Lecture 10 & 11 Flashcards
Which technique is most common for extralaryngeal or supraglottic muscle tension, hard glottal attacks, increase glottic closure?
Symptomatic Therapy Technique
What exercises will you use to eliminate hard glottal attacks?
yawn-sigh, easy onset and linking, chewing, chanting
What exercises will you use for MTD and SMT?
tongue stretches, laryngeal massage, neck stretches, yawn sigh, easy onset, supraglottic relaxation exercises
What exercises will you use for extralaryngeal muscle tension?
laryngeal massage, jaw tension massage, tongue relaxation stretch, neck shoulder stretch, progressive relaxation, ragdoll
Push-pull exercises improve VF ______ for swallowing and voice in cases of _____function.
closure, hypofunction
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
TRICK . they are ALL breathing exercises :)
T/F: Physiologic Therapy Technique does not account for behavior.
True
What are the components of Tx for Vocal Function Exercises?
Warm up task, Expansion exercise, Contraction exercise, Power exercises
What are vocal function exercises used for?
phonotrauma, functional disorders (hyperfunction)
presbylaryngis, vocal fold paresis, unilateral VF paralysis (hypofunctional)
What is the rationale for vocal function exercises?
recalibrates laryngeal mechanics
strengthens laryngeal musculature
restores balance amongst phonatory systems
glottic closure may improve
What is resonance therapy used for?
decrease hyperfunction
decrease VF medial compression
increases loudness/ability to project
What are the components of Resonant therapy?
direct resonatory sensation towards oral cavity, alveolar ridge, cheekbones, etc.
begin with humming, CV syllables, or chanting
move towards words, phrases, sentences and conversation
What is the rationale for resonant therapy?
may help with impedance, decrease impact stress, increase intensity, distribute the force of impact
What is accent method used for?
hyperfunctional/hypofunctional
abdominal breathing
aspirated vocal onset
rhythmic intonation in speech
appropriate pitch and loudness
What are the treatment components of accent method?
sustained voiceless and voiced consonants sustained vowels CV syllables produced with rhythmic patterns produced while "moving" the body seated using a drum
What is the rationale for accent method?
increase coordination of respiration and phonation
increase Bernoulli
increase VF approximation
decreases medial compression
What is the ONLY treatment for hyperfunction only?
Flow Phonation
What is the rationale for flow phonation?
increased airflow
decreases medial compression
What population is LSVT used for?
Parkinson’s, Cerebral Palsy, TBI
What is a benefit of LSVT?
relatively easy to implement and train
What type of straw do you use for semi-occluded vocal tract?
hypofunctional: wide
hyperfunctional: narrow
what is the rationale for semi-occluded?
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
What is the best treatment approach to use?
Eclectic
When is Confidential voice best used?
post surgery
