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voice disorders
voice disorders
69
Health Care
Graduate
10/22/2008

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Term
mechanisms of voice production
Definition
respiraion, phonation, articulation, and resonance
Term
causes of voice disorders
Definition
disease, misuse, anatomic deviations, emotions, and change of vocal function due to abuse and use of vocal mechanisms
Term
normal function
Definition
biological-respiration
emotional function
linguistic function-supersegmental phonation-vocal stress rate, pitch level, changing pitch, changing loudness vocal quality and resonance
Term
prevalance of voice disorders
Definition
10% of school kids have one but only 1% get treated-most common are in teachers, preachers, coaches. 75% of cheerleaders have one
Term
prevalance of voice disorders
Definition
10% of school kids have one but only 1% get treated-most common are in teachers, preachers, coaches. 75% of cheerleaders have one
Term
3 major types of voice disorders
Definition
organic, functional, and neurogenic
Term
organic VD
Definition
structural deviation of vocal tract or disease
Term
functional VD
Definition
caused by misuse and abuse
Term
neurogenic VD
Definition
muscle control and nerve innervations caused at birth or damage to PNS or CNS
Term
goals:
Definition
vocal hygiene, eliminate negative behaviors, retran voice with corrective behaviors, and easy effortless voice (main goal)
Term
treatment of vocal nodules:
Definition
94% resolution
Term
5 aspects of normal voice:
Definition
loudness, hygienic, pleasantness, flexibility, and representative
Term
normal respiration plus efficient voicing gets a good voice
Definition
Term
inspiration: quite breathing
Definition
nostrils-nasal cavities-nasopharynx-velopharyngeal port-oropharynx
Term
inspiration: mouth breathing
Definition
mouth-oral cavity-oropharynx-hypopharyns. air flows into larynx and passes between ventricular and true vocal folds into trachea
Term
Inspiration:
Definition
the ribcage moves out, diaphragm moves down, shoulders raise up, and lungs expand.
Term
inspiration:
Definition
less dense in the lungs than outside air and draws air in (passive) air moves into less dense areas
Term
diaphragm:
Definition
separates thoracic cavity from abdominal cavity. the relaxation of the diaphragm during expiration is a passive act.
Term
muscles used in inspiration:
Definition
diaphragm, external intercostals, pectoralis major and minor, costal elevators, serratus posterior, and neck accessory muscles
Term
expiration:
Definition
passive (unless speaking)-in speech there is no muscle activity to supply the breath power. when singing or speaking long phrases we use the abdominal musculature
Term
clavicular breathing:
Definition
lease efficient method of breathing. shoulders rise to increase the volume in the chest
Term
diagphragmatic breathing:
Definition
most efficient. abdomen expands as you breath in, diaphragm goes down
Term
tital volume:
Definition
amount of air inspired and expired during a typical respiratory cycle. average male: 750 cc. average female: 340 cc
Term
inspiratory reserve volume:
Definition
maxium volume of air that can be inspired beyond or after the end of a tidal inspiration. 1500-2500 cc
Term
expiratory reserve volume:
Definition
maximum volume of air that can be expired beyond or after the end of a tital expiration 1500-2000
Term
residual volume:
Definition
volume of air that remains in the lungs after a maximum epiration. air that cannot be forced from lungs
Term
vital capacity
Definition
total amount of air that can be expired from lungs and air passages following a maximum inhalation-less than 50% of what it sould be is a concern
Term
total lung capacity
Definition
total amount of air that can be inspired and held in the lungs
Term
3 unpaired cartilages
Definition
epiglottis-protects airway
thyroid
cricoid-ring shaped cartilage
Term
3 paired cartilages
Definition
ossify with age
cuneiform-no clear function
corniculate-fine tune movements
arytenoids-important for moving VF
Term
extrinsic laryngeal muscles
Definition
purpose is to fixate, elevate, and depress
Term
infrahyoid muscles
Definition
lower laryngeal muscles
Term
suprahyoid muscles
Definition
rase the laryngeal muscles
Term
intrinsic muscles
Definition
adduct and abduct the VF-primary function is to protect the larynx, secondary is voicing
Term
cricothyroid-intrinsic
Definition
increases pitch
Term
thyroarytenoid-intrinsic
Definition
decrease pitch
Term
posterior cricoarytenoids
Definition
only abductor
Term
ventricular folds
Definition
false folds, helps with protection, thats it
Term
myoelastic aerodynamic theory of phonation
Definition
expiration-adductor muscle brings vocal folds together-as they approximate air pressure builds beneath them (subglottal pressure)-builds up the velocity air flow increases and blow the vocal folds open
Term
bernoulli effect
Definition
increase velocity-create negative pressure-sucks vocal folds together by negative pressure-subglottal pressure builds and blows the vocal folds apart
Term
fundamental frequency
Definition
how many times vf's open and closer per second-affets pitch-womens pitch decreases men's increases as they get older
Term
falsetto:
Definition
highest register-production of vibrating membrane of ANTERIOR 2/3 of vf's.
Term
glottal fry
Definition
bottom of register, hoarness
Term
voice register 3 forms
Definition
chest, midvoice, falsetto
Term
simple harmonic motion
Definition
1 frequency 1 amplitude 1 phase
Term
source filter output theory
Definition
source is vf, output is what we hear
Term
case history
Definition
patient description of problem, onset and duration of problem, variability, description of vocal use/misuse, prior treatment, family problems with voice
Term
damage to recurrent laryngeal nerve
Definition
unilateral vocal fold paresis
Term
medical history
Definition
medications, surgeries viruses, stress, GI problems
Term
easy voice
Definition
where you speak that is most effortless
Term
voice quality
Definition
breathy-too much airiness
harsh-strained, too much vf action
hoarse-breath harshness, combination
strain-uncontroled spasticity-pseudobulbar patients have this
Term
jitter (relative average purterbation)
Definition
variabilty of pitch
Term
shimmer
Definition
peak-to-peak variabiltiy of amplitude
Term
noise to harmonic ratio
Definition
global estimation of pitch and amplitude
Term
noise to harmonic ratio
Definition
evaluation of noise presence
Term
mean speaking fundamental frequency
Definition
Term
habitual pitch
Definition
fundamental frequency in connected speech
Term
voice turbulence index
Definition
looseness of the adduction of vf's, breathy
Term
wet voice
Definition
seen with dysarthria
Term
excrescence
Definition
lesion, nodule, polyp
Term
pachydermia
Definition
bumpy tissue on POSTERIOR commissure
Term
LPR-laryngeopharyngeal reflux
Definition
upper esophagus back up into the laryngeal area
Term
GERD-gastroesophageal reflux
Definition
stomach up into esophagus
Term
pharyngeal branch
Definition
sensory and motor to palate
Term
superior laryngeal nerve branch
Definition
cricothyroid-if lesion is unilaterally then you have 1 fold shorter than the other
Term
recurrent laryngeal nerve branch
Definition
innervates all 5 intrinsic muscles-one or both vf's will be in the adducted position
Term
hyper and hypodystonia
Definition
too little or too musch steadiness-rapid involuntary movements-80%female-
Term
hyperkenetic dysarthria
Definition
tremor
Term
tremor
Definition
parkinsons and hyperkinetic dysarthria-voice most affected-consistent cycles, rhythmic
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