Slpa 865 - Voice Disorders - Exam 3

Front 1

True or false: Therapy is a short-term process.

Back 1

True

Front 2

Why is therapy not a long-term process?

Back 2

-just need to teach behavioral strategies
-it is up to client to use them

Front 3

What are the goals of voice therapy?

Back 3

-inform client about voice problem
-provide ways to change way voice sounds
-get best sounding AND feeling voice

Front 4

What 4 things should you teach the client for how to care and manage voice outside of therapy?

Back 4

-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

Front 5

What should be provided to people to hyperfunctional disorders?

Back 5

both counseling AND specific techniques

Front 6

True or false: It is not necessary to document and record each voice session.

Back 6

false: improvement in voice can occur quickly

Front 7

What are the main principles of voice therapy?

Back 7

1. not a long-term process
2. its a continuum
3. negative practice

Front 8

Name the 12 voice therapy facilitating techniques.

Back 8

-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

Front 9

What is biofeedback?

Back 9

voice treatment technique
-visual and auditory
-internal change that is perceived by individual

Front 10

What is chant talk?

Back 10

voice treatment technique
-smooth, continuous, easy, monotonous speech (continuous phonation, slower rate, monopitch, monoloudness)

Front 11

What is chewing approach?

Back 11

voice treatment technique
-"chew" while talking
-slows rate, easier phonation (continuous), exaggerating articulation (increase mouth opening)

Front 12

What is digital manipulation?

Back 12

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

Front 13

What is laryngeal massage?

Back 13

voice treatment technique
-used with digital manipulation and head positioning
-massage muscles on each side of larynx (work tension out of neck)

Front 14

What is change in head position?

Back 14

voice treatment technique
-used with digital manipulation and laryngeal massage
-drop chin, push down on chin, move head side to side

Front 15

What is glottal fry technique?****

Back 15

voice treatment technique
-establish low pitch; relaxes VFs
-vocal abuse->"easy onset"

Front 16

What is inhalation phonation?

Back 16

voice treatment technique
-relaxes VFs; inhale loud
-is relaxed when pitch of inhale and exhale is similar

Front 17

What is masking noise?

Back 17

voice treatment technique
-Lombard Effect: increase pitch and loudness in noisy environment
-record voice with machine one and off

Front 18

What is push and pull technique?

Back 18

voice tx technique
-when increased adduction is needed
-for weak or paralyzed VFs

Front 19

What is tone focus?

Back 19

voice tx technique
-find pitch that makes voice sound and feel better

Front 20

What are the 2 biggest recommendations for vocal hygiene?

Back 20

-hydration
-reduce coughing/clearing throat

Front 21

What are the 3 phases for tx of children with voice disorders?

Back 21

-phase I: education
-phase II: facilitating improved vocal quality
-phase III: transfer and maintenance

Front 22

Describe phase I of children tx.

Back 22

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

Front 23

Describe phase II of children tx.

Back 23

Facilitating Improved Vocal Quality
-4 to 8 weeks
-teach techniques
-provide models
-use child-friendly descriptions

Front 24

Describe phase III of children tx.

Back 24

Transfer and Maintenance
-4 weeks
-chart progress
-decrease txs

Front 25

What is the program used for managing vocal abuse in children?

Back 25

Wilson's 8 Step Program (used in phase I: Education)

Front 26

List Wilson's 8 Steps.

Back 26

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

Front 27

What are the 4 segments of the PE segment?

Back 27

-lower edge of inferior constrictor
-cricopharyngeus
-inner circular fibers
-outer longitudinal fibers

Front 28

What function does the PE segment serve for laryngectomees?

Back 28

does the vibrating for esophageal speech and TE prosthesis