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ECU Voice Disorders > 17 - Treatment Exercises > Flashcards

17 - Treatment Exercises Flashcards

1
Q

What are vocal function exercises used for?

3

A

Increasing STRENGTH of the laryngeal muscles

Increasing ENDURANCE of the laryngeal muscles

Increasing COORDINATION of the laryngeal muscle.

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2
Q

Who created Vocal Function Exercises?

Do you need to be certified to teach these?

A

Joseph Stemple

No

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3
Q

What are vocal function exercises (VFEs)?

A

A four-step program completed twice per day by the patient

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4
Q

What areas are targeted by VFEs?

3

A

Respiration

Phonation

Resonance

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5
Q

What three things are included in vocal function exercises?

A

Vocal warm-up

Pitch glides

Sustained vowels at specific pitches.

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6
Q

Who can vocal function exercises be useful to?

2

A

All ages

Variety of hyper- and hypofunctional disorders.

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7
Q

What is a characteristic of HYPERfunctional voice disorders?

A

Increased laryngeal tension

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8
Q

What is a characteristic of HYPOfunctional voice disorders?

2

A

Reduced function

Low muscular effort

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9
Q

What conditions or disorders can Vocal Function Exercises be useful for?

(8)

A

Parkinson’s

Myasthenia Gravis

Presbylaryngis

Muscle Tension Dysphonia

Vocal Fold Paralysis

Vocal Polyps

Vocal Nodules

Vocal Cysts.

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10
Q

What are the four steps in Vocal Function Exercises?

A

Warm-up

Stretching

Contracting

Adductory Power

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11
Q

What is the Warm Up portion of Vocal Function Exercises?

A

Sustain the vowel /i/ for as long as possible on the musical note

(ugly and obnoxious sound)

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12
Q

What is the Stretching portion of Vocal Function Exercises?

1+4

A

Glide from your lowest note to your highest note

  • On word “knoll”
  • On tongue trill
  • On lip trill
  • On word “whoop.”
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13
Q

What is the Contracting portion of Vocal Function Exercises?

1+4

A

Glide from comfortable high note to your lowest note

  • On word “knoll”
  • On tongue trill
  • On lip trill
  • On word “boom.”
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14
Q

What is the Adductory Power portion of Vocal Function Exercises?

(2)

A

Sustain the musical notes (C-D-E-F-G) for as long as possible

Use sound “ol”.

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15
Q

What is Resonant Voice Therapy?

3

A

Voice production involving oral vibratory sensations

Made in the context of easy phonation

Focus toward anterior aspects of the vocal tract.

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16
Q

Who can Resonant Voice Therapy be useful for?

5

A

Professional voice users

Muscle tension dysphonia

Hypo- and hyperfunctional voice disorders

Vocal fold lesions

Mild vocal atrophy and paralysis

17
Q

What is the emphasis of Resonant Voice Therapy?

3

A

Frontal tone focus

Increasing levels of loudness

Achieving an optimal balance of oronasal resonance.

18
Q

What are the basic training gestures of Resonant Voice Therapy?

(4)

A

Hmmm-molm-molm-molm-molm…. as a sigh

Extreme forward focus (with appropriate breath support)

Abdominal breathing to support the tone production with VF constriction at the extreme end of the resonators.

Patient should feel relaxed at the end of the gestures.

19
Q

What are the three stages of Resonant Voice Therapy?

A

Stage 1: All voiced

Stage 2: Voice-Voiceless Consonants

Stage 3: Any phrase

20
Q

What is the goal of Lussac-Madsen Resonant Voice Therapy?

2

A

Producing the strongest voice possible

Using least amount of stress on the vocal folds and respiratory system.

21
Q

What population is Lussac-Madsen Resonant Voice Therapy use in?

A

Adolescents and adults with hypo- and hyperfunctional voice disorders

22
Q

What is the treatment protocol for Lussac-Madsen Resonant Voice Therapy?

(3)

A

30-45 minutes per session

Once or twice a week

4-8 weeks

23
Q

What is the focus of Lussac-Madsen Resonant Voice?

2

A

Using sensory information to help self-monitoring

Concentrates on auditory feedback.

24
Q

What are the steps in Lussac-Madsen Resonant Voice?

3

A

Patient stretching and practicing breathing

Continues in a structured fashion

Hierarchy of progression with increasing complexity.

25
Q

How long are stretches held in Lussac-Madsen Resonant Voice ?

A

3 to 10 seconds per stretch

26
Q

What do you explore while patient says “mmmmmm” for Lussac-Madsen Resonant Voice ?

(7)

A

Making vibrations wider then narrower

Making vibrations narrower then narrower,

Making voice easier and easier

Shifting the tongue in mouth

Gliding through pitch range

Sustaining pitch in ranch where vibrations are strongest

Sustaining pitch in ranch where voice is easiest

27
Q

What is the Circumlaryngeal Massaging?

A

Direct manual intervention to reducing excessive tension in laryngeal muscles

28
Q

What is the goal of Circumlaryngeal Massaging?

3

A

Restore natural resting position of larynx in neck

Reduce overall muscle tension

Reduce vocal hyperfunction

29
Q

What are the steps of Circumlaryngeal Massaging?

3

A

Evaluation of extrinsic muscle tension

Evaluation of laryngeal reposturing

Crcumlaryngeal massage concentrated over specific areas of the neck

30
Q

Who is Circumlaryngeal Massaging for?

2

A

Adults and children with muscle tension dysphonia

Patients with elevated laryngeal positioning

31
Q

What are three examples of patients who may have Elevated Laryngeal Positioning?

A

Those needing reposturing of larynx

Transgender patients

Puberphonia patients

32
Q

What can Circumlaryngeal Massaging allow for?

A

Differential diagnosis of Muscle Tension Dysphonia (MTD) versus Spasmodic Dysphonia (SD)

33
Q

How is Circumlaryngeal Massaging done?

A

No universal method

Descriptions vary throughout literature

34
Q

What are the two types of Circumlaryngeal Massaging according to Mathieson (2011)?

(2)

A

Laryngeal Manual Therapy

Manual Circumlaryngeal Therapy

35
Q

What is Manual Circumlaryngeal Therapy?

A

Kneading and sustained pressure beginning superficially then increasing in depth

36
Q

What is Laryngeal Manual Therapy?

A

Incorporates Vocal Tract Discomfort Scale and Palpatory Evaluation Protocol

ECU Voice Disorders (23 decks)

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