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28 Cards in this Set
- Front
- Back
True or false: Therapy is a short-term process.
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True
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Why is therapy not a long-term process?
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-just need to teach behavioral strategies
-it is up to client to use them |
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What are the goals of voice therapy?
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-inform client about voice problem
-provide ways to change way voice sounds -get best sounding AND feeling voice |
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What 4 things should you teach the client for how to care and manage voice outside of therapy?
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-provide ear training
-have client enlist in support of "voice buddy" -instruct them on what, when and how often to practice -model all suggested voice tasks |
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What should be provided to people to hyperfunctional disorders?
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both counseling AND specific techniques
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True or false: It is not necessary to document and record each voice session.
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false: improvement in voice can occur quickly
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What are the main principles of voice therapy?
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1. not a long-term process
2. its a continuum 3. negative practice |
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Name the 12 voice therapy facilitating techniques.
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-biofeedback
-chant talk -chewing approach -digital manipulation/laryngeal massage/change head position -establishing new pitch -glottal fry technique -inhalation phonation -masking noise -pushing and pulling technique -relaxation -tone focus -yawn-sigh and easy onsets of phonation |
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What is biofeedback?
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voice treatment technique
-visual and auditory -internal change that is perceived by individual |
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What is chant talk?
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voice treatment technique
-smooth, continuous, easy, monotonous speech (continuous phonation, slower rate, monopitch, monoloudness) |
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What is chewing approach?
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voice treatment technique
-"chew" while talking -slows rate, easier phonation (continuous), exaggerating articulation (increase mouth opening) |
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What is digital manipulation?
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voice therapy technique
-used with laryngeal massage and head positioning -use fingers to manipulate or posture larynx -push down and in, move lamina side to side |
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What is laryngeal massage?
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voice treatment technique
-used with digital manipulation and head positioning -massage muscles on each side of larynx (work tension out of neck) |
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What is change in head position?
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voice treatment technique
-used with digital manipulation and laryngeal massage -drop chin, push down on chin, move head side to side |
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What is glottal fry technique?****
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voice treatment technique
-establish low pitch; relaxes VFs -vocal abuse->"easy onset" |
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What is inhalation phonation?
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voice treatment technique
-relaxes VFs; inhale loud -is relaxed when pitch of inhale and exhale is similar |
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What is masking noise?
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voice treatment technique
-Lombard Effect: increase pitch and loudness in noisy environment -record voice with machine one and off |
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What is push and pull technique?
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voice tx technique
-when increased adduction is needed -for weak or paralyzed VFs |
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What is tone focus?
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voice tx technique
-find pitch that makes voice sound and feel better |
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What are the 2 biggest recommendations for vocal hygiene?
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-hydration
-reduce coughing/clearing throat |
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What are the 3 phases for tx of children with voice disorders?
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-phase I: education
-phase II: facilitating improved vocal quality -phase III: transfer and maintenance |
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Describe phase I of children tx.
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Education
-4 to 8 weeks -teach voice terms -use pics, models, etc. to teach how voice works -discuss vocal abuse and discriminate between good/bad |
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Describe phase II of children tx.
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Facilitating Improved Vocal Quality
-4 to 8 weeks -teach techniques -provide models -use child-friendly descriptions |
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Describe phase III of children tx.
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Transfer and Maintenance
-4 weeks -chart progress -decrease txs |
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What is the program used for managing vocal abuse in children?
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Wilson's 8 Step Program (used in phase I: Education)
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List Wilson's 8 Steps.
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1. "I won't abuse my voice" (vocal abuse and how to stop)
2. "I can tell when I use my voice incorrectly" 3. "I can tell when I use my voice correctly" 4. "I can tell when other people use their voices incorrectly" 5. "I can tell when other people use their voice correctly" 6. "I know where I use my voice incorrectly" 7. "I know where I use my voice correctly" 8. Transfer and maintenance of voice use |
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What are the 4 segments of the PE segment?
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-lower edge of inferior constrictor
-cricopharyngeus -inner circular fibers -outer longitudinal fibers |
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What function does the PE segment serve for laryngectomees?
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does the vibrating for esophageal speech and TE prosthesis
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