Exam 3

Question 1

Type of treatment that includes patient education, nasalized phrase productions and chanting phrases such as “oh no, oh my, oh me, oh my no, oh me oh my”

Answer 1

Direct modification of tone focus

Question 2

What are the 5 voice therapy orientations?

Answer 2

Hygienic, symptomatic, psychogenic, physiologic, eclectic

Question 3

Which voice therapy orientation has the most efficacy and seen as EBP?

Answer 3

Physiologic

Question 4

Concentrates on discovering the behavioral causes of the voice disorder and modification/elimination of the causes to improve vocal condition and voice quality

Answer 4

Hygienic voice therapy

Question 5

What is one weakness about using hygienic voice therapy?

Answer 5

The cause may no longer be the precipitating factor (the behavior is not the cause of the voice disorder); e.g. someone with COPD; using hygienic therapy will not eliminate COPD

Question 6

T/F: The combination of one or more therapy orientations come under eclectic.

Answer 6

True

Question 7

Addresses/modification of deviant vocal symptoms such as breathiness, inappropriate pitch, loudness, hard glottal attacks; if the voice component is inappropriate, modify it

Answer 7

Symptomatic voice therapy

Question 8

What is one weakness about using symptomatic voice therapy?

Answer 8

What is symptom/cause; we are addressing the behavior, not the actual cause of the voice disorder

Question 9

T/F: Hygienic voice therapy strongly believes that a behavior is always a cause of voice problem, and therefore is one of its strengths.

Answer 9

False; the behavior may not be the cause of the disorder

Question 10

Focus is on the emotional and psychosocial status of the patient that led to and maintained the voice disorder

Answer 10

Psychogenic voice therapy

Question 11

What is one weakness about using the psychogenic voice therapy?

Answer 11

Psychosocial contribution may be over-stated

Question 12

T/F: Psychogenic is understated because every patient needs intensive counseling.

Answer 12

False; This orientation is overstated because we need to address the whole problem rather than just one of the components involved in the voice disorder. Not everyone needs intensive counseling, but yes with education and importance of voice therapy.

Question 13

Strives to improve the balance among voice respiratory support, laryngeal muscle strength, control and stamina, and and supraglottic modification of the laryngeal tone of the phonatory, resonatory, and respiratory system

Answer 13

Physiologic voice therapy

Question 14

What is one weakness about using the physiological voice therapy approach?

Answer 14

Does not account the behavior

Question 15

Combination of different voice therapy orientations to promote positive vocal change;

Answer 15

Eclectic voice therapy

Question 16

T/F: Reinke’s edema decreases the mass and stiffness components in vocal fold tissues.

Answer 16

False; increases

Question 17

T/F: A supportive breath pattern of thoracic is not an indication of paralaryngeal tension.

Answer 17

True

Question 18

If mass and tension increase, what happens to the amplitude?

Answer 18

Decrease

Question 19

What is an example of hygienic voice therapy?

Answer 19

Hydration program, avoiding unhealthy inhalants, reduce vocal abuse such as yelling

Question 20

What are examples of symptomatic voice therapy?

Answer 20

Raising/lowering pitch, reducing loudness, reduce tension and effort