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18 Cards in this Set

  • Front
  • Back
abnormalities in muscle tone
-flaccidity: weak, not enough tone
-spaciticity
- rigidity: too much tone
Voice therapy
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
respiration and resonance, you need to be looking for.
breath holding, clavicular breathing, wasting air, tension, squeezed phonation, breathy phonation, glottal fry, etc (these will impact phonation)
Therapy techniques for laryngeal hyperfunction:
-vocal rest
-vocal hygiene
-program of voice therapy: look it up
Vocal rest
-modified or total, not to exceed 2 weeks,
-activities to avoid: speaking, singing, coughing, whispering.
-also avoid throat clearing, laughing, listing heavy objects
Therapy for conversion aphonias
-psychological conflict being expressed through speech
- counseling
- vegetative phonation
- sustain tones, vowels, syllables
- continue counseling
build your own voice lab
-online piano
-digital voice recorder
-acoustic measurement system
when to stop therapy
- 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.
Vocal warm ups
- breathing exercises
- the best voice is the one that takes the least amnt of effort
- gliding down, gliding up
augmentative comm- electrolarynx.
you need to exaggerate your movements, opening your mouth
- pros: the can talk, cheap, light weight.
- cons: only have one hand to work w/.
prosthetic device
requires additional surgery, tracheoesophageal shunt
esophageal speech
injection, trap, release
normal perturbation score
.08
vocal hygiene program for functional vd
- 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.
therapy techniques
- reduce hard glottal attacks
- yawn sigh
- chewing
- chant talk
- h + a vowel
resonant vocal tx
- the best voice is the one that takes the least effort.
- lip trills
- tongue trills
- blowing through a straw
- humming nasal sounds
voice building
- 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.
laryngeal videoendoscopy (endoscope)
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