Module 6 - Phonation Flashcards

1
Q

Phonation:

A

When expired air hits adducted vocal folds in layrnx -> causes vibration
Vocal folds are adducted -> air hits it causing separation of the vocal folds that you see

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2
Q

Vocal attacks:

A

Timing for when expired air hits glottis

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3
Q

Vocal attacks: (3)

A

Simultaneous Attack
Expired air release SAME time as vocal folds adduct
Most words

Breathy Attack
Expired air released BEFORE vocal folds adduct
“Harry”

Glottal Attack
Vocal folds close BEFORE air is released
“I” - all vowels

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4
Q

Mucosal wave:

A

During phonation: Vocal folds open /closes from bottom up

Muscles are adducted consistently with air pushing through the glottis causing separation = mucosal wave

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5
Q

Bernoulli effect:

A

Helps to vibrate the vocal folds

Narrow passage (vocal folds)
-> increase in velocity of air (faster airflow @ glottis
-> lower pressure (intraglottal pressure - PG)(@glottis)
-> suction of vocal folds (vibration - mucosal wave)

Vocal folds ‘sucked’ back together from bottom up

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6
Q

Fundamental frequency:

Measurement:
Determined by:
Muscles: (2)

A

Measurement:
Rate of vocal fold vibration
Cycle/second (Hz)

Determined by:
Vocal stiffness / changing length of vocal folds -> changes frequency
Higher stiffness -> higher fundamental frequency -> higher pitch

Muscles:
Cricothyroid muscles -> lengthens vocal folds
Thyroarytenoid muscles -> shortens vocal folds

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7
Q

Fundamental frequency:

Mechanics of longitudinal tension

A

Changing length of vocal folds -> rate of vibration (frequency)

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8
Q

Fundamental frequency:

Secondary laryngeal mechanisms: (2)

A

Medial compression
Changes mass of vocal folds -> changes pitch

Laryngeal elevation or depression ->
Change vocal fold stiffness -> changes pitch

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9
Q

Raising Pitch:

Vocal fold (characteristics)
Sub glottal pressure
Intrinsic Muscles (3)
Elevates Layrnx: Extrinsic M.

A

Vocal folds
Lengthens, thins & tense

Subglottal pressure
Increases because of raised larynx -> narrows subglottal area (@conus elasticus)

Intrinsic Muscles
Cricothyroid
Posterior cricothyroid
Thyroarytenoid (? - i thought only relaxes)

Elevate Larynx: Extrinsic M.
Thyrohyoid muscle (raises larynx -> narrows conus elasticus -> increase in subglottal pressure)

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10
Q

Lowering Pitch

Vocal folds (characteristics)
Intrinsic Muscles (1)
Lowers Layrnx: Extrinsic M.(1)

A

Vocal folds
Shorten, thicken

Intrinsic muscles
Thyroarytenoid muscles (Vocalis + Muscularis)

Lowers Larynx
Sternohyoid M.

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11
Q

Phonation Characteristics: Sound Pressure Level

Measurement
Sound intensity correlates with (2)
Apparatuses: Control SPL (3)

A

Measurement:
dB/ Decibels

Sound intensity:
Proximity (closer -> louder)
Energy to produce sound (more energy -> louder)

Apparatuses that control SPL
Breathing
Laryngeal apparatus
Pharyngeal-oral apparatus

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12
Q

Other Sounds (5)
Breathiness:
Glottal Fry:
Falsetto:
Whisper:
Laryngeal whistle:

A

Breathiness:
Raspy, weak, airy voice

Glottal Fry:
Lowest vocal register
Popping rattling sound
From loose glottal closure
Low frequency

Falsetto:
Sing notes higher than norm range

Whisper:
Voiced sounds + posterior glottal chink

Laryngeal whistle:
Tight vocal folds -> vibration at anterior portion of vocal folds
High pitch

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13
Q

Development:
Infancy -> Childhood

Larynx
Mass / position
Fundamental Frequency

A

Infancy -> Childhood

Layrnx: mass / position
Increases & descends in neck

Fundamental frequency:
Vibration slower / Decreases = lower pitch

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14
Q

Phonation affects due to:
Aging
Cartilages
muscles
Glottal configuration
Movements

A

Cartilages
Harden -> more stiff (posterior 1/3 is cartilaginous, anterior is membranous) -> decreases movement -> decreases Fundamental frequency

Muscles
Less muscles -> affect how vocal folds are pushed together medially -> which affects the rate of vibrations

Glottal Configuration:
More gaps between vocal folds

Movements
Slowing

*** Breathy voice

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15
Q

Phonation: Gender

Males vs Females

A

Males have lower Fundamental frequencies vs. Females after puberty
Fundamental frequency -> related to vf mass
Increase in mass -> slower vibrations of vocal folds -> lower frequencies

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16
Q

Voice Production:
Steps (4)

A

1 - Respiration/ breathing apparatus (air pressure; subglottic)

2 - Phonation (glottic) - level of larynx (vibration)

3 - Resonance (Supraglottic airway + vocal tract (structures above vocal folds))

4 - Voice Production

17
Q

Voice Disorders:

Common Causes (8)

A

Common causes:

Vocal misuse/abuse
Children screaming
Professional voice users
Excessive throat clearing

Nerve damage
Stroke
Traumatic brain injury
Head & neck surgery

Trauma
Football injury

Neurodegenerative disorders
Parkinson’s disease
Motor neuron disease

Aging
Presbyphonia

Gastroesophageal reflux disease

Illness
Colds
Upper respiratory tract infections

Smoking
Laryngeal cancer

18
Q

Voice Disorders:

Common Types (6)

A

Laryngitis (inflammation of larynx)

Muscle Tension Dysphonia
Tightening of laryngeal muscles more than necessary -> breathy voice

Neurological voice disorders (Spasmodic dysphonia)

Polyps, nodules or cyst on vocal folds (noncancerous lesions -> hoarsness

Precancerous and cancerous lesions

Vocal cord paralysis or weakness (unilateral or bilateral)

19
Q

Voice Disorders

Impacts (4)

A

Impacts
Education
Employment
Roles in society (psychosocial impact) - church leader, soccer coach
Relationships with family & friends (Psychosocial impact)

20
Q

Nasendoscopy

A

Examination of nose, upper airways & larynx using a small flexible tube (endoscope)

Function:
Used to assess structures
Assess function of structures (movement of vocal folds)