functional voice disorders Flashcards
functional voice disorders are characterized by:
tension, hyperfunction, larynx “riding high” and anxiety
What percent of Functional voice disorders are dysphonia cases?
10%
are functional voice disorders primarily seen in men or women?
women
Functional voice disorders can be caused by
URI (upper respiratory infection), stressful/traumatic event, psychosocial (mood, anxiety, adjustment), organic or idiopathic
Is there a structural pathology present in functional voice disorder?
no not unless an organic disorder develops bc of the functional voice disorder.
What are the classification of etiologies for functional voice disorders?
psychogenic
misuse/abuse
idiopathic
organic
what things classify as misuse/abuse?
hyperfunction
excessive throat clearing
inappropriate singing/or excessive singing/performing
what does idiopathic mean?
no known cause
What are the functional voice disorders?
puberphonia functional aphonia functional dysphonia (MTD) paradoxical vocal fold movement
What else can puberphonia be called?
mutational falsetto
or falsetto
what functional voice disorder is a pitch control disorder (ex: pitch is to low/high)
puberphonia
Puberphonia is normally in females or males?
males
How many octaves lower is a person’s pitch when they have puberphonia?
normally 1 octave lower than it should be
Puberphonia is not due to anatomic immaturity of the larynx. T or F
true
Puberphonia is caused by?
emotional stress
the person is not letting their voice drop like it should in normal development
the larynx rides high
Does the larynx ride high during puberphonia
yes
Functional aphonia used to be called?
hysterical syndrome and conversion symptom or conversion hysteria
Functional aphonia is more of a chronic condition but can also be intermittent or temporary. T or F
True
What does the voice sound like when a person has functional aphonia
the voice may sound like a whisper or maybe shrill-sounding
what functional voice disorder is it that 80% of cases coexist with psychiatric disorders?
functional aphonia
the other 20% are faking it!
How can you tell if someone is faking functional aphonia?
you should ask them to cough or throat clear if you hear any voicing the ptnt is faking it
what percent of functional aphonia cases are faked?
around 20%
Functional dysphonia is also known as
mtd (muscle tension dysphonia)
What does functional dysphonia involve:
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)
What can cause paradoxical vocal fold movement?
Psychogenic, LPR-laryngopharyngeal reflux, and Neurological (nerves send wrong signal to muscle very rare)
LPR starts normally in the front or the back of the larynx?
back
paradoxical vf movement can also be called
paradoxical vf motion, vocal cord disorder, or pvcd
What are the symptoms of PVFM? (5)
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
what is PVFM frequently misdiagnosed as?
asthma
