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18 Cards in this Set
- Front
- Back
abnormalities in muscle tone
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-flaccidity: weak, not enough tone
-spaciticity - rigidity: too much tone |
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Voice therapy
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to start: don't start with pitch
-vocal quality is impaired- respiration and resonance (if you work on these two, it improves phonation) -look at what's interrupting the person the most? -vocal quality -life style hygiene -respiration and resonance |
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respiration and resonance, you need to be looking for.
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breath holding, clavicular breathing, wasting air, tension, squeezed phonation, breathy phonation, glottal fry, etc (these will impact phonation)
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Therapy techniques for laryngeal hyperfunction:
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-vocal rest
-vocal hygiene -program of voice therapy: look it up |
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Vocal rest
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-modified or total, not to exceed 2 weeks,
-activities to avoid: speaking, singing, coughing, whispering. -also avoid throat clearing, laughing, listing heavy objects |
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Therapy for conversion aphonias
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-psychological conflict being expressed through speech
- counseling - vegetative phonation - sustain tones, vowels, syllables - continue counseling |
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build your own voice lab
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-online piano
-digital voice recorder -acoustic measurement system |
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when to stop therapy
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- client has achieved the goals
- client's lesion has resolved - client has reached a plateau and is ok or if not ok, refer back to ENT - no progress in 6-8 sessions. |
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Vocal warm ups
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- breathing exercises
- the best voice is the one that takes the least amnt of effort - gliding down, gliding up |
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augmentative comm- electrolarynx.
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you need to exaggerate your movements, opening your mouth
- pros: the can talk, cheap, light weight. - cons: only have one hand to work w/. |
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prosthetic device
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requires additional surgery, tracheoesophageal shunt
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esophageal speech
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injection, trap, release
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normal perturbation score
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.08
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vocal hygiene program for functional vd
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- drink water
- quit excess coughing and throat clearing - vocal rest - avoid laryngeal pollutants, irritants - alcohol- drying effect - identify: potential vocal strains - relaxations- indentify stressors - breathing exercises. |
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therapy techniques
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- reduce hard glottal attacks
- yawn sigh - chewing - chant talk - h + a vowel |
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resonant vocal tx
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- the best voice is the one that takes the least effort.
- lip trills - tongue trills - blowing through a straw - humming nasal sounds |
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voice building
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- fitness training for vfs: pushing, pulling, resistence training.
- either tension increase or tension reduction: - vocal function exercises: warming up your voice: glides up and down the scale - sustaining vowels w/ early onset. Helps with inhalation, breath support, easy exhalation. |
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laryngeal videoendoscopy (endoscope)
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what we did in class:
in normal light it shows: - color - symmetry - mucous - overall appearance - adduction and abduction strobe light (slow motion): - periodicity - symmetry - mucosal wave - vertical phase difference (bottom closes before the top) - % phase closure (for each cycle of vibration, are they open and closed about half the time) - Amplitude of vibration |