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Unit VIII- The Voice and Voice Disorders
Intro to Communication Disorders Ithaca College
33
Health Care
Undergraduate 2
12/13/2012

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Term
Pitch
Definition
The perceptual counterpart to fundamental frequency associated with the speed of vocal fold vibration
Old age: female pitch decreases, males increases
Term
Fundamental Frequency
Definition
the speed at which the vocal folds vibrate
Term
Habitual Pitch
Definition
The basic frequency level that an individual uses most of the time (average)
-males: 130 Hz
-females: 250 Hz
Term
Hertz(Hz)
Definition
the number of complete vibrations or cycles per second
Term
Loudness
Definition
Vocal Intensity
modified, situational
measured in decibels (dB)
average conversational: 60 dB
• Changes require vocal folds to stay together long. Subglottic pressure is main determinant of intensity—when it doubles, 10dB increase
Term
Disorders of Vocal Quality
Definition
Hoarseness
Breathiness
Vocal Tremor
Vocal Strain
Term
Hoarseness
Definition
Voice lacks clarity
Voice is noisy
Can be temporary
Term
Breathiness
Definition
Excessive airflow through the glottis (inadequate closure)
may be due to a neurological impairment
Term
Vocal Tremor
Definition
Not under voluntary control
Loss of CNS control over the laryngeal system
Term
Vocal Strain
Definition
Difficulties initiating and maintaining voice
Voice fades in and out
Usually related to neurological impairments
Term
Nonphonatory Vocal Disorders
Definition
Stridor
Excessive Throat Clearing
Consistent Aphonia
Episodic Aphonia
Term
Stridor
Definition
Noisy breathing due to narrowing somewhere in the airway
Serious problems because of blockage
Term
Excessive Throat Clearing
Definition
An attempt to clear mucus from the vocal chords
Considered abnormal when it occurs with excessive frequency
Term
Consistent Aphonia
Definition
Persistent absence of the voice (whispering)
May be related to:
-Vocal fold paralysis
-Disorders of the CNS
-Psychological problems
Term
Episodic Aphonia
Definition
Uncontrolled, unpredictable aphonic breaks in the voice that can last for a fraction of a second or longer
Term
Disorders of Misuse and Abuse
Definition
Vocal Nodules
Contact Ulcers
Vocal Polyps
Term
Misuse
Definition
Abrupt voicing onsets
High laryngeal positions
Lack of pitch variability
Term
Abuse
Definition
Screaming or yelling
Alcohol and smoking
Excessive throat clearing or coughing
Excessive breathiness and whispering
Term
Vocal Nodules
Definition
Localized growths from vocal chord collision
bilateral
start out soft, get hard and fibrous
adult women
breathiness and hoarseness
Term
Contact Ulcers
Definition
Usually unilateral
PAINFUL
Reappear after surgery
Term
Vocal Polyps
Definition
Caused by misuse and abuse
Unilateral
Can happen after one episode of vocal abuse
Two types: sessile and pedunculated
Hoarseness, breathiness, roughness
Term
Two types of Vocal Polyps
Definition
Sessile: closely attached to the vocal fold
Pedunculated: attached by a stalk--more common, easier to remove
Term
Disorders from Medical and Physical Conditions
Definition
Parkinsons Disease
Vocal Fold Paralysis
Pseudobublar Palsy
Huntington's Chorea
Spastic Dysphonia
Larygeal palpillomas!
Congenital Webbing
Laryngeal Cancer
Term
Parkinson's Disease
Definition
CNS disease resulting in hypo-adduction (vocal folds not coming together enough)
Monopitch, monoloudness, harshness, breathiness
Term
Vocal Fold Paralysis
Definition
Unilateral or bilateral
If unilateral: hoarse, breathy voice
-Diplophonic: 2 vocal frequencies (each fold vibrating at its own rate)
Term
Pseudobublar Palsy
Definition
Neurological condition resulting in hyper-adduction caused by strokes, TBI, MS
Difficulty swallowing, accompanying speech disorders
Hoarseness, pitch breaks, strained vocal quality
Term
Huntington's Chorea
Definition
Hyperkinetic disorder characterized by jerky movements of the head, neck and limbs
harsness, monopitch, vocal strain. sudden phonatory arrests.
Term
Spastic Dysphonia
Definition
Hyper-adduction
Strain voice with intermittent stops
Harshness, hoarseness, vocal tremor
Term
Laryngeal palpillomas
Definition
Small, wart-like growths that cover vocal folds (non cancerous)
Obstruct airway, hindering breathing
Stridor
Removed surgically
Term
Congential Laryngeal Webbing
Definition
At birth, typically formed at the anterior aspects of the vocal folds and can interfere with breathing
Removed surgically
High pitch, hoarse
Term
Laryngeal Cancer
Definition
Alcohol and smoking
Hoarseness in absence of illness
Necessary to remove the entire larynx
-Esophageal speech: the esophagus is used as a vibratory force
-prosthetic devices: electrolarynx, TEP
Term
Disorders of Psychological Origins and Stress
Definition
Conversion Aphonia
Term
Conversion Aphonia
Definition
Stems from an emotion
Converting emotional conflict into a physical symptom
Whisper to produce voice
Capable of glottal closure (coughing), but don't use it for speech production
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