Assessment of Voice & Resonance Flashcards
Components of Voice Evaluation (8)
- Patient History
- Voice Sample (Sustained and Connected Speech)
- Perceptual analysis (subjective)–VHI & CAPE-V
- Acoustic analysis (objective)–MDVP
- Stroboscopic assessment
- Respiratory assessment: spirometry, manometry, pneumotachometry
- Resonance/VP assessment: nasopharyngoscopy, nasometer
- Recommendations/POC
Other components of voice evaluation
- Oral-facial exam
- Hearing assessment
- Instrumentation
Instrumentation components (2)
- EMG–Muscle Activity (volts)
2. EGG–Mean Flow Rate (MFR) of airflow at glottis
Patient History
- Hx of the problem
- Sx’s
- Social Hx
- Related Medical Hx
- Vocal Hygiene
- Medication List
Hx of the problem entails.. (3)
- Origin
- Duration
- Severity
Sx’s may include: (7)
- Voice quality
- Pitch
- Resonance
- Loudness
- Reflux?
- Cough?
- Throat clear?
Social Hx includes:
How do they use their voice? (socially, professionally)?
Related Medical Hx includes: (4)
- Surgeries
- Allergies
- URI
- Psych/depression
Vocal Hygiene may include: (3)
Caffeine, smoking, hydration
What tool would you use for “Patient’s perceptual analysis”?
VOICE HANDICAP INDEX (VHI)
What tool would you use for “Clinician’s perceptual analysis”
CONSENSUS AUDITORY-PERCEPTUAL EVALUATION OF VOICE (CAPE-V)
Parameters that are rated from a videostroboscopic examination (9)
- Vocal fold edge
- Glottal closure
- Phase closure
- Vertical level of VF approximation
- Amplitude of vibration
- Mucosal wave
- Phase symmetry
- Periodicity
- Hyperfunction
Vocal fold edge
the smoothness of the vocal fold edges
Glottal closure
the degree to which the vocal folds close during maximum adduction during phonation
Phase closure
the degree to which the vocal folds move together during vocal fold closure during phonation
Vertical level of VF approximation
the degree to which the vocal folds meet on the same vertical plane during phonation
Amplitude of vibration
the degree of movement from the medial to the lateral aspects of the vocal fold during phonation
Mucosal wave
the assessment of the degree of traveling wave that is present on the superior surface of the vocal fold during phonation
Vibratory behavior
identification of portions of the vocal fold that are non-moving during phonation
Phase symmetry
the degree to which the vocal folds move symmetrically during vocal fold closure during phonation
Periodicity
regularity of successive cycles of vibration during phonation
Hyperfunction
extraneous activity in the form of ventricular compression/phonation and/or A-P press
List the respiratory assessments (3)
- Spirometer
- Manometer
- Pneumotachometer
Spirometer
measures respiratory flow, volumes, and lung capacities (FVC-forced vital capacity, FEV1-forced expiratory rate in the 1st second)