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128 Cards in this Set

  • Front
  • Back
The esophagus is ___cm long in adults
20cm
The stomach holds...
1 liter of food and/or liquid
Upper and Lower Esophageal Sphincters have _____ pressure because of the tendency for lungs and chest wall to pull apart
higher
4 stages of swallowing
1. Oral Prep Phase
2. Oral Transport Phase
3. Pharyngeal Transport Phase
4. Esophageal Transport Phase
We usually swallow during ______
expiration
Thicker liquids take ______ to swallow
longer
First tongue movements are ______
Horizontal
First tongue movements are ______
Horizontal
Around 6 months, we add what kind of movements of the tongue?
Up and down
By 1 year, we add what kind of movements to the tongue?
side to side
Looks at the oral prep phase in a healthy person, SLP looks at penetration/timing of the movements, and a radiologist usually performs this
Videoflouroscopy
FEES
Flexible endoscopic evaluation of swallowing
Sometimes difficult to see what is going on so we usually use colored dye in the food, SLP may perform depending on the state
FEES
Not used as much on swallowing, cannot detect aspiration, may be useful for training
Ultrasound
Usually used for esophageal function under direction of gastroenterologist
Manometry
What does patent mean?
open
Cavity from the palatal line to the nose exit
Nasopharynx
Cavity from the hyoid bone to the oral cavity
Oropharynx
Cavity from the base of the cricoid to the hyoid bone
Larygopharynx
Velum is the...
soft palate + uvula
Main muscle that closes the velum
Levator veli palatini
Muscle between the tongue and palate and makes up anterior faucial pillar. Tonsils are directly behind anterior.
Glossopalatine
Muscle behind glossopalatine and may make the posterior faucial pillars
Pharygopalatine
Velar closure moves like a .....
knee bend, NOT A TRAP DOOR
Closing the velum is muscles _____passive forces
overcoming
Opening the velum is muscles _______ passive forces
with the help of
We have ____ resistance in the velopharyngeal port and inside the nose because it gets narrower
more
Opposition to movement
resistance
Movement of the velum up in knee bend and movement in of the posterior pharyngeal wall
Circular closure
Velum is major participant so we don't see much movement of the pharyngeal wall
Coronal Closure
Active dilation of the external valves of the nose occurs during _______
inhalation
Internal valve of the nose becomes larger during ______ and smaller during ______
inspiration/expiration
It is ___ times greater effort to breathe through the nose than through the mouth
3 times
controls the balance between the oral and nasal cavities and the atmosphere
Velopharyngeal Function
velopharyngeal port is closed and acoustic and aeromechanical energy are channeled through the oral cavity
Oral Sounds
velopharyngeal port is open adn acoustic and aeromechanical energy are channeled through the nasal cavity
Nasal sounds
velum moves _____ and ____ in anticipation of vowel production
up and back
airtight closure of the velum is most likely to occur in _____ vowels
high
lack of closure of the velopharyngeal port for consonants results in.....
unintelligibility
TRUE/FALSE. It is easier to breathe through your nose than your mouth
FALSE
TRUE/FALSE. Sound travels the easiest way through lowest impedence.
TRUE
For nasal sounds the velum is.....
down and open
Airtight velopharyngeal closure is more likely to occur in....
high vowels
TRUE/FALSE. There is no evidence of nasal muscle activity assisting in VPN function during speech production
FALSE
position and movement for two or more speech sounds occur simultaneously or overlapping
coarticulation
Who did the acoustic study?
Hutchinson
Who did the aeromechanical study?
Hoit
velar elevation is ____ as high for men
twice
observe air flow and/or pressure. Pneumotachometer measures nasal air flow
Aeromechanical measurement
Nasometer, picture is inaccurate, plate separates nose from the mouth
Acoustic measurement
problems with structure or function of velopharyngeal mechanism
Organic disorder
problem that is a habit of usage (learned behavior)
Functional disorder
TRUE/FALSE. The articulatory structures including the VPN make separate and independent movements for each speech sound
FALSE
TRUE/FALSE. The configuration of the velopharyngeal port observed visually or in the acoustic signal. may contain evidence of coarticulation
TRUE
TRUE/FALSE. The body's orientation in space does not affect VPN function or velopharyngeal competence.
FALSE
TRUE/FALSE. VPN becomes more precise from childhood into adulthood
TRUE
Regarding the relationship between age and VPN function...
there is no evidence to support that with increased senescence there is a deterioration of VPN function related to speech production.
TRUE/FALSE. The difference between a man and woman regarding VPN function definitely makes a functional difference
FALSE
An endoscope (nasendoscopy) can be used as a direct visualization of....
both the structures and function of the VPN system
TRUE/FALSE. A nasometer is an instrument to measure VPN function aeromechanically
FALSE
Phonation results from the....
opening and closing of the vocal folds
vocal folds convert _______ energy of lungs into ______ energy (converting air pressure into sound)
aeromechanical to acoustic
What muscle are we relaxing when doing a laryngeal massage?
Cricothyroid
Thyroarytenoids (vocal folds) are made up of two parts...
Thyromuscularis and Thyrovocalis
What muscle is responsible for the abduction of the vocal folds?
Posterior Cricoarytenoids (PCA)
What muscles close the vocal folds?
Lateral cricoarytenoids, transverse arytenoids, oblique arytenoids
The only muscle that is unpaired
Transverse arytenoids
Tensors
Cricothyroid and Thyrovocalis
Relaxor
Thyromuscularis
draws tongue and hyoid forward
geniohyoid
elevates and retracts hyoid
stylohyoid
The vocal folds are composed of...
Epithelium, lamina propria, thyroarytenoid muscle
What are the layers of the lamina propria?
Superficial, Intermediate, deep
vocal fold elongation when the muscles contract
Cricothyroid joint
vocal fold abduction and adduction
cricoarytenoid joint
Maximal length change up to ____ % of resting length
25
Johannes Muller
Myoelastic aerodynamic theory of voice production
Husson
Neurochronaxic theory
van den Berg
vocal folds set into vibration by Bernoulli effect
We adduct the vocal folds ____ to get them vibrating and then it keeps going due to the Bernoulli effect
ONCE
as fluid goes faster, the pressure _______
decreases
through a constriction, the velocity of the flow ______, causing a decrease in pressure
increases
fluids accelerate through a narrowed area
Venturi effect
physical properties of vocal folds, particularly _____, _______, and _________
elasticity, mass per unit length, and tension/stiffness
the more stretched out the vocal folds, the ____ mass there is per unit area
less
force used to elongate the vocal folds; the result of the pulling force exerted upon the vocal folds and their resistance to that force
tension
the vocal folds open and close from
bottom to top
coupling of the aerodynamic forces with the physical properties of vocal fold tissue
Myoelastic-Aerodynamic Theory
refers to the elastic resistance and the ease with which it returns to its original shape
viscoelasticity
for voice production, subglottal pressure must be ______ than supraglottal pressure
greater
relative difference between the pressure above and below the vocal folds (driving pressure that blows the vocal folds open)
Transglottal pressure differential
vocal folds open and close.....
anterior to posterior
volume of air flowing through the glottis during phonation
glottal volume velocity
It takes _____ subglottal pressure to start phonation than it does to sustain phonation
More
complete adduction and exhalation are simultaneous
Gentle Onset
exhalation before adduction
Breathy Onset
firm adduction before exhalation
Glottal Attack Onset
equals duration from the onset of sound to the moment at which the amplitude of the acoustic wave reaches a steady-state
Vocal Rise Time
Phonatory control is only for....
voiced consonants and vowels
TRUE/FALSE. The Bernoulli effect is responsible for the initial adduction of the vocal folds
FALSE
Vocal fold adduction uses the....
transverse arytenoids
vocal folds approximate during speech because of ___ air pressure behind the vocal folds than ahead of the vocal folds
higher
The M-A model implies that...
both air flow and muscle effects drive phonation
Vocal folds open from....
top to bottom
Vocal folds close...
front to back
Men tend to have ___, _____ vocal folds. Natural frequency around 115 Hz
longer, more massive
Children have ____, _____ vocal folds. 300 Hz
shorter, less massive
Women are in between with a frequency of ____
215 Hz
the shorter, less massive, and more tense the vocal folds=
higher frequency
Whose vocal folds will vibrate faster naturally? children/women/men
children
use cover dominant vibration, vibrating the cover of the vocal folds more than I am vibrating the body. Cricothyroid contracts.
Increase fundamental frequency
body plus cover vibration, thyroarytenoid contracts.
Decreased fundamental frequency
Increase the fundamental frequency by contracting the ______
cricothyroid
Decrease the fundamental frequency by contracting the _____
thyroarytenoid
the regulator of loudness
subglottal pressure
the greater the subglottal pressure, the ____ the stretch on the vocal folds
greater
At a low fundamental frequency, change to high fundamental frequency...contract TA/contract CT
contract CT
At a medium F0, lower the pitch...
a. relax CT, contract TA
b. contract CT, contract TA
c. relax CT, relax TA
relax CT and contract TA
get louder at whatever pitch....
a. increase CT tension
b. decrease CT tension
c. increase Psub
d. increase Psupra
Increase Psub
power per unit area, square of amplitude of sound pressure wave
Intensity
_____ often have a posterior gap so vocal folds don't close completely
Women
most often used register-men at 90-450 Hz and women at 150-520 Hz
Modal (chest)
lowest register-men and women at 35-50 Hz
glottal fry
faster than ____ Hz is heard as a continuous sound
70
frequencies above modal register
falsetto
degree of regularity
Perturbation
cycle to cycle variability in frequency
Jitter
cycle to cycle variability in amplitude
Shimmer