05 - Voice Evaluation Flashcards
What five things do we need to consider when diagnosing/treating voice disorders?
Etiologic factors related to the disorder
Severity
Clinical course
Likely response to treatment
Actual response to treatment
What is the difference between Interdisciplinary and Multidisciplinary teams?
Interdisciplinary - people in similar disciplines, build on each other’s expertise, engage in teamwork
Multidisciplinary - people in differing disciplines, each team member uses his or her own expertise, unable to develop a cohesive care plan, work as a team.
What are the parts of a Voice Case History?
9
The problem.
Effect of the voice problem.
Onset and Duration of the problem (sudden vs. gradual - gives us clue as the problem’s source)
Variability vs Consistency.
Associated Symptoms
Medical History including allergies, heart/lung issues, speech issues, etc.
Current Health Providers
Throat clearing and eating habits
Psychological issues
What is the goal of a Voice Case History?
Evidence of laryngeal dysfunction.
What do we want to learn during the Voice Use History
2
Regular voice use (quality and quantity)
Vocational, social and recreational use
What are we doing during Voice Assessment?
4
Subjective and Objective assessments of…
Respiration

Phonation
Resonance
What are we looking at when doing SUBjective RESPIRATION Assessment?
(4)
Style of breathing (Clavicular, Diaphragmatic, Thoracic, etc.)
Reading a Standard Passage in one breath (the more breaths, the shallower the breathing)
Maximum Phonation Duration. (Can they sustain up to 20 seconds?)
Coordination of laryngeal valving and expiration
What are we looking at when doing SUBjective PHONATION Assessment?
(2)
Voice Sample
Rating Scales
What are we looking at when doing a VOICE SAMPLE for a Subjective PHONATION Assessment?
(3)
Sustained Vowel.
Continuous and spontaneous speech sample.
Reading sample.
What are we looking at when doing RATING SCALES for a Subjective PHONATION Assessment?
(2)
Equal appearing interval (E.g. 2 on a Scale of 1-5)

Visual analog scales (E.g. Normal to Severe)
What are we looking with LOUDNESS during a Subjective Voice Assessment?
(2)
Habitual Loudness
Loudness variability (Continuous sample best; contrastive stress tasks are also used)
What are we looking with PITCH during a Subjective Voice Assessment?
(4)
Habitual Pitch
Pitch variability
Pitch range
Tremor
What are we looking with QUALITY during a Subjective Voice Assessment?
(2)
Identify voice quality (e.g. harsh, breathy, raspy, strained etc.)
Define severity (Mild, moderate, severe)
(The severity terminology is used in conjunction with the primary voice quality dimensions. (E.g. Mildly strained; severe breathiness etc)
What is Mild Severity?
2
Inconsistent problems
Noticeable to the trained listener
What is Moderate Severity?
3
Consistent problems.
Inappropriate for age, gender or culture.
Noticeable to all listeners
