Chapter 6 - Voice Disorders Flashcards
What pitch levels are associated with males, females, and children under 10?
MALE – 100+ HZ
FEMALE – 200+ HZ
CHILDREN – 300+ HZ
Name the 3 parameters SLPs look at when diagnosing a voice disorder.
QUALITY, PITCH, LOUDNESS
What are the 4 categories into which voice disorders are placed?
ORGANIC
NEUROGENIC
FUNCTIONAL
PSYCHOGENIC
Which category would include nodules, cysts, and polyps?
ORGANIC
A functional voice disorder in which a male continues to use a higher pitched voice despite his larynx having lowered.
PUBERPHONIA
A functional voice disorder seen in older people due to lose of collagen and muscle in the vocal folds.
PRESBYPHONIA
The space between the vocal folds when they are adducted but cannot close completely due to a pathology.
CHINK
Term used to describe the meeting of the vocal folds in the middle.
MEDIAL COMPRESSION
Most common organic voice disorder.
NODULES
Observing the vocal folds in slow motion using a camera on the end of a rigid tube is called
STROBOSCOPY
Where on the vocal folds do nodules occur?
ANTERIOR 2/3
Organic disorder presenting as a white sac-like pillow inside the vocal folds.
CYST
Increased mass on the vocal folds results in
DECREASED PITCH AND LOUDNESS
What is your job as an SLP when working with patients with voice disorders?
DETERMINE THE CAUSE AND THEN HOW TO TREAT IT
What is aphonia?
Complete loss of voice
What is it called when the vocal fold tissues become swollen?
Edema
___ voice is associated with excessive muscle tension. Explain.
Harsh. The vocal folds are pressed together tightly with a quick release during each cycle of vibration; the walls of the throat are tightened to amplify the high-frequency components of the voice.
Increased muscle activity
Hyperfunction
Decreased muscle activity
Hypofunction
What are some types of neurogenic voice problems?
Paralysis and Spasmodic Dysphonia
Difficulty breathing
Dyspnea
Most frequent type of SD
Adductor SD (strain-strangle voice)
What is a quality of abductor SD?
Speech interrupted by periods of aphonia
Name nine primary symptoms of voice disorders.
Hoarseness Fatigue Breathiness Reduced pitch range Aphonia High pitch Strain-strangle Tremor Globus
What are the characteristics that can be observed or tested by a clinician?
SIgns
Opening on the front of the neck which trachea is redirected to following laryngectomy
Tracheal stoma
Speech in which air is actively injected down the esophagus past the neoglottis (aka pseudo glottis or PE segment)
Esophageal speech
Speech in which air is routed from the lungs into the esophagus via tracheosophageal speech prothesis
Tracheosophageal speech
Most natural speech with least amount of therapy
