\documentclass[10pt,a4paper]{article}

% Packages
\usepackage{fancyhdr}           % For header and footer
\usepackage{multicol}           % Allows multicols in tables
\usepackage{tabularx}           % Intelligent column widths
\usepackage{tabulary}           % Used in header and footer
\usepackage{hhline}             % Border under tables
\usepackage{graphicx}           % For images
\usepackage{xcolor}             % For hex colours
%\usepackage[utf8x]{inputenc}    % For unicode character support
\usepackage[T1]{fontenc}        % Without this we get weird character replacements
\usepackage{colortbl}           % For coloured tables
\usepackage{setspace}           % For line height
\usepackage{lastpage}           % Needed for total page number
\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{aoife}
\pdfinfo{
  /Title (motor-speech-disorder-and-aac.pdf)
  /Creator (Cheatography)
  /Author (aoife)
  /Subject (Motor Speech Disorder  and AAC Cheat Sheet)
}

% Lengths and widths
\addtolength{\textwidth}{6cm}
\addtolength{\textheight}{-1cm}
\addtolength{\hoffset}{-3cm}
\addtolength{\voffset}{-2cm}
\setlength{\tabcolsep}{0.2cm} % Space between columns
\setlength{\headsep}{-12pt} % Reduce space between header and content
\setlength{\headheight}{85pt} % If less, LaTeX automatically increases it
\renewcommand{\footrulewidth}{0pt} % Remove footer line
\renewcommand{\headrulewidth}{0pt} % Remove header line
\renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit
% This two commands together give roughly
% the right line height in the tables
\renewcommand{\arraystretch}{1.3}
\onehalfspacing

% Commands
\newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour
\newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols
\newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns
\newcommand{\tn}{\tabularnewline} % Required as custom column type in use

% Font and Colours
\definecolor{HeadBackground}{HTML}{333333}
\definecolor{FootBackground}{HTML}{666666}
\definecolor{TextColor}{HTML}{333333}
\definecolor{DarkBackground}{HTML}{C79191}
\definecolor{LightBackground}{HTML}{F8F1F1}
\renewcommand{\familydefault}{\sfdefault}
\color{TextColor}

% Header and Footer
\pagestyle{fancy}
\fancyhead{} % Set header to blank
\fancyfoot{} % Set footer to blank
\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Motor Speech Disorder  and AAC Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{aoife} via \textcolor{DarkBackground}{\uline{cheatography.com/165126/cs/34589/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}aoife \\
  \uline{cheatography.com/aoife} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 11th October, 2022.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
  \SetRowColor{white}
  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.


\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{What is "motor speech"?}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{➢ Learning to speak, requires individuals to learn how to plan, sequence, \newline % Row Count 2 (+ 2)
and/ or control movements of muscle groups used to generate speech \newline % Row Count 4 (+ 2)
➢ BUT for children who experience impairments in neurological \newline % Row Count 6 (+ 2)
development may have difficulty planning, coordinating, and \newline % Row Count 8 (+ 2)
executing speech sounds movements... \newline % Row Count 9 (+ 1)
➢ Similarly, adults with different 'conditions' (diseases, disorders \newline % Row Count 11 (+ 2)
etc.) that impact the nervous (central and /or peripheral) systems, \newline % Row Count 13 (+ 2)
which in turn, affect speech components (respiration, phonation, prosody, and articulation...)% Row Count 15 (+ 2)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Motor Speech}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{➢  First you need to retrieve the words and information you want to say  \newline % Row Count 2 (+ 2)
➢ If you don't have the information you will not know how to produce the sounds and the words% Row Count 4 (+ 2)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Speech Program Information}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{➢ Brain tells us we need to move our lips first \newline % Row Count 1 (+ 1)
➢ Tongue needs to move, the soft palate   \newline % Row Count 2 (+ 1)
➢ This needs to happen in the right order \newline % Row Count 3 (+ 1)
➢ Articulators are muscles so the brain will send signals to our muscles to tell them when and how to move to articulate the sounds to produce words   \newline % Row Count 7 (+ 4)
➢ Is something going wrong with the green circle etc? Processing step or when articulators should move then we are dealing with a motor speech disorder.% Row Count 11 (+ 4)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Different conditions can impact speech}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{The following conditions include: what they are, speech characteristic and treatments} \tn 
% Row Count 2 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Motor Neuron Disease}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{➢ it is a progressive condition and the cause of the condition is unclear  \newline % Row Count 2 (+ 2)
➢ 5\% of cases have a family history, which is called familial motor neuron disease   \newline % Row Count 4 (+ 2)
➢ If there is no family history it is called sporadic motor neuron disease   \newline % Row Count 6 (+ 2)
Speech characteristics include:  \newline % Row Count 7 (+ 1)
➢ Faint speech  \newline % Row Count 8 (+ 1)
➢ Slurred or unclear speech  \newline % Row Count 9 (+ 1)
➢ Muscle weakness   \newline % Row Count 10 (+ 1)
➢ Spastic speech  \newline % Row Count 11 (+ 1)
➢ Slow rate   \newline % Row Count 12 (+ 1)
Treatment for MND:  \newline % Row Count 13 (+ 1)
➢ No cure so the point of treatment is to provide comfort and the highest quality of life  \newline % Row Count 15 (+ 2)
➢ Loss of functions = mobility, communication, swelling and breathing are all affected   \newline % Row Count 17 (+ 2)
➢ Breathing masks may be used to help with the breathing aspect   \newline % Row Count 19 (+ 2)
➢ Feeding tube used to help patients who cannot feed themselves  \newline % Row Count 21 (+ 2)
➢ Some medications can help with survival rate but cannot decrease the progression of the disease   \newline % Row Count 24 (+ 3)
Informative websites:  \newline % Row Count 25 (+ 1)
➢ Show where to get support and give care, how to talk to children about the disease, talking about the condition, helping to bring light to the disease   \newline % Row Count 29 (+ 4)
Communication aids for MND:  \newline % Row Count 30 (+ 1)
} \tn 
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Motor Neuron Disease (cont)}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{➢ MND impacts the muscle strength in the lips, tongue, vocal folds and chest, and can also weaken muscles for facial gestures   \newline % Row Count 3 (+ 3)
➢ Recording messages early on in the disease so you can play them when you need to explain something further on when you cannot express speech, device used.  \newline % Row Count 7 (+ 4)
➢ Record words or phrases   \newline % Row Count 8 (+ 1)
➢ Eye gaze technology, eye movement can correspond to certain statements or letters. Yes or no questions etc.% Row Count 11 (+ 3)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Parkinsons Disease}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{➢ Decreased breath support   \newline % Row Count 1 (+ 1)
➢ Change in vocal quality   \newline % Row Count 2 (+ 1)
➢ Mumbled speech  \newline % Row Count 3 (+ 1)
➢ Decrease in volume of speech  \newline % Row Count 4 (+ 1)
➢ Short utterances  \newline % Row Count 5 (+ 1)
➢ Voice tremors   \newline % Row Count 6 (+ 1)
➢ Hoarse/ gravely   \newline % Row Count 7 (+ 1)
➢ Parkinsons' disease is a progressive disorder which affects the central nervous system and heavily affects movement and uncontrollable tremors. This is caused by decreased dopamine levels in the system because there is dead dopamine cell which is in charge of automatic and motor movement \newline % Row Count 13 (+ 6)
Treatment:  \newline % Row Count 14 (+ 1)
➢ Cannot be cured   \newline % Row Count 15 (+ 1)
➢  Medication helps to control symptoms   \newline % Row Count 16 (+ 1)
➢  Exercise   \newline % Row Count 17 (+ 1)
➢  Trying to increase their quality of life because it is progressive   \newline % Row Count 19 (+ 2)
➢  There are medicines which are used to replace the dopamine cells that died and increase dopamine levels as dopamine is in charge of the automatic and motor movement   \newline % Row Count 23 (+ 4)
➢  Physical and occupational therapy    \newline % Row Count 24 (+ 1)
➢  AAC to make communication easier   \newline % Row Count 25 (+ 1)
Tips:  \newline % Row Count 26 (+ 1)
➢ Speaking slowly   \newline % Row Count 27 (+ 1)
➢ Quite a space   \newline % Row Count 28 (+ 1)
➢ Make sure the patient can see your face   \newline % Row Count 29 (+ 1)
➢ Short phrases   \newline % Row Count 30 (+ 1)
} \tn 
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Parkinsons Disease (cont)}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{➢ AAC% Row Count 1 (+ 1)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Advanced Multiple Sclerosis}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{➢ A progressive demyelinating disease where the protective cover of nerve cells in the brain and spinal cord are damaged. This results from the immune system not recognizing the cells and attacking the body's cells  \newline % Row Count 5 (+ 5)
➢ Affects movements so then also affects speech and swallowing   \newline % Row Count 7 (+ 2)
Common speech characteristics include:  \newline % Row Count 8 (+ 1)
➢ Speech pattern disrupted, normality   \newline % Row Count 9 (+ 1)
➢ Long pauses between words, single syllables   \newline % Row Count 10 (+ 1)
➢ Words can be slurred, due to weakness or incoordination of the speech muscles   \newline % Row Count 12 (+ 2)
Treatment:  \newline % Row Count 13 (+ 1)
➢ No cure  \newline % Row Count 14 (+ 1)
➢ Treatments and medicines to help to manage the condition   \newline % Row Count 16 (+ 2)
➢ Treatment varies depending on the stage of the disease   \newline % Row Count 18 (+ 2)
➢ Medicines which relieve muscle spasms  Or relax muscles   \newline % Row Count 20 (+ 2)
➢ Plasma exchange   \newline % Row Count 21 (+ 1)
➢ Fatigue: regular sleep, exercise and diet help   \newline % Row Count 23 (+ 2)
➢ Repetition when speaking and speaking slower help  \newline % Row Count 25 (+ 2)
➢ Patients may have trouble with word retrieval so using similar words or describing the word they are trying to say is important for a communication partner% Row Count 29 (+ 4)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Childhood apraxia of speech}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{➢ Uncommon speech disorder where children have difficulties creating accurate speech movements  \newline % Row Count 2 (+ 2)
➢  The brain struggles to develop plans for speech movements and it is non-progressive  \newline % Row Count 4 (+ 2)
➢  Most cases are unknown but can be caused by damage to the brain or genetic disorders or stroke or traumatic brain injury   \newline % Row Count 7 (+ 3)
Speech characteristics:  \newline % Row Count 8 (+ 1)
➢ Trouble moving smoothly from one sound, syllable or word to another  \newline % Row Count 10 (+ 2)
➢  Groping, movements with the jaw, lips or tongue to make the correct movement for speech sounds  \newline % Row Count 13 (+ 3)
➢  Vowel distortions, such as attempting to use the correct vowel, but saying it incorrectly  \newline % Row Count 15 (+ 2)
➢  Repeated production of vowels   \newline % Row Count 16 (+ 1)
Treatment: three approaches  \newline % Row Count 17 (+ 1)
➢ Motor based approach, based on motor learning  \newline % Row Count 19 (+ 2)
➢ Cues and stimulus  \newline % Row Count 20 (+ 1)
➢ Linguistic approaches, address language impairments   \newline % Row Count 22 (+ 2)
➢ Multi-model communication approach, AAC to help them communicate   \newline % Row Count 24 (+ 2)
Three features:  \newline % Row Count 25 (+ 1)
➢ Inconsistency   \newline % Row Count 26 (+ 1)
➢ Difficulties transitioning between different sounds and syllables   \newline % Row Count 28 (+ 2)
➢ Prosody, stresses, pitch and rhythm of speech  \newline % Row Count 30 (+ 2)
} \tn 
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Childhood apraxia of speech (cont)}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{➢ Practice and encouragement from family can help patients with apraxia% Row Count 2 (+ 2)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}



\end{document}