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CSD 316 - Managing Voice Disorders
Test 2
23
Communication
Undergraduate 3
02/26/2013

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Cards

Term
what are three goals of voice therapy?
Definition
Do the best that we can to restore the voice that they once had
In degenerative diseases, you want to manage the voice that they have.
Be sensitive to patient input
Term
is there a "best possible voice" or "normal" voice?
Definition
there is a best possible voice, but it may not be "normal' or what the client perceives as "normal"
Term
what three tools about knowledge are available?
Definition
Vocal hygiene awareness
Monitoring abusive behaviors
Auditory feedback
Term
what respiratory techniques are available?
Definition
abdominal breathing
Term
what are two types of hands on tools?
Definition
laryngeal massage or digital manipulation
Term
what does a laryngeal massage do?
Definition
helps reduce tension
Term
what is the digital manipulation tool?
Definition
manipulating the larynx by yourself -- If we know from videostroboscopy that one VF is stuck in a medial position we can squish our larynx closer to the working VF
Term
what is the counseling tool?
Definition
Educating the person on their voice is important. Because life stress plays a part, we need to be a good listener/problem solver for the patient. Sometimes you need to refer to another discipline.
Term
what are voice technique tools?
Definition
1. easy onset
2. chant talk
3. yawn sign
4. chewing
(we can also modify pitch and volume)
Term
describe easy onset as a voice technique
Definition
Allows patient’s to learn a different way to produce their vowels. This is only used for vowels.
Term
describe chant talk as a voice technique
Definition
People start out chanting (like singing) – light connected flowing speech is the eventual goal – encourages light touch with the VFs
Term
describe yawn-sign as a voice technique
Definition
This is light and slightly higher pitched – it’s a gentler way of producing sound for almost everyone – this is a relaxed way to phonate
Term
describe chewing as a voice technique
Definition
Chewing is more fundamental so people think it will relax the muscles – you are supposed to have the client pretend that he’s chewing a large stack of crackers. This will make all the muscles move and hopefully relax.
Term
describe modifying pitch/volume as a voice technique
Definition
We want to look at where a patient is habitually phonating and this will help you fix their pitch. Loudness is just working on breath support
Term
what tools are available for singers?
Definition
breathing deeply, open wide, aim high Respiration is critical – opening wider is going to improve the quality of the sound because it increases the size of the resonance chamber. This will increase the quality of the voice.
Term
what technological tools are available?
Definition
1. visual feedback via visipitch or CSL or SPL meter
2. endoscopy can assess progress
3. iPad apps
Term
how can a visipitch, CSL, or SPL meter give visual feedback?
Definition
it gives immediate and real-time feedback (the client can realize where their volume/pitch is and where it's supposed to be)
Term
how can an endoscopy assess progress?
Definition
Great way to keep an eye on what’s going on with the VFs. It lets you compare side-by-side the VFs from two different points in time.
Term
how can you provide therapy for vocal fold paralysis
Definition
make use of the body’s natural tendency to bring the VFS together. Pushing or lifting will give you complete adduction and a good tone.
Term
how can you provide therapy for paradoxical vocal fold movement?
Definition
biofeedback: look at what’s going on v. what is actually happening
Term
how do we treat patient's who have had a laryngectomy?
Definition
electrolarynx, esophageal speech, TEP
Term
which devices shape tone through a device? which shape the tone through the esophageal sphincter?
Definition
device: electrolarynx
ES: esophageal speech and TEP
Term
how do you start therapy?
Definition
start small and spread out
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