Lecture 10 & 11

Question 1

Which technique is most common for extralaryngeal or supraglottic muscle tension, hard glottal attacks, increase glottic closure?

Answer 1

Symptomatic Therapy Technique

Question 2

What exercises will you use to eliminate hard glottal attacks?

Answer 2

yawn-sigh, easy onset and linking, chewing, chanting

Question 3

What exercises will you use for MTD and SMT?

Answer 3

tongue stretches, laryngeal massage, neck stretches, yawn sigh, easy onset, supraglottic relaxation exercises

Question 4

What exercises will you use for extralaryngeal muscle tension?

Answer 4

laryngeal massage, jaw tension massage, tongue relaxation stretch, neck shoulder stretch, progressive relaxation, ragdoll

Question 5

Push-pull exercises improve VF ______ for swallowing and voice in cases of _____function.

Answer 5

closure, hypofunction

Question 6

Which of the following are not breathing exercises?
a. sitting and leaning forward forearms on knees
b standing w/ arms up and crossed
c. Pavone exercise
d. sustained /f/ exercise
e. verbal instructions
f. lying flat

Answer 6

TRICK . they are ALL breathing exercises :)

Question 7

T/F: Physiologic Therapy Technique does not account for behavior.

Answer 7

True

Question 8

What are the components of Tx for Vocal Function Exercises?

Answer 8

Warm up task, Expansion exercise, Contraction exercise, Power exercises

Question 9

What are vocal function exercises used for?

Answer 9

phonotrauma, functional disorders (hyperfunction)

presbylaryngis, vocal fold paresis, unilateral VF paralysis (hypofunctional)

Question 10

What is the rationale for vocal function exercises?

Answer 10

recalibrates laryngeal mechanics
strengthens laryngeal musculature
restores balance amongst phonatory systems
glottic closure may improve

Question 11

What is resonance therapy used for?

Answer 11

decrease hyperfunction
decrease VF medial compression
increases loudness/ability to project

Question 12

What are the components of Resonant therapy?

Answer 12

direct resonatory sensation towards oral cavity, alveolar ridge, cheekbones, etc.

begin with humming, CV syllables, or chanting

move towards words, phrases, sentences and conversation

Question 13

What is the rationale for resonant therapy?

Answer 13

may help with impedance, decrease impact stress, increase intensity, distribute the force of impact

Question 14

What is accent method used for?

Answer 14

hyperfunctional/hypofunctional

abdominal breathing
aspirated vocal onset
rhythmic intonation in speech
appropriate pitch and loudness

Question 15

What are the treatment components of accent method?

Answer 15

sustained voiceless and voiced consonants
sustained vowels
CV syllables
produced with rhythmic patterns
produced while "moving" the body
seated using a drum

Question 16

What is the rationale for accent method?

Answer 16

increase coordination of respiration and phonation
increase Bernoulli
increase VF approximation
decreases medial compression

Question 17

What is the ONLY treatment for hyperfunction only?

Answer 17

Flow Phonation

Question 18

What is the rationale for flow phonation?

Answer 18

increased airflow

decreases medial compression

Question 19

What population is LSVT used for?

Answer 19

Parkinson’s, Cerebral Palsy, TBI

Question 20

What is a benefit of LSVT?

Answer 20

relatively easy to implement and train

Question 21

What type of straw do you use for semi-occluded vocal tract?

Answer 21

hypofunctional: wide
hyperfunctional: narrow

Question 22

what is the rationale for semi-occluded?

Answer 22

facilitates impedance matching
increase VT inertance
generates back pressure
greater respiratory drive
increase VF closure for paralysis, paresis, bowing
lowers larynx, decreases throat tension
trains frontal focus

Question 23

What is the best treatment approach to use?

Answer 23

Eclectic

Question 24

When is Confidential voice best used?

Answer 24

post surgery

Question 25

What does Confidential voice decrease?

Answer 25

medial compression and impact stress

VF trauma

Question 26

What is the best therapy task sequence?

Answer 26

1. relaxation exercises
2. breathing exercises
3. voice exercises

Question 27

What are the guidelines for vocal hygiene goals?

Answer 27

identify risks
do not give ‘laundry list’
compliance/understanding why

Question 28

How many days do you have to have of rest post-surgery?

Answer 28

7-10 days

Question 29

Which of the following are not in pre-surgery voice care?
A. address vocal hygiene issues
B. begin glides and semi-occluded VT exercises
C. eliminate any extralaryngeal or intrinsic laryngeal muscle tension
D. train adequate breath support

Answer 29

B. begin glides and semi-occluded VT exercises