neurogenic voice disorders and treatment

Question 1

what neurogenic disorders develop from damage to lower motor neuron (LMN)

Answer 1

vf paralysis, MG, Guillane Barre, flaccid dysarthria

Question 2

what neurogenic disorders develop from damage to upper motor neuron (UMN)

Answer 2

spastic dysarthria, hypo (PD), hyper (SD, essential tremor), ataxic

Question 3

what neurogenic disorders are mixed disorders?

Answer 3

ALS, TBI, MS

Question 4

treatment for LMN involvement: paralysis

Answer 4

Voice therapy: compensatory techniques-hard glottal attack, isometric push, swallowing precautions
Surgery: vf augmentation, vf medicalization thyroplasty

Question 5

treatment for LMN involvement: flaccid

Answer 5

voice therapy: compensatory and strengthening techniques, swallowing precautions, palatal lift

Question 6

treatment for UMN involvement: spastic

Answer 6

respiratory training, voice therapy: laryngeal relaxation, neck stretches, RVT, Visipitch

Question 7

treatment for UMN involvement: hypo (PD)

Answer 7

respiratory training, voice therapy: LSVT, VFE’s

Question 8

treatment for UMN involvement: hyper (SD)

Answer 8

botox

Question 9

treatment for UMN involvement: ataxic

Answer 9

speech therapy: metronome, overarticulation

no voice therapy only speech therapy

Question 10

treatment for ALS

Answer 10

no voice exercises.

AAC, compensatory, maintain what they have

Question 11

treatment for MS

Answer 11

during remission, max out strengthening

Question 12

treatment for TBI

Answer 12

respiratory training

Question 13

treatment for transgender

Answer 13

surgery: male to female-thyroid shave
female to male-vf augmentation
voice therapy: pitch control-visipitch, VFE’s
gestures to help relay msg more

Question 14

what are the 7 components of a voice evaluation

Answer 14

pt history, sustained & connected voice sample, perceptual analysis, acoustic analysis, stroboscopic assessment, respiratory assessment, resonance/vp assessment, recommendations