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18 Cards in this Set
- Front
- Back
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What are VOCAL FUNCTIONAL EXERCISES?
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1. Vowel prolongations
2. Low/High Pitched Prolongations 3. Pitch Glides low-high/high-low (stretch vs contracts) |
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VOCAL FUNCTIONAL EXERCISES should be used for which voice disorders?
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- Hyper/Hypofunctional Disorders
- VF weakness - Laryngeal Strain/Incoordination Functional Disorders: - NODULES - POLYPS - MUSCLE TENSION DYSPHONIA - VOCAL FOLD BOWING d/t Muscle tension - REINKE'S EDEMA - SPASMODIC DYSPHONIA (pushing VF) |
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What is ACCENT METHOD?
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Focuses on:
1. Diaphragmatic breathing 2. Rhythmic Intonation 3. Appropriate pitch/loudness Productions of different rhythmic patterns of the syllable 'ha' produced while psychically moving body (stepping forward w/ arms swinging) |
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When would you use ACCENT METHOD?
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- Incoordination of phonation/Respiratory
- Hyperfunction - VF weakness - CHRONIC/ACUTE LARYNGITIS - POLYPS |
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What is RESONANT VOICE TX?
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- Used to decrease hyperfunction/medial compression of VF stains & to increase LOUDNESS
- Relaxed, open pharyngeal cavity and careful tongue placement - Use syllables,words, & sents with /m,n,j,r,z/ - Generalize to conversation |
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When would you use RESONANT VOICE TX?
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- POLYPS
- NODULES - MUSCLE TENSION DYSPHONIA - Hyperfunctional/hypofunctional disorders - Decrease LOUDNESS! |
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What is CONFIDENTIAL VOICE (aka Breathy Phonation)?
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Glottis remains slightly open reducing the force of contact and medial compression of VFs
- Reduce LOUDNESS - Reduce RATE - Yawn-sigh - Reduce hyperfunction |
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When would you use CONFIDENTIAL VOICE (aka Breathy Phonation)?
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- GLOTTAL ATTACKS
- LARYNGEAL TENSION |
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What is the CHEWING TECHNIQUE?
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Teaches exaggerate relaxed chewing motion and then add phonation to the exercise (words, phrases, sent)
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What are some techniques to reduced LARYNGEAL MUSCLE TENSION?
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- CHEWING
- PREPHONATION GLOTTAL AIRFLOW - YAWN-SIGH - CHANT TALK - CIRCUMLARYNGEAL MASSAGE - RELAXATION EXERCISE - RESONANT VOICE - CONFIDENTIAL VOICE (breathy voice) - PITCH EXTENSIONS |
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What are some tx for poor BREATH SUPPORT during phonation?
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- DIAPHRAGMATIC BREATHING
- BREATH GROUP (Across breath group) |
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When would you VEGETATIVE VOCALIZATIONS voice tx?
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APHONIA
Uses cough, throat clearing, laugh, etc. to establish normal voice productions |
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When would you use PUSHING/PULLING tech w/ phonation?
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- VF PARESIS (LMN damage)
- VF BOWING |
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When would you use HARD GLOTTAL ATTACK for voice tx?
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- VF PARESIS (LMN damage)
- PARKINSON'S - MS - MYASTHENIA GRAVIS |
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When would you use PITCH EXTENSION EXERCISES?
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- Limited range or STIFFNESS of cover
- PARKINSON'S - PRESBYPHONIA (old age) - LARYNGEAL MUSCLE TENSION |
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When would you recommend SURGERY for voice disorders?
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- Mature NODULES
- CYSTS - REINKE'S EDEMA - PAPILLOMA - VF PARALYSIS - INCOMPLETE GLOTTIC CLOSURE - LARYNGEAL WEB - SULCUS VOCALIS - LEUKOPLAKIA/HYPERPLASIA - LARYNGEAL CANCER |
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When would you recommend BOTOX for voice disorders?
What's another form of tx for this type of disorder? |
- SPASMODIC DYSPHONIA
TX: RECURRENT LARYNGEAL NERVE RESECTION |
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When would you recommend COLLAGEN/FAT INJECTIONS for voice disorders?
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- VF PARALYSIS
- VF BOWING - GLOTTIC INCOMPETENCY |
