Chapter 13 Flashcards
Categories of voice disorders include
Functional disorders, neurogenic disorders, psychogenic disorders
result from vocal misuse or abuse: vocal nodules, contact ulcers, granulomas
Functional disorders
damage to the nervous system. Partial/complete vocal fold paralysis and voice-Parkinson’s Disease and ALS.
Neurogenic disorders
result from psychological and emotional conflict, such as extreme stress or anxiety- may include tense voice or aphonia
Psychogenic disorders
tense voice or aphonia are example of ____ disorder
Psychogenic disorders
Partial/complete vocal fold paralysis and voice-Parkinson’s Disease and ALS are examples of z____ disorders
Neurogenic disorders
vocal nodules, contact ulcers, granulomas are examples of ___ disorders
Functional disorders
During a screening, you must listen for _____, _____,and ____
Quality, pitch, and intensity (loudness)
The following is used to conduct a screening:
- Imitate words or phrases
- Count to 20
- Recite alphabet
- Read short passage
- Conversational speech sample
- Vowel prolongation
- Sustain s/z
Client perception includes
Voice Handicap Index (VHI)
Perceptual and Instrumental Exam goes over
Pitch, Intensity, Vocal Quality, Vocal Habits, Resonance, Respiratory Support, Posture, Tension & other behaviors
the average pitch that the patient uses during speaking and reading
Fundamental frequency - habitual pitch
In perpetual and instrument exam,to examine pitch you must look at
- Fundamental frequency- Habitual pitch
- Pitch Range
For pitch range calculate the ________
Calculate highest/lowest pitch (aaaahhhh) glissando up and down
In the perceptual and instrumental exam, for intensity, you must
Measure in decibels &
Vary loudness
To measure intensity, have the client ____
Whisper, speak softly, speak loudly, shout
Counting with increasing intensity
In the perceptual and instrument exam, for vocal quality,
Conduct a CAPE-V (Consensus Auditory- Perceptual Evaluation of Voice)
The CAPE_V goes over:
- Overall severity
- Roughness
- Breathiness
- Strain
- Pitch
- Loudness
- Additional- Diplophonia, vocal fry, falsetto, asthenia, aphonia, pitch instability, tremor, wet/gurgling voice
During respiratory support for speech, observe:
- Conversational speech
- Taking a deep breath
During respiratory support for speech, look for:
- Tension
- Shallow inhalation
- Noisy Inhalation
- Mouth Breathing
- Running out of air
- Weak voice
- Fatigue
Determine how well the vocal folds close, open and vibrate. This is known as
Maximum phonation time
The first step in maximum phonation time is
Ask the patient to sustain a vowel
In maximum phonation time, after asking the patient to sustain a vowel, then-
Time the length of the production
In maximum phonation time, after timing the length of production, then-
Repeat 2x and record the longest
Typically the maximum phonation time for males is
25-35 sec
Typically the maximum phonation time for females is
15-25 sec
Typically the length of concern for maximum phonation time is
less than 10 secs