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voice > chapter 5 > Flashcards

chapter 5 Flashcards

1
Q

the diagnostic voice evaluation is a _____ therapy tool.

A

primary

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2
Q

the effectiveness of the diagnostic voice evaluarion will dictate the

A

sucess or failure of therapy

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3
Q

primary objectives of the voice evaluation

A

id the causes
describe the present vocal components
develop the mgmnt plan

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4
Q

secondary objectives of the voice evaluation

A

pt education
pt motivation
establish credidbility of voice pathologist

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5
Q

referral sources

A

otolaryngologists, other medical specialists, slps, voice coaches singing teachers, former pts, family, friends

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6
Q

professional relationships are

A

evolution of the voice team
complementary relationships

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7
Q

the medica examination: indirect laryngoscopy

A

laryngeal mirror and light

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8
Q

the meical examination: fiberoptic laryngoscopy-

A

flexible tube with camera and light via nasal or oral cavity

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9
Q

direct laryngoscopy

A

anestheia, rigid laryngoscope plase in the pharynx via oral cavity

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10
Q

laryngeal videostroboscopy

A

stroboscopic light source capture slow-motion images of the vocal folds in motion

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11
Q

the voce pathology evaluation includes these four things

A

pt interview, perceptual voice assessment, instrumental assessment of vf function, laryngeal videostroboscopy

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12
Q

evaluation form consists of

A

general information, referall and reason for referral

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13
Q

the referral of the evaluation form eastablishes

A

the referral source

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14
Q

the reason for referral does this

A

reason and
the pts understanding
knowledge of the voice disorder,
and establish credibility of examiner.

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15
Q

the history of the problems purposes

A

establish the chronology of the problem, seek etiologic factors associated with the history, and determine the pt motivation

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16
Q

the medical history of the evaluation’s purpose

A

seek medically-related etiologic factors and estabish awareness of the paitents personality.

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17
Q

the social history of the evaluation purposes

A

id work, home and recreational environments,
discover emotional, social, family, occupational activities, challenges, difficulties.
and seek more etiologic ffactors.

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18
Q

the oral peripheral examination purpose

A

determine the physical condition of the oral mechanism
observe whole body tension
observe laryngeal area tension
check for swallowing difficulties
check ffor laryngeal sensations

19
Q

perceptual evaluation: general quality

A

describe quality in descriptive terms (scale, grbas, CAPE-V)
examine inappropriateness of voice components.

20
Q

perceptual evaluation: respiration/breathing

A

describe type of breathing pattern
s/z ratio
maximum phonation time

21
Q

breathing pattern descriptions/ meanings

A

supportibe/non-supportive
locus of respiration
breath holding
shallow breathing
coordination of respiration and phonation

22
Q

s/z ratio considered abnormal that mak indicate problems with vf adequacy (phonatory adequacy)

A

ratios greater than 1.4

23
Q

maximum phonation time meaning

A

measure that assesses the amount of time a person can sustain phonation.

24
Q

perceptual evaluation: phonation

A

hard glottal attacks
glottal fry
breathiness
diplophonia

25
Q

hard glottal attacks meaning

A

forceful closure of the vfs before producing a sound, resulting in a sharp, abrupt onset of voice

26
Q

glottal fry meaning

A

lowest range of phonation along the frequency continuum when vfs are tightly adducted

27
Q

breathiness meaning

A

audible air escape in the voice

28
Q

diplophonia meaning

A

the perception of two distinct simultaneous pitches during phonation- also called “double voice”

29
Q

resonance perceptions

A

hypernasal
hyponasal
assimilative nasality
cul de sac nasality
inappropriate tone focus

30
Q

hypernasal meaning

A

excessive resonance in nasal cavity, velopharyngeal port remains open during production of nonnasl phonemes

31
Q

hyponasal

A

over closure of the velopharyngeal port and resonance not present for nasal phonemes

32
Q

assimilative nasality

A

phonemes adjacent to nasal phonemes are nasalized due to premature opening of the prior nasal phonemes and lingering opening of port following nasal phonemes.

33
Q

cul de sac nasality meaning

A

tongu held in posterior fashion, sound is focused in oral pharyngeal port resulting (hearing loss, velopharyngeal incompetence, etc.)

34
Q

perceptual evaluation: pitch

A

test present pitch rangs
describe conversational inflection
make subjective judgement of appropriateness

35
Q

perceptual evaluation: loudness

A

too loud, soft, appropriate
check ability to shout/talk softly

36
Q

perceptual evaluation: rhythm and rate

A

too fast
too slow
interrupted (spasam, tremor)

37
Q

non-speech phonotrauma

A

throat clearing
coughing
unusual laugh

38
Q

evaluation summary includes these three things

A

impressions, prognosis, reccomendations

39
Q

impressions meaning

A

summarize the etiologic factors associated with the development and maintenance of the voice disorder

40
Q

prognosis

A

analyze the proability of improvement through voice therapy

41
Q

reccomendations

A

outline the managment plan

42
Q

pt self assesment

A

incorporates the pt perspective related to the voice disorder. describes the physical, functional, and emotional implications.

43
Q

assessment tools for pt self-assessment

A

voice handicap index vhi
voice handicap index-10 vhi 10
voice-related quality of life V-RQOL
voice activity and participation profile VAPP
Voice symptom scale (VoiSS)
aging voice index AVI.

44
Q

perceptual evaluation components

A

general quality
respiration
phonatoin
resonance
pitch
loudness
rhythm and rate
non-speech phonotrauma
summary

voice (4 decks)

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