facilitating approaches Flashcards
change of loudness
-Specific pop
-for patient who needs to increase or decrease loudness
- decrease in loudness: patient identifies 5 type of voices
- increase in loudness: discuss soft voice w/ patient
chewing
-Specific pop
-pts with vocal hyper function who speak through clench teeth
-chewing motion, develops more relaxed, open, and natural oral movements.
focus (forward) aka: resonance voice
-General pop
-forward focus resonance allows the voice to fully resonate through he cavities above the larynx into pharynx
glottal fry
-Specific pop
- for pts w/ vocal nodules
- produced in relaxed manner w/ very little airflow and subglottic air pressure
- shortens thyroarytenoid muscles & vocal ligaments
Redirected phonation
-Specific pop
-pts w/ functional aphonia or functional dysphonia
-SLP searches with the patient to find some kind of vegetative phonation (e.g., coughing, gargling, etc.) or intentional voicing (e.g., humming, singing, etc.) or saying um-hmm.
hierarchy analysis
-General pop
- its for hyper-functional voice problems
- teaches pts relaxed responses to anxiety evoking situtations
Relaxation
-General pop
-hyper functional voices
-Develop different methods of relaxation: read chapters on stress management,
Visual Feedback
-General pop
-device screen can serve as a feedback device.
Yawn-Sigh
-General pop
- minimize the tension effects of vocal hyperfunction.
-helps ↓ the larynx to a low position, relax the larynx, the tongue is more forward, there is a slight opening between the vocal folds, and the pharynx is usually dilated.
auditory feedback
-General pop
- Loudness and Quality
- real time amplification of own voice
-auditory metronome to help w/ pacing
- playback of voice
chant talk
- Specific pop
- helps voice probs related to hyper function
- reciting syllables on one continuous tone
confidence voice
-General Pop
- loudness & quality
- effective in reducing loudness, vocal use, and vocal patterns
- increased breathiness reduces vocal loudness; relax airway
counseling
-General pop
- pitch & loudness
- helps individuals know why they have voice problem
digital manipulation
-Specific pop
- pitch & quality
- finger pressure on thyroid cartilage
Help to
- lower pitch
- monitor movements of larynx
- for its w// unilateral VF paralysis
Elimination of abuses
-General pop
- loudness & quality
- recognize and eliminate behaviors to improve vocal performance
- using a graph increases pts awareness
establish new pitch
- Specific pop
- pitch & quality
- for pts that want to increase or decrease their pitch
-record and playback feedback to pt
head position
- General pop
- pitch & quality
- pts for unilateral VF paralysis
ExampleS: - normal straight ahead
-extended forwards w/ head tilted down face look up - neck flexed down w/ head tilted down face looking down
inhalation phonation
- Specific pop
-pitch & loudness - for its who have functional aphonia and functional dysphonia
- inhale w voice w/ palms upturned and exhaling w/ palms turned down
laryngeal massage
-Specific pop
-pitch & quality
-gentle manipulation & massage of the larynx
- pts w/ functional voice disorder which structural or neurogenic causal factors cannot be identified
masking
-Specific pop
-pitch & loudness
- functional dysphonia
- uses voicing reflex test
nasal glide stimulation
-specific pop
-quality
- patients with functional dysphonia, spasmodic dysphonia, and dysphonias related to fold thickening, nodules, and polyps.
- tx: focuses on using words that contain many nasal and glide consonants,
open mouth app
-specific pop
-pitch & quality
- encourages pt to develop more oral openness
- optimum approximation of vocal folds
-increases oral resonance
Pitch inflections
-specific pop
-pitch
-functional dysphonia related to vocal hyperfunction
-Goal of approach: seeks not only to establish more optimum pitch levels, but also to increase the amount of pitch variability
Respiration training
-specific pop
-loudness & quality
-Breath support training
-pt w/ functional voice disorder
-
Tongue Protrusion /i/
-pitch & quality
-pts with ventricular phonation or tightness in the voice
-Implementation: Pt with such is asked to produce /i/ with the tongue extended outside the mouth and raise toward the hard palate
