Lecture 9 Therapy 1

Question 1

Name all of the therapy guidelines:

HINT: E. E. U. D. M. T. H.

Answer 1

Educate your patient

Encourage patient to focus on kinesthetics of voice production

Use audio and visual feedback

Don’t rush

Model

Tape your sessions

Homework

Question 2

True or False:

The clinician should educate their client about what a normal vocal fold looks like and compare it to the client’s vocal folds.

Answer 2

True

Question 3

What are some ways a clinician encourages a patient to focus on kinesthetics?

A.) Ask client where they feel resonance/vibration

B.) Ask client if they feel voice and breath connection

C.) Ask client what they hear

D.) Ask client if they can hear a difference in their voice

E.) All of the above

Answer 3

E- all of the above

Question 4

The following are visual feedback you can use to show your clients:

A.) Pitch and frequency waveform models to match

B.) Pitch and frequency visual targets to stay within

C.) Identify desirable laryngeal behaviors

D.) Identify undesirable laryngeal behaviors

E.) All of the above

Answer 4

E - all of the above

Question 5

What are the five theories of therapy?

HINT: H. S. P. P. E

Answer 5

Hygienic Voice Therapy

Symptomatic Voice Therapy

Psychogenic Voice Therapy

Physiologic Voice Therapy

Ecclectic Voice Therapy

Question 6

Considered to be the first step in most voice therapy programs:

Answer 6

Hygienice Voice Therapy

Question 7

This therapy helps discover the behavioral cause of the voice disorder and modifies/elminates the cause to improve the vocal condition and voice quality:

Answer 7

Hygienic Voice Therapy

Question 8

The only weakness to this therapy is the cause of the disorder may no longer be the precipitating factor.

Answer 8

Hygienic Voice Therapy

Question 9

This therapy focuses on the modification of deviant vocal symptoms like breathiness, inappropriate pitch, loudness, inadequate respiration, hard glottal attacks, etc.

Answer 9

Symptomatic Voice Therapy

Question 10

The only weakness to this therapy is that the symptom may no longer be the cause.

Answer 10

Symptomatic Voice Therapy

Question 11

Focuses on modifying the vocal components using facilitating techniques like: altering tongue position, yawn(sigh), digital manipulation, etc.

Answer 11

Symptomatic Voice Therapy

Question 12

Focus is on the social or psychosocial disturbances associated with or maintaining voice disorder.

Answer 12

Psychosocial Voice Therapy

Question 13

The only weakness to this therapy approach is that the psychosocial contributions may be over-stated

Answer 13

Psychogenic Voice Therapy

Question 14

The focus of this voice therapy is on the underlying physiologic aspects of the voice producing mechanisms

Answer 14

Physiologic Voice Therapy

Question 15

The only problem with this therapy is that it does not account for the behavior

Answer 15

Physiologic Voice Therapy

Question 16

Some of the possible areas of disturbances for Physiologic Voice Therapy are:

A.) Respiratory volume

B.) Vocal fold tone

C.) Coupling of supraglottic resonators

D.) Placement of laryngeal tone

E.) All of the above

Answer 16

E - all of the above

Question 17

Name some of the physiologic voice therapy techniques used:

HINT: V. R. A. L. S.

Answer 17

Vocal Function Exercises

Resonant Voice Therapy

Accent Method

Lee Silverman Voice Therapy

Semi-Occluded Vocal Tract Exercies

Question 18

This style of therapy takes the concepts of all of the theories:

Answer 18

Ecclectic Voice Therapy

Question 19

What is the reason behind using Ecclectic Voice Therapy?

Answer 19

Every patient is unique

Question 20

What are some of the contributing factors to Prognosis?

A.) Patient must recognize there is a problem

B.) Patient must be compliant to therapy and homework program

C.) Have the willingness to stop behaviors which cause phonotrauma

D.) Patient’s general health as well as current laryngeal status

E.) All of the above

Answer 20

E - all of the above

Question 21

What are the four principles linked to Motivational Interviewing?

HINT: E. D. R. S.

Answer 21

Expressing empathy

Developing discrepancy

Rolling with resistance

Supporting self-eficacy