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