate these into management plans.
  • LO2. Critical thinking and problem solving: • Identify, using E3BP principles and levels of evidence, what is known and unknown about voice and production, and distinguish between research findings, unproven theories, anecdotes and myths. • Using E3BP principles and ICF, identify and select appropriate assessment tasks to diagnose voice disorders. • Address the specific requirements of the professional voice user when proposing assessment, management and therapy plans for this population
  • LO3. Communication (oral and written): • Communicate your analysis and conclusions in written and verbal form to another health professional and client respectively, using appropriate language and style. • Summarise your client to another health professional using the ISBAR format.
  • LO4. Information/digital literacy: • Recognise information needs and access appropriate information using search strategies. • Critically evaluate and analyse the reliability of information found. • Use information ethically, including acknowledging sources and following APA 7th citation conventions, as well as managing confidential information. • Develop and apply functional technology skills to use digital technologies for professional practice.
  • LO5. Inventiveness: • Using E3BP principles and ICF, identify and select appropriate assessment tasks to diagnose voice disorders. • Address the specific requirements of the professional voice user when devising assessment and treatment protocols for this population.
  • LO6. Cultural competence: • Able to adapt service delivery of assessment and treatment to best suit the diverse cultural, social, ethnic, and religious needs of clients • Aware of the need for diverse cross-cultural communication and interactions when delivering analysis and conclusions in written and verbal form to another health professional and patient.
  • LO7. Interdisciplinary effectiveness: • Identify appropriate interdisciplinary health and other professionals involved in care of the person with a voice disorder. • Include appropriate multidisciplinary health professionals in client assessment and management plans.
  • LO8. An integrated professional, ethical and personal identity: • Identify appropriate client/patient outcome measures to undertake pre-, during and post-voice treatment to determine treatment effectiveness and incorporate these into management plans. • Consider the ethical themes as outlined in the Speech Pathology Australia Code of Ethics when outlining management plans and liaising with other health professionals. • Demonstrate adapted professional language dependant on the audience with varied knowledge of voice and voice disorders – for example, client (child, professional voice user, adult, elderly adult) as well as a range of health professionals (ENT, psychologist, GP).
  • LO9. Influence: • Using E3BP principles to engage your client and other health professionals to follow your proposed voice management and therapy plans.

Graduate qualities

The graduate qualities are the qualities and skills that all University of Sydney graduates must demonstrate on successful completion of an award course. As a future Sydney graduate, the set of qualities have been designed to equip you for the contemporary world.

GQ1 Depth of disciplinary expertise

Deep disciplinary expertise is the ability to integrate and rigorously apply knowledge, understanding and skills of a recognised discipline defined by scholarly activity, as well as familiarity with evolving practice of the discipline.

GQ2 Critical thinking and problem solving

Critical thinking and problem solving are the questioning of ideas, evidence and assumptions in order to propose and evaluate hypotheses or alternative arguments before formulating a conclusion or a solution to an identified problem.

GQ3 Oral and written communication

Effective communication, in both oral and written form, is the clear exchange of meaning in a manner that is appropriate to audience and context.

GQ4 Information and digital literacy

Information and digital literacy is the ability to locate, interpret, evaluate, manage, adapt, integrate, create and convey information using appropriate resources, tools and strategies.

GQ5 Inventiveness

Generating novel ideas and solutions.

GQ6 Cultural competence

Cultural Competence is the ability to actively, ethically, respectfully, and successfully engage across and between cultures. In the Australian context, this includes and celebrates Aboriginal and Torres Strait Islander cultures, knowledge systems, and a mature understanding of contemporary issues.

GQ7 Interdisciplinary effectiveness

Interdisciplinary effectiveness is the integration and synthesis of multiple viewpoints and practices, working effectively across disciplinary boundaries.

GQ8 Integrated professional, ethical, and personal identity

An integrated professional, ethical and personal identity is understanding the interaction between one’s personal and professional selves in an ethical context.

GQ9 Influence

Engaging others in a process, idea or vision.

Outcome map

Learning outcomes Graduate qualities
GQ1 GQ2 GQ3 GQ4 GQ5 GQ6 GQ7 GQ8 GQ9
LO1         
LO2         
LO3         
LO4         
LO5         
LO6         
LO7         
LO8         
LO9         

Alignment with Competency standards

Outcomes Competency standards
LO1
Competency-based Occupational Standards for Speech Pathologists - SPA
1. Assessments
1.1. Investigate and document the client’s communication and/or swallowing condition and explore the primary concerns of the client.
1.2. Identify the communication and/or swallowing conditions requiring investigation and use the best available scientific and clinical evidence to determine the most suitable assessment procedures in partnership with the client.
2. Analysis and interpretation
2.1. Analyse and interpret speech pathology assessment data.
2.3. Determine the basis for or diagnosis of the communication and/or swallowing condition and determine the possible outcomes.
2.4. Report on analysis and interpretation.
LO2
Competency-based Occupational Standards for Speech Pathologists - SPA
2. Analysis and interpretation
2.2. Identify gaps in information required to understand the client’s communication and swallowing issues and seek information to fill those gaps.
2.3. Determine the basis for or diagnosis of the communication and/or swallowing condition and determine the possible outcomes.
3. Planning evidence-based speech pathology practices
3.1. Use integrated and interpreted information (outlined in Unit 2) relevant to the communication and/or swallowing condition, and/or the service provider’s policies and priorities to plan evidence-based speech pathology practice.
3.2. Seek additional information required to plan evidence-based speech pathology practice.
LO3
Competency-based Occupational Standards for Speech Pathologists - SPA
2.4. Report on analysis and interpretation.
2.5. Provide feedback on results of interpreted speech pathology assessments to the client and/or significant others and referral sources, and discuss management.
LO4
Competency-based Occupational Standards for Speech Pathologists - SPA
3. Planning evidence-based speech pathology practices
LO5
Competency-based Occupational Standards for Speech Pathologists - SPA
1. Assessments
LO6
Competency-based Occupational Standards for Speech Pathologists - SPA
2.1. Analyse and interpret speech pathology assessment data.
2.2. Identify gaps in information required to understand the client’s communication and swallowing issues and seek information to fill those gaps.
2.3. Determine the basis for or diagnosis of the communication and/or swallowing condition and determine the possible outcomes.
2.4. Report on analysis and interpretation.
LO7
Competency-based Occupational Standards for Speech Pathologists - SPA
2.2. Identify gaps in information required to understand the client’s communication and swallowing issues and seek information to fill those gaps.
2.5. Provide feedback on results of interpreted speech pathology assessments to the client and/or significant others and referral sources, and discuss management.
LO8
Competency-based Occupational Standards for Speech Pathologists - SPA
6.2. Demonstrate an understanding of the principles and practices of supervision applied to allied health/teaching assistants and in parent/caregiver education programs.
7.1. Uphold the Speech Pathology Australia Code of Ethics and work within all the relevant legislation and legal constraints, including medico-legal responsibilities.
LO9
Competency-based Occupational Standards for Speech Pathologists - SPA
3.4. Establish goals for intervention in collaboration with the client and significant others.
3.5. Select an evidence-based speech pathology approach or intervention in collaboration with the client and significant others.
Competency-based Occupational Standards for Speech Pathologists -
Competency code Taught, Practiced or Assessed Competency standard
1.1 T P A Investigate and document the client’s communication and/or swallowing condition and explore the primary concerns of the client.
1.2 T P A Identify the communication and/or swallowing conditions requiring investigation and use the best available scientific and clinical evidence to determine the most suitable assessment procedures in partnership with the client.
1.3 T P Administer speech pathology assessment relevant to the communication and/or swallowing condition.
2.1 T P A Analyse and interpret speech pathology assessment data.
2.2 T P A Identify gaps in information required to understand the client’s communication and swallowing issues and seek information to fill those gaps.
2.3 T P A Determine the basis for or diagnosis of the communication and/or swallowing condition and determine the possible outcomes.
2.4 T P A Report on analysis and interpretation.
2.5 T P A Provide feedback on results of interpreted speech pathology assessments to the client and/or significant others and referral sources, and discuss management.
3.1 T P A Use integrated and interpreted information (outlined in Unit 2) relevant to the communication and/or swallowing condition, and/or the service provider’s policies and priorities to plan evidence-based speech pathology practice.
3.2 T P A Seek additional information required to plan evidence-based speech pathology practice.
3.3 T P A Discuss long-term outcomes and collaborate with the client and/or significant others to decide whether or not speech pathology strategies are suitable and/or required.
3.4 T P A Establish goals for intervention in collaboration with the client and significant others.
3.5 T P A Select an evidence-based speech pathology approach or intervention in collaboration with the client and significant others.
3.6 T P A Define roles and responsibilities for the management of the client’s swallowing and/ or communication condition.
3.7 T P A Document speech pathology intervention plans, goals and outcome measurement.
4.2 T P A Implement an evidence-based speech pathology intervention according to the information obtained from speech pathology assessment, interpretation and planning (see Units 1, 2, and 3).

This section outlines changes made to this unit following staff and student reviews.

The previous mid-semester exam has been replaced with progressive weekly quizzes during weeks 4-7. This will eliminate exam stress and enable more timely and progressive formative feedback.

Special note regarding use of case-based materials

In this unit of study, you will be working with case study materials based on real life clients and their families. The University has gained permission to use these materials in this unit of study. However, in order to protect the privacy of the persons involved, students must not (a) disclose information about these cases to persons not enrolled in this unit of study, (b) advertently or inadvertently provide other people with access to the case-based materials, or (c) copy, reproduce, or distribute case based materials to any other person or for any other means. Students are advised to refer to the clinic policy regarding client confidentiality and privacy available on the clinic Canvas.

Disclaimer

The University reserves the right to amend units of study or no longer offer certain units, including where there are low enrolment numbers.

To help you understand common terms that we use at the University, we offer an online glossary.