Chapter 5: Diagnostic Voice Evaluation Flashcards
The diagnostic voice evaluation is a primary _________ tool. Effectiveness of the eval will dictate:
therapy
success or failure of therapy
What are the 3 primary objectives of a voice evaluation?
1) identify the causes
2) describe the present vocal components
3) develop the management plan
What are the 3 secondary objectives of a voice evaluation?
1) patient education
2) patient motivation
3) establish credibility of voice pathologist
What are 7 potential referral sources for SLP voice evaluations?
1) otolaryngologists
2) other medical specials
3) SLPs
4) vocal coaches
5) singing teachers
6) former patients
7) family/friends/self
What are 4 methods of a medical examination in a voice evaluation?
1) indirect laryngoscopy
2) fiberoptic laryngoscopy
3) direct laryngoscopy
4) laryngeal videostroboscopy
What are the 4 steps to a voice pathology evaluation?
1) patient interview
2) perceptual voice assessment
3) instrumental assessment of vocal function
4) laryngeal videostroboscopy
What are 5 important pieces of information to collect/steps to take about referral?
1) referral source
2) exact reason for patient referral
3) patient understanding for referral
4) knowledge of the voice disorder
5) credibility of examiner
What are 3 important pieces of information to collect about history of the problem?
1) chronology of the problem
2) etiologic factors associated with the history
3) determine patient motivation
What are 2 important pieces of medical history information to collect?
1) medically related etiologic factors
2) establish awareness of patient personality
What are 3 important pieces of social history information to collect?
1) identify home, work, recreational environments
2) discover emotional, social, family, and occupational activities, challenges, and difficulties
3) seek more etiologic factors
What are the 5 parts of an oral peripheral examination?
1) determine physical condition of oral mechanism
2) observe whole body tension
3) observe laryngeal area tension
4) check for swallowing difficulties
5) check for laryngeal sensations
What are 8 areas of information to collect during a perceptual evaluation?
1) general quality
2) respiration
3) phonation
4) resonance
5) pitch
6) loudness
7) rhythm and rate
8) non-speech phonotrauma
What are the 2 pieces of info about general quality to gather?
1) describe voice quality using descriptive terms (may use scale, such as CAPE-V)
2) examine inappropriate use of voice components
What are 3 respiration info to collect?
1) type of breathing pattern (supportive vs non-supportive)
2) s/z ratio
3) maximum phonation time
What are 4 pieces of information to collect about phonation?
1) hard glottal attacks
2) glottal fry
3) breathiness
4) diplophonia
What are 5 pieces of information to collect about resonance?
1) hypernasality
2) hyponasality
3) assimilative nasality
4) cul de sac nasality
5) inappropriate tone focus
What are 3 pieces of information to collect about pitch?
1) test present pitch range
2) describe conversational inflection
3) make subjective judgement of appropriateness
What are 2 pieces of information to collect about loudness?
1) too soft, loud, or appropriate?
2) check ability to shout/talk softy
What are 3 pieces of information about rhythm and rate to collect?
1) too fast?
2) too slow?
3) interrupted (spasm, tremor)
What are 3 pieces of information about non-speech phonotrauma to collect?
1) throat clearing
2) coughing
3) unusual laugh
What is the impression section of an evaluation?
summarize the etiologic factors associated with the development and maintenance of the voice disorder
What is the prognosis section of an evaluation?
analyze the probability of improvement through voice therapy
What is the recommendations of a voice evaluation/
outline the management plan
