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53 Cards in this Set

  • Front
  • Back
What are the 3 physiological characteristics of voice production?
1-Respiration
2-Phonation
3-Resonation
What are the four characteristics of sound?
1-Frequency: # of cycles / second
2-Amplitude: intensity
3-Timbre: harmonics; multiples of fundamental frequency
4-Time: duration
What are the physical and perceptual terms for frequency and amplitude?
1-Frequency & timbre: frequency/pitch
2-Amplitude: intensity/loudness
What is the average frequency for males & females?
1-Males: 120 Hz
2-Females: 240 Hz
What is the term for sound generated by rapid vocal fold movement excited by airstream?
Phonation
What is the term for the audible product of phonation?
Voice: vowels, voiced consonants
What are the four vocal evaluative parameters?
1-pitch
2-loudness
3-qualtity
4-Flexibility
What is the term for one body set in motion by another?
phenomenon whereby one body is set in motion by another
What is the term for a "band of harmonics"?
Formant
(repeating sounds "good", non-repeating sounds "bad")
What are the characteristics of normal voice as defined by Boone, et. al.?
1-Loudness
2-Vocal hygiene (hydration)
3-Pleasantness
4-Flexibility; not monotone
5-Represenation for age & sex
What can abnormal voice be an indication of?
1-Physical illness
2-Pyschological state
3-Disrorder of communicaton
What are the classifications of voice disorders?
A-Kinesiologic: over/under adduction
B-Perceptual: based on acoustic properties
C-Etilology
Under the Etiologic classification of voice disorders, what are the causes that explain symptoms?
1-Organic; structural
2-Psychogenic: functional
What are the skeletal components of respiration?
1-Sternum
2-Spine
3-Ribs
What are the muscles of inspiration?
1-Diaphragm
2-Internal intercostals
3-External intercostals
4-External & internal obliques
5-Rectus abdominus
6-Latissmus dorsi
What are the 5 major steps in the inspiratory process?
1-Thoracic cavity increases in size
2-Lungs expand
3-Air pressure reduces inside
4-Minus air pressure relative to outside air
5-Air rushes in to fill vacuum
What are the 4 major steps of expiration?
1-Decrease in size of thoracic cavity
2-Elastic recoil of lungs
3-Increase in intra-pulmonary pressure
4-Outflow of air until pressure is equalized
How many breaths are there in resting respiration?

How many breaths in vigerous exercise?
Resting = 10-18/minute
Exercise > 35/minute
What is the term for all the air you can take in & all you can push out?
Vital capacity
What is the term for at-rest breathing?
Tidal air
What is the term for the air above vital capacity?
Complimental air or IRV
What is the term for the air at the bottom of the expiratory cycle?
Supplemental air or ERV
What is the term for the air remaining in the lungs after all that has been expired?
Residual air
What is the capacity for Tidal volume?
1-Men: 750 cc
2-Women: 340 cc
What is the capacity for Inpiratory Reserve Volume?
1500 - 2500 cc
What is the capacity for Expiratory Reserve Volume?
1500 cc
What is the volume for Residual Volume?
1000 - 1500 cc
What is the volume for vital capacity? (TV + IRV + ERV)
4500 - 5000 cc
What is meant by Total Lung Capacity?
Total volume in lungs after maximum inspiration
What are the cartilages of Phonation?
1-Cricoid
2-Thyroid
3-Arytenoid
4-Corniculate
5-Cuniform
6-Epiglottis
What are the membranes of the larynx?
1-Thyrohyoid
2-Median thyrohyoid (lateral)
3-Quadrangular
4-Conus elasiticis (lining of larynx)
What are the Intrinsic muscles of phonation?
1-Cricothyroid - stretches VF's; increasing pitch
2-Anterior cricoarytenoids - rotates arytenoids
3-Posterior cricoarytenoids
4-Oblique arytenoids - approximate the arytenoids
5-Transverse arytenoids
6-Thyroarytenoids - underlie VF's; close glottis
7-Vocalis: underlie VF's, close glottis
8-Aryepiglottis - pulls epiglottis over airway
What are the Extrinsic muscles of phonation (not as important for phonation)?
1-Infrahyoid (XII) lowers hyoid & larynx:
a) Sternohyoid
b) Sternothyroid
c) Thyrohyoid
2-Suprahyoid: pulls hyoid fwd, upward, & back:
a) Stylohyoid(VII)
b) Mylohyoid (V)
c) Digastric (V & VII)
d) Geniohyoid (XII)
5) Stylopharyngeus
What is the theory of phonation called?
Myoelastic-Aerodynamic Theory of Phonation: Mass & Elasticity plus air stream through system = Voice
What two properties interact in the Myoelastic-Aerodynamic Theory of phonation?
Physcial properties of VF's & subglottic airstream
What is the sequence of phonation?
1-VF's are closed
2-Subglottic air pressure builds
3-Increased pressure blows the VF's apart
4-Puff of air is released
5-Reduced pressure causes the glottis to close (Bernoulli effect)
What is the basic unit of speech production?
The syllable
What are the systems of respiration?
A. Autonomic nervous system - maintains internal body stability:
1-sympathetic: alerting
2-parasympathetic: calming

B. Motor system: important for respiration & phonation:
1-Pyramidal: corticobulbar & corticospinal
2-Extrpyramidal
What is the term for vocal fold paralysis?
Flaccid dysarthria
What are the Vagus nerve pathways?
1-Pharyngeal
2-Superior Laryngeal
3-Recurrent Laryngeal
Name the structures innervated by the branches of the Vagus nerve?
1-Soft palate (Pharyngeal branch)

2-Cricothyroid muscle (Superior laryngeal nerve)

3-Intrinsic laryngeal muscle (Recurrent laryngeal nerve)
What is the primary function of the Cricothyroid muscle?
Pitch regulation (thyroid moves and causes cricoid cartilate to rock, causing VF's to stretch)
What are the three vocal registers?
1-Glottal fry (low frequency)
2-Modal (normal frequency)
3-Loft (falsetto)
What are the normal pitch ranges for birth, child, adult?
1-Birth: 300 - 400 Hz
2-Child: 450 - 550 Hz
3-Adult: 120 (females); 240 (males)
What are the characteristics of glottal fry?
1-Low frequency (3-50 Hz)
2-Irregular occurring bursts
3-Folds thick, short, compliant, pressed tightly together
4-High glottal resistence
5-Limited intensity level
What are the characteristics of the Modal register?
1-Folds present an upper and lower edge
2-In opening burst, nearly entire fold moves
3-Wide intensity range (40 - 110 dB)
4-Frequency range: 1-1/2 octaves or more
5-Quality is "tonal"; repeating wave form
What are the qualities of the Loft (falsetto) register?
1-tense VF's
2-Only free margin vibrates
3-Short vibrating period, thus increasing pitch
5-single opening & close, no phase effects
6-Restricted intensity range
7-High pitch
8-May have breathy quality
What are the components of the voice evaluation?
1-Case history
2-Hearing screening
3-Oral Periph Exam
4-Psychological (medical setting)
5-Voice analysis (description and rating)
What are the 6 components of the voice evaluation?
1-Case history
2-Hearing screening
3-Oral periph exam
4-Pyschological eval
5-Voice analysis - subjective & objective
6-Associated symptoms
What questions should be answered in the case history part of the voice evaluation?
1-Patient's perception of problem
2-Onset & duration of problem
3-Problem variability
4-General health
5-Health related issues, smoking, drug or hormone tx
6-Hearing issues
What are the structures to inlclude in the oral-periph exam?
1-Lips
2-Dentition
3-Hard palate - mobility
4-Uvula - if missing could indicate sub-mucus cleft
5-Mandible
6-Tongue
7-Pharynx
8-Muscular tension, i.e., in larynx
What are the maximum phonation times for males, females, children?
Male: 15-20 sec's
Female: 4-20 sec's
Children: 10 sec's
Erratic vibration of VF's is called?
Spastic dysphonia