Assessment of voice Flashcards
what are the 8 things you do for a voice evaluation?
Patient history voice sample perceptual analysis Acoustic analysis stroboscopic assessment respiratory assessment resonation and vp assessment recommendations
for a voice sample you collect what 2 types of samples?
sustained
connected
for the perceptual analysis what assessment tool would you use (2)?
CAPE-V-clinicians perspective
VHI-clients perspective
is a perceptual analysis subjective or objective?
subjective
You cannot make a diagnosis without doing what when you are assessing?
stroboscopic assessment
What two things can you do to assess resonance or VP?
nasopharyngoscopy
nasometer
what three things can u use to assess the respiratory system?
spirometry, manometry, and pneumotachometry
what do you use for a acoustic analysis when doing a voice assessment?
MDVP
what does EMG stand for? what is it measured in?
Electromyography (volts)
What does EGG stand for and what does it measure?
electroglotography (mean flow rate (MFR) of airflow at glottis
When you take a ptnt hx what do you need to get?
history of problem (origin, duration, severity), symptoms of voice quality (pitch, resonance, loudness, reflux, cough)
social hx: how do they use voice?
related med hx (surgeries, allergies, URI, psych)
vocal hygiene (lifestyle: smoke, hydration)
medication list
What does the Cape-v stand for
consensus auditory-perceptual evaluation of voice
what are the parameters that are rated from a videostoboscopic exam?
vocal fold edge glottal closure phase closure vertical level of vf approximation amplitude of vibration mucosal wave vibratory behavior phase symmetry periodicity hyperfunction
vocal fold edge looks at the smoothness of the vfolds edge
true
glottal closure looks at?
the degree to which the vfolds close during maximum adduction during phonation
what does phase closure look at?
the degree to which the v.folds move together during vocal fold closure during phonation
what does vertical level of vf approximation look at?
the degree to which the vocal folds meet on the same vertical plane during phonation (does one move more than the other?)
what does the amplitude of vibration look at?
the degree of movement from the medial to the lateral aspects of the vocal fold during phonation.
What does the mucosal wave look at?
the assessment of the degree of traveling wave that is present on the superior surface of the vocal fold during phonation
when you assess for vibratory behavior what are you looking at?
identification of portions of the v. folds that are not moving during phonation
what does phase symmetry look at?
the degree to which the v. folds move symmetrically during v. fold closure during phonation
periodicity looks at?
regularity of successive cycles of vibration during phonation
hyperfunction looks at (during voice assessment)
extraneous activity in the form of ventricular compression/phonation (a-p press).
what is pneumotachometer and what does it measure?
measures cough strength/peak flow
inspiratory muscle phase, compression of vf’s phase
