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Communication Disorders
Fluency and Voice
42
Communication
Undergraduate 2
05/03/2011

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Cards

Term

Types of alaryngeal speech

Definition

 

  1.  
    1. Artificial larynx
      1. Mechanical device that generates sound
      2. Device has vibrating end and is placed against neck
    2. Esophageal Speech
      1. Inhale air into esophagus and tne release it as a belch
      2. Belch sound is then articulated into speech sound
      3. Hardest alaryngeal speech to learn
      4. Most natural sounding
    3. Trancheoesphageal speech
      1. Surgery with a prosthesis
      2. shunt is inserted to connect the trachea with the esophagus
      3. Device is open at both ends
      4. When stoma is closed, air passes from the trachea into the esophagus where it vibrates producing sound

 

Term
Define stuttering
Definition

  1.  
    1. A disorder of fluency involving repetitions, prolongations, blocks, interjections/fillers, and excessive muscular effort in speaking and numerous negative feelings or perceptions of speaking or self as a result

Term
Causes of Stuttering
Definition

  1.  
    1. Stuttering can be caused by a range of different things

Term
Stuttering Age of Onset
Definition
Usually around 3
Term
What is the Iceberg
Definition

  1.  
    1. The Iceberg is all the problems PWS has. The top is the visible and audible signs of stuttering and under the water is the emotional and mental parts of the disorder

Term
Overt
Definition
The visual or auditory symptoms that show during stuttering
Term
Covert
Definition
Below the iceberg problems. Emotional problems that arise because of stuttering
Term
Feeling associated with stuttering
Definition

Fear, shame, guilt, anxiety, hopelessness, Isolation, denial

Term
Basic categories of stuttering treatment
Definition

Modification

Shaping

Term
Stuttering Modification
Definition

Teaching fluent stuttering

Main goal is to reduce severity of stutter and learn to live with stuttering

Term
Shaping
Definition

Modification to airflow

gentle initiation of sound

slower rate of speech

soft contact of articulations

Term
Forms of disfluencies
Definition

Blocks

Prolongations

Repetition

Interjection

 

Term
Cluttering
Definition

A disorder of fluency involving excessive rate, imprecise articulations, excessive disfluencies, and difficulty in organizing discourse

Term
Cluttering Vs Stuttering
Definition

Cluttering
  • Impaired fluency
  • excessive dysfluencies
  • rapid but disordered articulation - compressed words which results in indistinct speech
  • possible disorganization thought and language production
  • Jerky or stumbling rhythm
  • monotonous tone
  • unintentional interchange of sounds in a sentence

Term

Prevalence of stuttering

Definition

  1.  
    1. 1% of population
    2. 4% of school age children
    3. 4 males to 1 female

Term
Generalization
Definition
attempting to get speech produced in a nonclinical setting
Term
Maintenance
Definition
Speech which is sustained across time and place in the absence of the clinician
Term
Factors affecting vocal fold Vibration
Definition

The elasticity of the tissue

Pressure changes between vocal cords

Term
Myoelasticity
Definition
The elasticity of the vocal fold tissue
Term

myoelastic-aerodynamic theory

Definition
The buildup of air pressure, then pressure differences, and the elasticity of the muscle
Term
Pleasant, healthy voice
Definition

Sounds during Regualar Vocal fold vibrations

Term
Raspy or hoarse 
Definition
sounds during irregular vibration of vocal folds
Term
Pitch
Definition

Frequency of vibrations

Frequency  measured in Hz

Depends on mass and tension

Term
Loudness
Definition

Intensity of the signal

Depend on air pressure buildup below the vocal folds

Measured in decibels Db

Term
Fundamental Frequency
Definition

Average rate of vocal fold vibration

(how fast or slow they vibrate)

Term
Factors that are involved in the changes we hear with the quality of voice
Definition

Regularity of Vibration

Vocal fold adduction

Term
Organic Voice disorder
Definition
Associated with some structual or anatomic deviation in the larynx and with the vocal folds themselves
Term
Functional
Definition

Due to vocal abuse of misuse

Can become organic if prolonged

Term
Psychogenic
Definition

Due to emotional state and perception of reality

Usually no evidence of stuctural abnormality

Term
Laryngeal Cancer
Definition

3-5% of all cancers

Men > women

4000 undergo surgical treatment a year in the US

Smoking is the dominant factor

Tumors on or around vocal folds

Hoarseness, pain, and difficulty swallowing

Term
Vocal Papilloma
Definition

Wart like growths on the vocal folds or anywhere in the larynx

Viral Infection

children > adults

Beathy or hoarse

Term
Laryngeal Web
Definition

Extra tissue that grows across glottis

Most are congenital

Weak voice if any at all

Term
Vocal Nodules
Definition

Small nodes or bumps that develop on the vocal folds

Due to abuse of misuse

Usually bilateral at the anterior protion of the vocal folds

Benign (will resolve with rest and vocal hygiene)

Term
Polyps
Definition

Soft fluid filled growth on the vocal folds

Unilateral

Most common in Adults

Due to Abuse of misuse

surgery or voice therapy

Term
Contact Ulcers
Definition

Sores on the posterior end of one or both of the vocal folds

Most common in Adult Males

Due to excessive talking or other abuse or misuse

(hoarse and low pitch)

Term
Most commonly treated pitch disorder
Definition
High pitched male voice
Term
Hyper nasality
Definition

Cased by cleft palate and Velopharygeal inadequacy

To much nasal resonance

Term
Hypo nasality
Definition

Not enough nasal resonance

Caused by stucture obstuctions, nasal polyps or tumor

 

Term
Direct laryngosopy
Definition
Done with endoscope through mouth or nose
Term
Indirect Laryngoscopy
Definition
Done with a hand mirror at the back of the throat
Term
Nasometer
Definition
Measure the ratio of oral to nasal resonance
Term
Spectrogram
Definition
Examines energy of sounds (harmonics) VS noise energy present in the voice
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