MPT Norm Adult

MPT Norm Child

respiratory function, VFE, resonant voice tx

visual feedback to normalize pitch and intonation patterns as well as loudness

forward tone focus tx, whisper moving to forward placed voice, exercises to produce back vowels, then working up to velar consonants, then words, phrases, etc...

MT component

Neurogenic, HI

raise f0 with light breathy voice quality and slightly retracted tongue

feminine intonation patterns, legato phrasing

surgical modification

Hormones produce lower tone

increase muscle tone

exercises to warm up and stretch TVF

VFE

Teach NOT to sing for these exercises

inhalation phonation, exhalation phonation at same pitch, fade out inhalation phonation

pitch variation to find pitch w/ improved quality and less effort

relaxed, easy phonation

digital manipulation

glottal fry- relaxed, low pitch

hyperfunctional techniques

relaxation, circumlaryngeal, easy relaxed phonation

can be hyper or hypofunctional voice tx depending on disorder

1-2 extended sessions to show that return to former voice is possible

hospitalization- 70% He, 30% O mixture; tracheotomy

diaphragmatic breathing

wide-open throat breathing: hand on adbomen, moving; relaxed throat and tongue, lips closed softly; exhale /s/ gradually extending; 5 breaths several times a day esp during tension

focus on exhalation

reflexive behaviors

pushing, pulling during phonation

VFE

Lee Silverman

improve articulatory precision and oral resonance

Treats Hypo or hyperfunctional

respiration, phonation, and resonantion

hygeine, emotional support, attention to vocal symptoms, direct physical exercise

VFE, resonant voice tx, confidential voice

make voice breathy, low intensity, increased airflow

can be used w/ hyperfunctional, MTD

TX technique, not teaching to speak this way

hypo or hyperfunctional

hygeine component

modification of neuromuscular pattern by:

deactivating relative musculatur and activating relative musculature, barely abducting TVF and producing voice, "easy" phonation

balance airflow, laryngeal activity, supraglottic placement

improve muscle function

4 exercises, 2x/day

soft intensity, forward tone focus, abdominal breathing, simultaneous glottal onset

use for MTD, functional dysphonia

raise MPT, airflow and f0 range

modification of inappropriate physiologic activity

direct exercise and manipulation of laryngeal structures

life-style and environmental modification

psychodynamic tx

problem-solving and counseling concerning vocal behavior in specific contexts

emotional/cognitive retraining to change voice usage

life-style and environment modification

analysis of preciptating or maintaining factors

construction of strategies to reduce these factors

clinician assists in implementing these modification and monitoring progress

identify deviant/abnormal behaviors

explain and model facilitative techniques

shape, stabilize, and habituate new behaviors

use of a noise source to trigger lombard effect which will elevate vocal loudness