CSD 550 01: Motor Speech Disorders

CSD 550 - Motor Speech Disorders

2023 Summer Syllabus, Section 01, CRN 10527

Course Information

You are responsible for knowing this material, so please read carefully. Any changes will be announced in a Blackboard Announcement. You will be responsible for any changes. Your continued enrollment in this course is your implicit agreement to abide by the requirements of this class.

This syllabus describes the requirements and procedures for CSD 550 Motor Speech.

Times and Location

MWF 12:15pm-2:15pm in Columbia Hall 1360

June 12th – July 19th 2023 

Monday and Wednesday 12:30 – 2:15 pm in person Columbia Hall Rm 1360  

Friday Asynchronous: Recorded / assignment (on your own at your preferred time) 

Instructor Information

Nicole Kiel Pashke MS, CCC/SLP

Email: nicole.kiel@und.edu

Office: CSD Hallway 1107

2023 Summer Office Hours:
Office Hours: contact for appointment

Cell Phone: 701-740-9359

About the Professor

I have 20 years’ experience with medical adult speech pathology. I worked for a health care system in Acute and Inpatient Rehab settings. My passions are dysphagia, head and neck cancer, and aphasia. I have taught Motor Speech and Dysphagia as an adjunct professor since 2006. I am so excited for a new career path by becoming more involved with UND the fall of 2019, seeing patients at NPCC and supervising students and their clients. I also own a mobile FEES company, DakMn Dysphagia Diagnostics, in which I bring swallow diagnostics to rural nursing homes, hospitals, inpatient rehabs and LTACHs.  

Course Description

The study of control and damage of speech production related to neurological diseases and lesions. Includes assessment and intervention strategies for adults with motor speech disorders such as dysarthria and apraxia of speech.

Learning Outcomes

American Speech-Language-Hearing Association (ASHA) Certification Standards Addressed in This Course: 

Motor Speech 

Neurological basis of speech production and control (Std. III-B; III-C) 

Neurological damage and speech production problems (Std. III-C; III-D, IV-B, IV-G) 

The Dysarthria Types Clinical manifestation and pathophysiology of dysarthria ( III-C, III-D) Neurological diseases and lesions associated with motor speech (III-C, III-D) 

Acquired Apraxia (III-C; III-D; IV-B) 

Assessment and intervention strategies for Dysarthria and Apraxia of Speech (III-D, IV-B, IV-G) 

Behaviorally Defined Objectives Related to the Standards and the Target Knowledge/Skills to be Acquired Upon Course Completion: 

III-B, 1b: The student will be able to describe how the cranial nerves are involved in normal speech production. 

III-B, 1g: The student will be able to describe and different views of disability and the levels at which individuals are affected by their difficulties and be able to implement these issues when assessing individuals with dysarthria and when setting goals for treatment. 

III-C, 1 and 3: The student will be able to correctly identify dysarthrias, based on case information and symptoms. 

III-D, 1 and 3 (assessment): The student will be able to explain and describe appropriate assessment procedures given specific dysarthrias or speech, voice, resonance, and respiratory symptoms. 

III- D, 1 and 3 (intervention): The student will be able to explain and describe appropriate intervention procedures given specific dysarthrias or speech, voice, resonance, and respiratory symptoms. 

Achievement goals: 

The student will be able to accurately and precisely define, discuss, and/or distinguish the above concepts. 

Achievement assessment: 

The student's attainment of the achievement goals will be assessed using paper and pencil examinations, class presentation of disease process and motor speech management, class participation. 

Course Materials

Freed, Donald. Motor Speech Disorders Diagnosis and Treatment 3rd ed.(2020) 

ISBN 1635500958 

Articles as assignedArticles will be discussed in class and provided the Resources Folder in Blackboard 

MEDBRIDGE:  You will have a yearly subscription purchased prior to this course.  

Simucase:  You will have a subscription purchased prior to this course.   

Technical Requirements/Assistance

Whether you’re taking courses in the classroom or online, it’s important to have the right technology and equipment.  Visit the UND Technical Requirements webpage for more information. Students are expected to use their official UND email in the course. For technical assistance, please contact UND Technical Support at 701.777.2222. Visit the University Information Technologies (UIT) website for their hours, help documents and other resources.

Minimum Technical Skills Needed

In order to succeed in this course, at a minimum, you should be able to:

  • Navigate in and use basic Blackboard functions
  • Download and open electronic documents
  • Create, save, and upload/attach electronic documents
  • Send, receive, and manage email

Course Logistics

Access and Log in Information

This course was developed and will be facilitated utilizing Blackboard. To get started with the course, please go to: http://blackboard.UND.edu and log in with your NDUS.Identifier, Username and Password. If you do not know your NDUS Identifier or have forgotten your password, please visit Your NDUS Account page on the UIT website.

Course Overview

The course content is organized by week for this semester. Each week contains a purpose, learning outcomes, and a variety of links to articles, video/audio files, and other instructional resources selected to enhance the learning experience and support the various topics. Discussions, blogs, wikis, surveys, quizzes, tests and assignments will be used to assess your comprehension and application of those materials. 

Prior to the start of the first week you should have reviewed the syllabus and obtained your text. 


Many services are available to UND students such as writing assistance from the UND Writing Center, free online tutoring from Smarthinking, and more. Visit the Student Resources page for more information. Students also have access to the UND Student Resource Site via Blackboard. It is recommended that you become familiar with the tools and tutorials within the site to better equip you in navigating the course.

Course Requirements/Expectations

  1. The student will review the syllabus and course schedule posted in Blackboard.
  2. The student will access and follow all course instructions found in the weekly area of the Blackboard course.
  3. The student will participate in any lecture or discussion sessions on campus or online as provided and as part of this course.
  4. The student will complete and submit assignments, exams, quizzes, etc. by the date noted and in the manner described in Blackboard and on the course schedule. We will use Central Standard Time for due dates and times.
  5. The student will participate fully and in a timely manner to get the benefit of learning from instructor and/or peers.



Announcements will be posted in Blackboard on a regular basis. Be sure to check the class announcements regularly as they will contain important information about class assignments and other class matters. 


You are encouraged to post your questions about the course in the FAQs discussion board forum in the Blackboard site or raise them in class if held synchronously or on campus. The Blackboard discussion board is an open forum in which you and your classmates are encouraged to answer each other’s questions. But, if you need to contact me directly, check the Faculty tab in Blackboard or the syllabus for my contact information. I will respond back to you within 48 hours during the week or weekend. 


Text: 701-740-9359 

Course Etiquette 

When participating in class (online or in person) it is important to interact with your peers in an appropriate manner. Always use professional language (no netspeak) in your postings and emails. Please be respectful of your classmates at all times even if you disagree with their ideas. 

Assessment Summary

This course is made up of a series of assignments and assessments to assist you in achieving the course learning objectives/outcomes.  This will discussed in class and written information will be provided in Blackboard.  


In this course your learning will be assessed in the following ways: 

3 quizzes: 100 points

Cranial nerve exam video: 25 points 

Frenchay Dysarthria Assessment (Darlene:) 25 points 

Apraxia Evaluation (Steve) Report: 25 points 

Total 375 points 

Simucase: > 90 accuracy in learning mode, debrief questions > 70% (pass/fail)  

Pass/fail, 3.0 in Calipso for hours 

Grading scale

100-90 A 

89-80 B 

79-70 C 

69-60 D 

Course Evaluation

Around the middle of the semester, we will complete a formative assessment to see how the course is going. Near the end of the semester, you will be asked to complete an online course evaluation form (SELFI). Your feedback on the course is extremely valuable to me. I read my students’ comments carefully and use them to improve the course the next time I teach it. 

  • When the time comes, please let me know which aspects of the course helped you learn—and which aspects might be modified to help future students learn more effectively. 

  • Please note that the course evaluations are anonymous and that I won’t see the results until after the grades for the course are submitted, allowing you to provide honest and constructive feedback. 

  • And if you have feedback to offer before the end of the semester, please let me know. 

Schedule of Topics and Assignments

Day: Date: Reading(s): Agenda/Topic: Due:
Mon 6/12 Ch 1: Historical Review of MSD
Ch 2: The Motor System
Wed 6/14 Ch 2: The Motor System
Fri 6/16 Cranial Nerve Exam Video; PP in resources
Mon 6/19 Ch 3: Evaluation of MSD
Wed 6/21 Ch 3: Evaluation of MSD
Ch 4: Flaccid Dysarthria
Fri 6/23 Darlene Frenchay Video
Mon 6/26 Ch 5: Spastic Dysarthria Quiz 1 Ch 1-3 + Friday tasks, Articles
Darlene Evaluation Report Due
Wed 6/28 Ch 6: UUMN Dysarthria
Ch. 7: Ataxic Dysarthria
Cranial Nerve Exam Video Due before class
Fri 6/30 Simucase Rob, Eval Adult 90 Min
Mon 7/3 No Class
Wed 7/5 Ch 8: Hypokinetic Dysarthria
Ch 9: Hyperkinetic Dysarthria
Simucase Rob Debrief
Quiz 2: Ch 4-7, Friday tasks, readings
Fri 7/7 Simucase Judith: Adult Treatment, Voice, 90 min
Mon 7/10 Ch 10: Mixed Dysarthria
Ch 11: Apraxia
Simucase Judith Debrief
Wed 7/12 Ch. 11 Apraxia
Fri 7/14 Medbridge Video:
Steve Apraxia Eval Video
Mon 7/17 Ch. 11 Apraxia
Goals, Catch-up
Wed 7/19 Quiz 3: Ch 8-11, readings, Friday tasks Steve Apraxia Evaluation Report Due before class

Course Policies

Assignment Policy 

Due dates for each assignment or activity will be posted in Blackboard and your Semester Calendar. 

Late Work 

All assignments must be submitted by the due dates posted in the course. Late assignments will be 10% reduction per day it is late.  

Please contact me if an emergency were to arise so I can assist you. 

Instructor Responsibilities and Feedback 

  • The instructor will provide feedback on all assignments and group activities by Wednesday of the following week. 

  • The instructor will be available via Zoom or phone within 24 hours of request for meeting. 


It is expected that students will complete all requirements for a course during the time frame of the course. For reasons beyond a student’s control, and upon request by the student or on behalf of the student, an incomplete grade may be assigned by the instructor when there is reasonable certainty the student will successfully 

complete the course without retaking it. The mark “I,” Incomplete, will be assigned only to the student who has been in attendance and has done satisfactory work up to a time within four weeks of the close of the semester, including the examination period, and whose work is incomplete for reasons satisfactory to his or her instructor. More information regarding UND’s Incomplete policy can be found on The Grading System webpage. 

Copyright Notice 


University of North Dakota Policies & Resources

Academic Integrity

Academic integrity is a serious matter, and any deviations from appropriate behavior will be dealt with strongly. At the discretion of the professor, situations of concern may be dealt with as a scholastic matter or a disciplinary matter.

As a scholastic matter, the professor has the discretion to determine appropriate penalties for the student’s workload or grade, but the situation may be resolved without involving many individuals. An alternative is to treat the situation as a disciplinary matter, which can result in suspension from the University, or have lesser penalties. Be aware that I view this as a very serious matter and will have little tolerance and/or sympathy for questionable practices. A student who attempts to obtain credit for work that is not their own (whether that be on a paper, quiz, homework assignment, exam, etc.) will likely receive a failing grade for that item of work, and at the professor’s discretion, may also receive a failing grade in the course. For more information read the Code of Student Life.

Access and Opportunity, Disability Support, & Medical Services

The University of North Dakota is committed to providing equal access to students with documented disabilities. To ensure access to this class and your program, please contact Disability Services for Students (DSS) to engage in a confidential discussion about accommodations for the classroom and clinical settings. Accommodations are not provided retroactively. Students are encouraged to register with DSS at the start of their program. More information can be obtained by email UND.dss@UND.edu or by phone at 701.777.2664.


UND is committed to maintaining a safe learning environment while providing quality learning experiences for our students. COVID-19’s continued presence within our UND community may necessitate changes in classroom management as the academic year progresses. As such, UND asks students and instructors to be flexible when necessary to promote a safe environment for learning. Please do not attend an in-person class or lab if you are feeling ill, particularly if you are experiencing symptoms of COVID-19, or if you have been directed by health professionals to quarantine or isolate. If you are not able to attend class or lab, please notify your instructor as soon as possible and discuss options for making up any missed work in order to ensure your ability to succeed in the course. If you will have an extended absence due to serious illness or other uncontrollable circumstances, you may request an absence notification through the Office of Student Rights and Responsibilities. Similarly, if your instructor is ill they may need to cancel class or temporarily move your course to online delivery to ensure that you are able to complete the course successfully.  Instructors may require students to wear masks in the classroom or in the laboratory as a preventative measure designed to facilitate uninterrupted classroom engagement and to facilitate health and safety in the classroom.   If your instructor does require masks in class or in a laboratory, you are expected to comply with that request.

UND also strongly encourages all members of the University community, including students, to get vaccinated, seek out testing when needed, and model positive behavior both on- and off-campus to foster a healthy and safe learning environment for all students. Individuals who would like to discuss disability accommodations regarding masks should contact the Disability Services for Students (DSS) office at 701.777.2664 or UND.dss@UND.edu. Individuals who are unable to wear a mask due to a sincerely held religious belief should contact the UND Equal Opportunity and Title IX Office at 701.777.4171 or UND.EO.TitleIX@UND.edu.

Religious Accommodations

UND offers religious accommodations, which are reasonable changes in the academic environment that enable a student to practice or observe a sincerely held religious belief without undue hardship on the University. Examples include time for prayer or the ability to attend religious events or observe a religious holiday. To request an accommodation, complete the student religious accommodation request form. If you have any questions, you may contact the Equal Opportunity & Title IX Office.

Pregnancy Accommodations

Students who need assistance with academic adjustments related to pregnancy or childbirth may contact the Equal Opportunity & Title IX Office or Academic Affairs to learn about your options. Additional information and services may be found at Pregnancy Resources.

Notice of Nondiscrimination

It is the policy of the University of North Dakota that no person shall be discriminated against because of race, religion, age, color, gender, disability, national origin, creed, sexual orientation, gender identity, genetic information, marital status, veteran’s status, or political belief or affiliation and the equal opportunity and access to facilities shall be available to all. Concerns regarding Title IX, Title VI, Title VII, ADA, and Section 504 may be addressed to Donna Smith, Assistant Vice President for Equal Opportunity & Title IX and Title IX/ADA Coordinator, 102 Twamley Hall, 701.777.4171, UND.EO.TitleIX@UND.edu or the Office for Civil Rights, U.S. Dept. of Education, 230 S. Dearborn St., 37th Floor, Chicago, IL 60604 or any other federal agency.

Reporting of Discrimination, Harassment, or Sexual Misconduct

If you or a friend has experienced sexual misconduct, such as sexual harassment, sexual assault, domestic violence, dating violence, or stalking, please contact the Equal Opportunity & Title IX Office or UND’s Title IX Coordinator, Donna Smith, for assistance: 701.777.4171; donna.smith@UND.edu; or visit the Title IX webpage. You may also contact the Equal Opportunity & Title IX office if you or a friend has experienced discrimination or harassment based on a protected class, such as race, color, national origin, religion, sex, age, disability, sexual orientation, gender identity, genetic information, pregnancy, marital or parental status, veteran's status, or political belief or affiliation.

Faculty Reporting Obligations Regarding Discrimination, Harassment, or Sexual Misconduct

It is important for students to understand that faculty are required to share with UND’s Title IX Coordinator any incidents of sexual misconduct or of discrimination or harassment based on a protected class that they become aware of, even if those incidents occurred in the past or are disclosed as part of a class assignment. This does not mean an investigation will occur if the student does not want that, but it does allow UND to provide resources to help the student continue to be successful at UND. If you have been impacted by discrimination, harassment, or sexual misconduct, you can find information about confidential support services on the Equal Opportunity & Title IX webpage..

UND Cares Program

How to Seek Help When in Distress

We know that while college is a wonderful time for most students, however, some students may struggle or have issues that arise. You may experience students in distress on campus, in your classroom, in your home, and within residence halls. Distressed students may initially seek assistance from faculty, staff members, their parents, and other students. In addition to the support we can provide to each other, there are also professional support services available to students through the Dean of Students and University Counseling Center. Both staffs are available to consult with you about getting help or providing a friend with the help that he or she may need. For more additional information, please visit the UND Cares Program Webpage.

How to Recognize When a Student is in Distress

The term “distressed” can mean any of the following:

  • Student has significant changes in eating, sleeping, grooming, spending, or other daily activities.
  • Student has cut off or minimized contact with family or friends.
  • Student has significant changes in performance or involvement in academics, sports, extracurricular, or social activities.
  • Student describes problems (missing class, not remembering, destructive behavior) that result from experiences with drinking or drugs.
  • Student is acting withdrawn, volatile, tearful, etc.
  • Student is acting out of character or different than usual.
  • Student is talking explicitly about hopelessness or suicide.
  • Student has difficulty concentrating or difficulty carrying on a normal conversation.
  • Student has excessive dependence on others for company or support.
  • Student reports feeling out of control of one’s emotions, thoughts, or behaviors.

Land Acknowledgement Statement

Today, the University of North Dakota rests on the ancestral lands of the Pembina and Red Lake Bands of Ojibwe and the Dakota Oyate - presently existing as composite parts of the Red Lake, Turtle Mountain, White Earth Bands, and the Dakota Tribes of Minnesota and North Dakota. We acknowledge the people who resided here for generations and recognize that the spirit of the Ojibwe and Oyate people permeate this land. As a university community, we will continue to build upon our relations with the First Nations of the State of North Dakota - the Mandan, Hidatsa, and Arikara Nation, Sisseton-Wahpeton Oyate Nation, Spirit Lake Nation, Standing Rock Sioux Tribe, and Turtle Mountain Band of Chippewa Indians.

Additional Resources

It is my goal to foster an environment of mutual respect in which everyone feels comfortable voicing their opinions, sharing their stories, and learning about potentially heavy or personally relevant material. If, at any point, you feel like the information covered in this class elicits thoughts, feelings, or concerns that you would like to discuss further, don’t hesitate to reach out to me, or the UND Counseling Center (701-777-2127).

Further, if you experience extenuating circumstances, sexual violence, identity-based harm, or any other personal crisis during the semester, don’t hesitate to reach out to me so we can provide academic assistance and help you in this course, and put you in contact with the appropriate resources and services (if needed).