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Voice Disorders Exam 1 > Assessment of Voice & Resonance > Flashcards

Assessment of Voice & Resonance Flashcards

1
Q

Components of Voice Evaluation (8)

A
  1. Patient History
  2. Voice Sample (Sustained and Connected Speech)
  3. Perceptual analysis (subjective)–VHI & CAPE-V
  4. Acoustic analysis (objective)–MDVP
  5. Stroboscopic assessment
  6. Respiratory assessment: spirometry, manometry, pneumotachometry
  7. Resonance/VP assessment: nasopharyngoscopy, nasometer
  8. Recommendations/POC
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2
Q

Other components of voice evaluation

A
  1. Oral-facial exam
  2. Hearing assessment
  3. Instrumentation
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3
Q

Instrumentation components (2)

A
  1. EMG–Muscle Activity (volts)

2. EGG–Mean Flow Rate (MFR) of airflow at glottis

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4
Q

Patient History

A
  1. Hx of the problem
  2. Sx’s
  3. Social Hx
  4. Related Medical Hx
  5. Vocal Hygiene
  6. Medication List
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5
Q

Hx of the problem entails.. (3)

A
  1. Origin
  2. Duration
  3. Severity
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6
Q

Sx’s may include: (7)

A
  1. Voice quality
  2. Pitch
  3. Resonance
  4. Loudness
  5. Reflux?
  6. Cough?
  7. Throat clear?
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7
Q

Social Hx includes:

A

How do they use their voice? (socially, professionally)?

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8
Q

Related Medical Hx includes: (4)

A
  1. Surgeries
  2. Allergies
  3. URI
  4. Psych/depression
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9
Q

Vocal Hygiene may include: (3)

A

Caffeine, smoking, hydration

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10
Q

What tool would you use for “Patient’s perceptual analysis”?

A

VOICE HANDICAP INDEX (VHI)

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11
Q

What tool would you use for “Clinician’s perceptual analysis”

A

CONSENSUS AUDITORY-PERCEPTUAL EVALUATION OF VOICE (CAPE-V)

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12
Q

Parameters that are rated from a videostroboscopic examination (9)

A
  1. Vocal fold edge
  2. Glottal closure
  3. Phase closure
  4. Vertical level of VF approximation
  5. Amplitude of vibration
  6. Mucosal wave
  7. Phase symmetry
  8. Periodicity
  9. Hyperfunction
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13
Q

Vocal fold edge

A

the smoothness of the vocal fold edges

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14
Q

Glottal closure

A

the degree to which the vocal folds close during maximum adduction during phonation

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15
Q

Phase closure

A

the degree to which the vocal folds move together during vocal fold closure during phonation

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16
Q

Vertical level of VF approximation

A

the degree to which the vocal folds meet on the same vertical plane during phonation

17
Q

Amplitude of vibration

A

the degree of movement from the medial to the lateral aspects of the vocal fold during phonation

18
Q

Mucosal wave

A

the assessment of the degree of traveling wave that is present on the superior surface of the vocal fold during phonation

19
Q

Vibratory behavior

A

identification of portions of the vocal fold that are non-moving during phonation

20
Q

Phase symmetry

A

the degree to which the vocal folds move symmetrically during vocal fold closure during phonation

21
Q

Periodicity

A

regularity of successive cycles of vibration during phonation

22
Q

Hyperfunction

A

extraneous activity in the form of ventricular compression/phonation and/or A-P press

23
Q

List the respiratory assessments (3)

A
  1. Spirometer
  2. Manometer
  3. Pneumotachometer
24
Q

Spirometer

A

measures respiratory flow, volumes, and lung capacities (FVC-forced vital capacity, FEV1-forced expiratory rate in the 1st second)

25
Q

Manometer

A

measures air pressure (MIP-maximum inspiratory pressure, MEP-maximum expiratory pressure)

26
Q

Pneumotachometer

A

measures cough strength (peak flow), inspiratory muscle phase, compression (of VF’s) phase

27
Q

Components of Recommendation/POC (7)

A
  1. Patient education
  2. Modified voice rest
  3. Voice home exercises
  4. Reflux management
  5. Vocal hygiene
  6. Voice therapy or re-eval?
  7. Referral?
28
Q

Assessment methods that are NOT to be used but are around… (2)

A

S/Z Ratio and Tongue Anchor test

29
Q

What is the Tongue Anchor test not a valid assessment?

A

It’s rudimentary, subjective, and lacks evidence

30
Q

Assessment for Cleft (4)

A
  1. Voice and Resonance assessment
  2. Language assessment
  3. Artic & phonological processes assessment
  4. Referral to team/surgical mgmt
31
Q

What does a voice and resonance assessment include? (2)

A
  1. Flexible nasoendoscopy

2. Nasometry

32
Q

Recommendations for a laryngectomee?

A
  1. Electrolarynx
  2. TEP (tracheoesophogeal puncture/prosthesis)
  3. Esophageal speech

Voice Disorders Exam 1 (5 decks)

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