Chapter 7: Voice Management (Resonance Therapy - Generalizing the Balanced Voice) Flashcards
What is resonant voice?
voice production involving oral vibratory sensations, usually on the anterior alveolar ridge or higher in the face, the the context of easy phonation
Resonant voice therapies training methodologies are ____________, they focus on the processing of __________ information
experiential
sensory
What is the fundamental perceptual target of resonant voice therapy?
focused, oral vibratory sensations in the context of easy phonation
In resonant voice therapy, the singular training focus (__________) is expected to affect what other levels of phsyiology?
resonance
breathing and laryngeal
In resonant voice therapy, ______ numbers of repetitions are used in varying _____ _________
large
speech contexts
Resonant voice therapy training is strongly _______ driven, and has insistence on the greatest possible ____________ in the achievement of perceptual tasks
goal
precision
What is the basic training gesture for RT (step 1 for all stages of RT)?
holm-molm-molm-molm-molm-molm as a sigh
In the basic training gesture for RT, what 3 things are required/should happen?
1) extreme forward focus with appropriate breath support
2) make the connection from the abdominal muscle to the lips
3) pt should feel very relaxed at the end of this gesture
What is stage 1 of the RT hierarchy?
“all voiced”
What is stage 1 step 1 of RT? (4)
1) sustained pitch
2) vary rate only
3) discover the vibrations, experiment with broad and narrow
4) eventually focus on the narrow vibration
What is stage 1 step 2 of RT? (2)
1) slow-fast-slow
2) soft-loud-soft
What is stage 1 step 3 of RT? (2)
1) use a non-linguistic phrase
2) vary the rate, pitch, and loudness
3) make the connection from the abdominal muscles to the lips
What is stage 1 step 4 of RT? (1)
1) change the following voiced phrases on a musical note
- mary made me mad
- my mother made marmalade
- my merry mom made marmalade
- my mom my marry marv
- my merry om may marry marv
- marv made my mother merry
What is stage 1 step 5 of RT? (1)
1) over-inflect the phrases from step 4 as speech
What is stage 1 step 5 of RT? (1)
1) over-inflect the phrases from step 4 as speech
What is stage 2 of the RT hierarchy?
“voice-voiceless contrasts”
What is the basic training gesture of stage 2 of the RT hierarchy?
mamapapa…
What is stage 2 step 1 of RT? (1)
1) vary the rate on ___ note
What is stage 2 step 2 of RT? (2)
1) slow-fast-slow
2) soft-loud-soft
(on ___ note)
What is stage 2 step 3 of RT? (3)
1) use non-linguistic phrases
2) vary the rate, pitch, and loudness
3) make the connection from abdominal muscles to the lips
What is stage 2 step 4 of RT? (1)
1) chant the following voice/voiceless phrases on the musical note __
- mom may put Paul on the moon
- mom told Tom to copy my manner
- my manner made Pete and Paul mad
- mom may move Polly’s move to ten
- my movie made Tim and Tom sad
What is stage 2 step 5 of RT? (1)
1) over-inflect these phrases as speech
What is stage 3 of the RT hierarchy?
“any phrase”
What is the basic training gesture for stage 3 of RT?
A collection of phrases, each one should go through all 3 steps of stage 3 before moving on to the next
What stage are these phrases used in?
- all the girls were laughing
- get there before they close
- did you hear what she said?
- come in and close the door
- are you going tonight?
- put everything away
- come whenever you can
- we heard that yesterday
- the player broke his leg
- the children went swimming
stage 3
What are the 3 steps in stage 3 of RT?
1) chant the phrase on __ note with no breath
2) over-inflect in with extreme forward focus
3) repeat it as natural speech with a forward focus
What is stage 4 of the RT hierachy?
“paragraph reading”
What are the 4 steps of stage 4 of RT?
1) read a paragraph with phrase markers
2) separate each phrase only by the inhalation of air
2) exaggerate focus and then repeat with a more normal speech/voice production
4) repeat the above without phrase markers
What is stage 5 of the RT hierarchy?
“controlled conversation”
What are the 2 points of stage 5?
1) practice forward speech placement in conversation
2) don’t permit glottal attacks, glottal fry, etc.
What is stage 6 of the RT hierarchy?
“environmental manipulations”
What are the 3 points of stage 6?
1) simulate actual speaking environments
2) use audio recordings of background noise
3) go to a noisy cafeteria
What is stage 7 of the RT hierarchy?
“emotional manipulations”
What is done in stage 7?
use materials and topics that increasingly engage and challenge the patient
What are RT home exercises?
15-20 minute home sessions, two times per day with “minis” as needed
1) basic RV training gesture
2) selected level of hierarchy
What are other holistic voice therapy programs besides RT and who are they used for (2)?
1) Lee Silverman Voice Treatment (LSVT) = Parkinson’s Patients
2) PhoRTE = Presbyphonia
