functional voice disorders

Question 1

functional voice disorders are characterized by:

Answer 1

tension, hyperfunction, larynx “riding high” and anxiety

Question 2

What percent of Functional voice disorders are dysphonia cases?

Answer 2

10%

Question 3

are functional voice disorders primarily seen in men or women?

Answer 3

women

Question 4

Functional voice disorders can be caused by

Answer 4

URI (upper respiratory infection), stressful/traumatic event, psychosocial (mood, anxiety, adjustment), organic or idiopathic

Question 5

Is there a structural pathology present in functional voice disorder?

Answer 5

no not unless an organic disorder develops bc of the functional voice disorder.

Question 6

What are the classification of etiologies for functional voice disorders?

Answer 6

psychogenic
misuse/abuse
idiopathic
organic

Question 7

what things classify as misuse/abuse?

Answer 7

hyperfunction
excessive throat clearing
inappropriate singing/or excessive singing/performing

Question 8

what does idiopathic mean?

Answer 8

no known cause

Question 9

What are the functional voice disorders?

Answer 9

puberphonia
functional aphonia
functional dysphonia (MTD)
paradoxical vocal fold movement

Question 10

What else can puberphonia be called?

Answer 10

mutational falsetto

or falsetto

Question 11

what functional voice disorder is a pitch control disorder (ex: pitch is to low/high)

Answer 11

puberphonia

Question 12

Puberphonia is normally in females or males?

Answer 12

males

Question 13

How many octaves lower is a person’s pitch when they have puberphonia?

Answer 13

normally 1 octave lower than it should be

Question 14

Puberphonia is not due to anatomic immaturity of the larynx. T or F

Answer 14

true

Question 15

Puberphonia is caused by?

Answer 15

emotional stress
the person is not letting their voice drop like it should in normal development
the larynx rides high

Question 16

Does the larynx ride high during puberphonia

Answer 16

yes

Question 17

Functional aphonia used to be called?

Answer 17

hysterical syndrome and conversion symptom or conversion hysteria

Question 18

Functional aphonia is more of a chronic condition but can also be intermittent or temporary. T or F

Answer 18

True

Question 19

What does the voice sound like when a person has functional aphonia

Answer 19

the voice may sound like a whisper or maybe shrill-sounding

Question 20

what functional voice disorder is it that 80% of cases coexist with psychiatric disorders?

Answer 20

functional aphonia

the other 20% are faking it!

Question 21

How can you tell if someone is faking functional aphonia?

Answer 21

you should ask them to cough or throat clear if you hear any voicing the ptnt is faking it

Question 22

what percent of functional aphonia cases are faked?

Answer 22

around 20%

Question 23

Functional dysphonia is also known as

Answer 23

mtd (muscle tension dysphonia)

Question 24

What does functional dysphonia involve:

Answer 24

excessive tension of the laryngeal/extralaryngeal muscles (neck, shoulder)
clavicular breathing/chest breathing
increased vocal effort
vocal fatigue
hyperfunction: (ventricular compression) (ventricular phonation) (anterior -posterior press)

Question 25

What can cause paradoxical vocal fold movement?

Answer 25

Psychogenic, LPR-laryngopharyngeal reflux, and Neurological (nerves send wrong signal to muscle very rare)

Question 26

LPR starts normally in the front or the back of the larynx?

Answer 26

back

Question 27

paradoxical vf movement can also be called

Answer 27

paradoxical vf motion, vocal cord disorder, or pvcd

Question 28

What are the symptoms of PVFM? (5)

Answer 28

dyspnea
inspiratory stridor (vf’s adduct (close) on insp.)
may be exercise induced
may or may not have dysphonia (might create voice problems)
may have a chronic cough

Question 29

what is PVFM frequently misdiagnosed as?

Answer 29

asthma