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Voice Disorder Ch. 1
grr
64
Other
Graduate
07/22/2012

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Term
Anatomy
Definition
study of structures
Term
physiology
Definition
study of how structures function to produce a particular action
Term
The most basic elements of the respiratory system
Definition
lungs, rib cage, diaphragm/abdominal unit
Term
ventilation
Definition
bringing oxygen into lungs
Term
circulation
Definition
transporting of oxygen all over the body to where it is needed
Term
the lungs
Definition
□ Elastic tissue that inflate and deflate, and as a result, move air
□ 3 lobes on Right (larger b/c of heart)
□ 2 lobes on Left
Term
inspiration
Definition
act of taking air into the lungs
Term
expiration
Definition
act of expelling air out of the lungs
Term
The Trachea
Definition
□ Cartilaginous structure that allows air to pass from the nose and mouth into the lungs
□ Larynx sits on upper most tracheal ring
Term
smallest branches stemming from the secondary bronchi and lead to the aveoli where gas exchange occurs, allowing air to enter into the blood
Definition
bronchioloes
Term
forms most of the fetal skeleton and is found in the trachea, larynx and joint surfaces of the adult
Definition
hyaline cartilage
Term
the thorax
Definition
chest cavity that surrounds and protects the lungs, heart, and other respiratory structures
Term
most inferior aspect of the thorax
Definition
diaphragm
Term
major mm of inspiration
Definition
diaphragm
Term
The Ribs
Definition
12 pairs
Term
the diaphragm
Definition
□ Separates the chest form the abdomen
□ Major mm of inspiration
□ At rest, diaphragm sits in a dome-shaped position. When it contracts during inspiration, it moves downward and flattens, enlarging the chest cavity.
□ See Fig 1-3
Term
the abdominal wall has ___ and ___ properities
Definition
passive and active
Term
during passive expiration, the abdominal walls _________________ and during effort tasks (coughing) the abdominal ..........
Definition
draws in, the abdominal mm contract to compress the abdominal contents
Term
sternum
Definition
□ Serves as attachments for respiratory mm like the diaphragm and intercostal mm

Clavicle
Term
clavicle
Definition
□ Serves as attachments for respiratory mm like trapezius and sternocleidomastoid
Term
smallest gas exchange unit of the lung
Definition
alveolar pressure
Term
for the lungs to inflate, the inward driving force must be an alveolar pressure ______ than atmospheric pressure
Definition
less
Term
for air to flow out of the lungs, the driving force must be an alveolar pressure ____ than atmopheric pressure
Definition
greater
Term
alveolar pressure is changed by two forces...
Definition
passive force and active force
Term
passive force
Definition
due to the elastic properties of the respiratory system
Term
active force
Definition
developed by the contraction of the respiratory mm
Term
functional residual capacity (frc)
Definition
40% of the total lung capacity (tlc)
Term
visceral pleura
Definition
membrane that lines the lung
Term
parietal pleura
Definition
membrane that lines the thorax
Term
the act of inspiration is always..
Definition
active
Term
main mm of inspiration
Definition
diaphragm
Term
what is crucial for the regulation of Psub?
Definition
adequate control of lung volume and respiratory mm activity during expiration
Term
this is the driving force for the initiation of vf vibration
Definition
Psub
Term
1 of the most important subsystems requiring evaluation and treatment attention in the care of the voice
Definition
respiratory system
Term
power source for voice production
Definition
respiratory system
Term
the amnt of hyaline cartilage in the bronchial walls ___ as the branching continues throughout the bronchial tree
Definition
decreases
Term
smaller branches from the bronchi continue to divide, known as ...
Definition
secondary bronchi
Term
intubation
Definition
a tube is placed into the airway to allow air to flow into the lungs if trachea damaged
Term
there are ____lobes on the right lung and ____ lobes on the left lung
Definition
three, two (because of the heart)
Term
ribs 1 to 7
Definition
true ribs
Term
ribs 8-10
Definition
false ribs
Term
ribs 11, 12
Definition
floating ribs
Term
the three processes of the sternum
Definition
manubrium, body, xiphoid process
Term
the process of moving air requires...
Definition
a driving force
Term
atmospheric pressure is always set to..
Definition
0
Term
passive force is due to
Definition
the elastic properties of the respiratory system
Term
active force is developed by
Definition
contraction of the respiratory mm
Term
a pneumothorax occurs when
Definition
the pleural space is disrupted
Term
the pleural linkage is a _____ force
Definition
hydrostatic force
Term
hydrostatic force
Definition
holding the two smooth surfaces together yet allowing free movement btwn the surfaces
Term
what supplies innervation to the diaphragm?
Definition
cervical nerves of the spinal cord c3,4,5
Term
accessory mm of inspiration are only most active with ...
Definition
highly ventilated tasks (deep inspiration) and are not used during quiet respiration
Term
the other primary mm of inspiration
Definition
external intercostal mm
Term
active expiratory driving force mm are...
Definition
adominal mm and internal intercostals
Term
counsel the pt to take a small breath ___ before starting voice
Definition
in (so they do not take a big breath and go against recoil)
Term
seek to determine if there are any lower or upper airway ___ that may be preventing the pt from utilizing the lung volumes they have generated effectively
Definition
limitations
Term
with COPD_______________ occurs, as a compensatory mechanism
Definition
narrowing of the upper airway
Term
dyspnea
Definition
sensation of breathlessness
Term
symptoms self-reported by pts with COPD suggest both respiratory and laryngeal involvement and include...
Definition
dyspnea, reduced vocal loudness, and hoarseness
Term
cases such as spinal cord injury and neuromuscular degenerative diseases such as ms may lack _______ resulting in a disability to generate high enough ______ _____ to deviate from relaxation pressures
Definition
muscular integrity, muscular forces
Term
although the demands of speech will vary, _____ will be required to be constant regardless of the lung volume and task duration
Definition
pressure
Term
cases such as adductor sapsmodic dyphonia, mm tension dysphonia or other dynamic laryngeal dysfunction conditions that result in increased ______ ____ _____ cause ______ laryngeal airway resistance, ______ing airflow.
Definition
glottal closed time, high, restricting
Term
static laryngeal conditions like laryngeal webbing, subglottal stenosis, bilateral abductor vocal fold paralysis, arytenoid joint dislocation and others can result in _____ laryngeal airway resistance
Definition
high
Term
pts can present low laryngeal airway resistance or cases of _______ voice disorders, and may include ______ or any other condition that limits vocal fold mobility
Definition
hypofunctional, adductor vocal fold paralysis,
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