Term
| what are three goals of voice therapy? |
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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 |
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Term
| is there a "best possible voice" or "normal" voice? |
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Definition
| there is a best possible voice, but it may not be "normal' or what the client perceives as "normal" |
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Term
| what three tools about knowledge are available? |
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Definition
Vocal hygiene awareness
Monitoring abusive behaviors
Auditory feedback |
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Term
| what respiratory techniques are available? |
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Definition
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Term
| what are two types of hands on tools? |
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Definition
| laryngeal massage or digital manipulation |
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Term
| what does a laryngeal massage do? |
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Definition
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Term
| what is the digital manipulation tool? |
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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 |
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Term
| what is the counseling tool? |
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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. |
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Term
| what are voice technique tools? |
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Definition
1. easy onset
2. chant talk
3. yawn sign
4. chewing
(we can also modify pitch and volume) |
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Term
| describe easy onset as a voice technique |
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Definition
| Allows patient’s to learn a different way to produce their vowels. This is only used for vowels. |
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Term
| describe chant talk as a voice technique |
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Definition
| People start out chanting (like singing) – light connected flowing speech is the eventual goal – encourages light touch with the VFs |
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Term
| describe yawn-sign as a voice technique |
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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 |
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Term
| describe chewing as a voice technique |
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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. |
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Term
| describe modifying pitch/volume as a voice technique |
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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 |
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Term
| what tools are available for singers? |
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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. |
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Term
| what technological tools are available? |
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Definition
1. visual feedback via visipitch or CSL or SPL meter
2. endoscopy can assess progress
3. iPad apps |
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Term
| how can a visipitch, CSL, or SPL meter give visual feedback? |
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Definition
| it gives immediate and real-time feedback (the client can realize where their volume/pitch is and where it's supposed to be) |
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Term
| how can an endoscopy assess progress? |
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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. |
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Term
| how can you provide therapy for vocal fold paralysis |
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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. |
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Term
| how can you provide therapy for paradoxical vocal fold movement? |
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Definition
| biofeedback: look at what’s going on v. what is actually happening |
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Term
| how do we treat patient's who have had a laryngectomy? |
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Definition
| electrolarynx, esophageal speech, TEP |
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Term
| which devices shape tone through a device? which shape the tone through the esophageal sphincter? |
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Definition
device: electrolarynx
ES: esophageal speech and TEP |
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Term
| how do you start therapy? |
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Definition
| start small and spread out |
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