Diagnosis Flashcards
Electromyography
Technique used to investigate respiration, phonation, and articulation
Provides info about muscular forces involved in speech production by recording muscle action potentials
Case History purpose
Obtain basic biographical information
Obtain professional information
Obtain health history
Measures of respiratory function
Air volume
Pressure
Flow rate
Direct air pressure methods
Tracheal puncture
Esophageal balloon
Indirect air pressure method
Pharyngeal pressure (pass tube through nose) Intraoral pressure (pass sensor around teeth) Manometer-sustain stream of bubbles for 5 seconds at depth of 5 cm
Measuring airflow
Spirometer-non speech tasks
Rothenburg face mask-speech tasks
Divided masks-oral vs nasal airflow
Measuring nasalance
Baffle between nose and mouth-nasal vs oral airflow
Nasalance
Ratio of nasal to oral signal strength
Electroglottograph
Measures degree of vocal fold contact
Fiberoptic endoscope
Flexible or rigid bundle of fiber glass used to convey image of glottis
Halogen light source
Looks at laryngeal structure
Flexible endoscope
Nasal cavity
Glottis during speech
Rigid endoscope
Passed orally
Glottis during sustained phonation
Stroboscope
Light flashing at fixed frequency
Gold standard: structure + function
High speed digital imaging
Montage of glottal cycles
Recording duration limited to 4-6 sec
Comprehensive Voice Evaluation
Detailed History
Assessment if disorder’s functional impact (MDVP, voice user profile,etc.)
Observational (perceptual) assessment of speech and/or vocal function
Quality of available normative data
Small sample size
Age representation limitations
Non-standardized data collection and analysis
Clinical populations that may benefit from acoustic intervention
Voice disorders
Phonology/Articulation Disorders
Motor speech disorders
Multi-dimensional voice program
Robust acoustic quality of the voice quality of sustained phonation
Measures 30 parameters of voice sample and compares to normative data
Voice range profile
Examination of voice disorders
Two dimensional profile of an individual’s amplitude range as a function of total fundamental frequency range
Real time pitch
Real time display of fundamental frequency and amplitude
Quantitative and objective measures of speech/voice parameters
Motor speech profile
Objective tools of MSD
Sona-matching
Real time feedback of vowel and sibilant characteristics