O5 General Voice Tx techs, vocal hygiene, Exam 3 Flashcards
Foundation of voice and voice therapy is the ________
Foundation of voice and voice therapy is the breath
13 General Techniques to Remember for Voice Tx
1) ___________ and __________ of task
2) ___________ regarding task
3) ________, motor, _________, kinesthetic, and _________ cues
4) metaphors and similes
5) modeling
6) _________ practice (contrast)
7) _______ and _______ playback of repsonses
8) analysis of repsonses
9) discussion of how responses ______, look, or _______
10) __________/__________ materials as needed
11) asking questions! (how did that feel? what are you doing?)
12) encourage ______-__________ (from beginning)
13) using evaulation frameworks
General Techniques to Remember for Voice Tx
1) descriptions and explanations of task
2) instructions regarding task
3) visual, motor, auditory, kinesthetic, and cognitive cues
4) metaphors and similes
5) modeling
6) negative practice (contrast)
7) audio and video playback of repsonses
8) analysis of repsonses
9) discussion of how responses feel, look, or sound
10) structuring/restructuring materials as needed
11) asking questions
12) encourage self-monitoring (from beginning)
13) using evaulation frameworks
Categories of Techniques
__________
__________ (stimulus/response)
_________ (little by little through various cues)
___________ (verbally and nonverbally)
___________ (comparing responses and reactions)
___________ (heirarchy of practices)
___________ (by clinician)
shifting from clinician to client monitoring
___________ (consistent system)
Categories of Techniques
eliciting
modeling (stimulus/response)
shaping (little by little through various cues)
reinforcing (verbally and nonverbally)
evaluating (comparing responses and reactions)
stabilzing (heirarchy of practices)
monitoring (by clinician)
shifting from clinician to client monitoring
documenting (consistent system)
A desired behavior is _________, __________, and ___________
A desired behavior is shaped, stabilized, and habituated
Patient factors that influence design of tx
_____
________ and __________ of disorder
___________ (inherent personlaity) and ___________ of the problem
what __________ and __________ the problem
____________ to change
Patient factors that influence design of tx
age
type and severity of disorder
temperament (inherent personality) and understanding of the problem
what initiated and maintains the problem
commitment to change
Clinician factors for tx - what we bring to the table
_________ (gaps?)
__________ (how much?)
___________ level (dont be a scared bitch)
____________ relationship (always clinicians responsibility, always friendly, professional, and accepting. creating a safe environment or challenging one based on client needs)
Clinician factors for tx - what we bring to the table
training (gaps)
experience (how much?)
confidence level (dont be a scaared bitch)
therapeutic relationship (always clinicians responsibility, always friendly, professional, and accepting. creating a safe environment or challenging one based on client needs))
___________ and __________ - remembering only the ______ and ______ thing
Primacy and recency - remembering only the first and last thing
Sixteen Voice specific, symptomatic treatment approaches
- Teach self-awareness and evaluation from beginning (rate it, how did that sound?)
1) _________ training (relax ab muscles, feel air drop to bottom, snuff-hiss, breathing thru straw or persed lips. how does that feel?)
2) altering ________ position to change voice quality (relaxed is forward)
3) changing _________ (or being closer to people when talking)
4) ____ training (can client hear themselves? what sounds tense? relaxed?)
5) establishing a new _______ (use habitual, range, and do not attempt to alter a great amount in either direction. keep eye/ear out for bad voice qualities) -
________, not _______ change make women sound like women
6) _________ analysis (where is tongue, how is breath b4 speaking, what is jaw doing, is my face fucked up, posture)
7) ________ practice
8) ________ the mouth more (welcome to the masonic temple)
9) inflecting _______ (changing prosody)
10) __________ exercises (ONLY for VF paralysis or paresis clients, pulls innervated VF closer to weak VF, can make a client louder
11) selecting _______ ________ (who do they want to sound like? someone they can appropriately imitate w/in their range)
12) phonation _________ comparison (breathy vs solid phonation, contrast)
13) teaching voice quality at one pitch, then move up or down while maintaining vocal quality
14) __________ phonation, ______ onset (fluency shaping techniques, designed to reduce glottal stops, VF’s slamming together)
15) ______ ________ (reduces facial tension)
16) _________ (taking enough breath to sustain utterance)
Sixteen Voice specific, symptomatic treatment approaches
- Teach self-awareness and evaluation from beginning (rate it, how did that sound?)
1) Respiration training (relax ab muscles, feel air drop to bottom, snuff-hiss, breathing thru straw or pursed lips. how does that feel?)
2) altering tongue position to change voice quality (relaxed is forward)
3) changing loudness (or being closer to people when talking)
4) ear training (can client hear themselves? what sounds tense? relaxed?)
5) establishing a new pitch (use habitual, range, and do not attempt to alter a great amount in either direction. keep eye/ear out for bad voice qualities) -
prosody, not pitch change make women sound like women
6) Behavior analysis (where is tongue, how is breath b4 speaking, what is jaw doing, is my face fucked up, posture)
7) negative practice
8) opening the mouth more (welcome to the masonic temple)
9) inflecting pitch (changing prosody)
10) pushing exercises (ONLY for VF paralysis or paresis clients, pulls innervated VF closer to weak VF, can make a client louder
11) selecting voice models (who do they want to sound like? someone they can appropriately imitate w/in their range)
12) phonation quality comparison (breathy vs solid phonation, contrast)
13) teaching voice quality at one pitch, then move up or down while maintaining vocal quality
14) continuous phonation, easy onset (fluency shaping techniques, designed to reduce glottal stops, VF’s slamming together)
15) soft contact (reduces facial tension)
16) phrasing (taking enough breath to sustain utterance)
Seven Voice specific relaxation techniques
1) ______-______ (pitch goes high to lengthen and tighten VF’s then low to shorten and relax.)
2) ________ and _____ trills
3) __________ (relax and drop jaw, focuses sound forward)
4) Keeping tongue ______ and ________ (relaxed!…worst vowel is “uuuhhh”)
5) __________ (tongue forward, be careful with TMJ)
6) __________ ___________ (gentle massage of the throat)
7) relaxing the whole person (all tension in body)
Six Voice specific relaxation techniques
1) Yawn-sigh (pitch goes high to lengthen and tighten VF’s then low to shorten and relax.)
2) tongue and lip trills
3) humming (relax and drop jaw, focuses sound forward)
4) Keeping tongue high and forward (relaxed!…worst vowel is “uuuhhh”)
5) chewing (tongue forward, be careful with TMJ)
6) digital manipulation (gentle massage of the throat)
14 Hygiene Techniques
Vocal _______ is always important for any client. There may be no true lesion, only a need for ________ or _________ change.
1) _________ (VF’s vibrate front to back bottom to top, lots of surface contact, need enough lube. water, tea, apple juice. consider climate that’s lived in. every breath uses water to humidify air)
2) personal __________ (being loud=closed phase lasts longer, more tense, air pressure. reduces need for loud voice)
3) decreased _________ intake (mild diuretic)
4) vocal ______ (drinking a tall cup of shut the fuck up)
5) Staying away from __________ (cat hair, mold, dust)
6) half as ______ half as ______
7) no ________ (eat the marjuana, smoke thru a bong =D)
8) being aware of ________ medications (inhalers, diuretics, BP meds)
9) reduce throat _________ and _________
10) work on _________ and _________ skills by shutting the fuck up
11) don’t talk over _______
12) reduce/eliminate _______ hobbies
13) no ________ participation in sporting events
14) keeping a quiet household if possible
Vocal hygiene is always important for any client. There may be no true lesion, only a need for behavior or lifestyle change.
1) hydration (VF’s vibrate front to back bottom to top, lots of surface contact, need enough lube. water, tea, apple juice. consider climate that’s lived in. every breath uses water to humidify air)
2) personal amplification (being loud=closed phase lasts longer, more tense, air pressure. reduces need for loud voice)
3) decreased caffeine intake (mild diuretic)
4) vocal rest (drinking a tall cup of shut the fuck up)
5) Staying away from allergens (cat hair, mold, dust)
6) half as loud half as often
7) no smoking (eat the marjuana, smoke thru a bong =D)
8) being aware of drying medications (inhalers, diuretics, BP meds)
9) reduce throat clearing and coughing
10) work on listening and question skills by shutting the fuck up
11) don’t talk over noise
12) reduce/eliminate noisy hobbies
13) no vocal participation in sporting events
14) keeping a quiet household if possible
acid _______ is strongly correlated with esophogeal and laryngeal cancer.
reflux meds lower the _______ of the stomach, NOT the _______ of refluxes. this requires behavior change
raising head of bed, sleep on a wedge pillow
no eating 3-4hrs before _____
no eating before _________
decrese _________ foods (chocolate, tomato juice, onions)
no ________
decrease _________
decrease _________
acid reflux is strongly correlated with esophogeal and laryngeal cancer.
reflux meds lower the acidity of the stomach, NOT the number of refluxes. this requires behavior change
raising head of bed, sleep on a wedge pillow
no eating 3-4hrs before bed
no eating before exercise
decrese acidic foods (chocolate, tomato juice, onions)
no smoking
decrease alcohol
decrease weight
_______ _________ is all of the air you can inhale and exhale, what you can control. (trying to expand for voice clients)
_______ _________ is resting breathing
_________ and __________ reserve is what you use when exercising, fucking, furiously bashing someones brains out on the pavement, and other fun extra cirricular activities
_________ volume is the air that you always have while you live
all of these together make up the _______ __________
vital capacity is all of the air you can inhale and exhale, what you can control (trying to expand for voice clients)
tidal volume is resting breathing
inspiratory and expiratory reserve is what you use when exercising, fucking, furiously bashing someones brains out on the pavement, and other fun extra cirricular activities
residual volume is the air that you always have while you live
all of these together make up the total capacity
Average vital capacity for men is ≈__L, up to ≈__L
For woman, ≈__L, up to ≈__L
Average vital capacity for men is ≈5L, up to ≈10L
For woman, ≈3L, up to ≈5L
external intercostals control ___________, pull ribs up
internal intercostals control __________, pull ribs down
external intercostals control inhalation, pull ribs up
internal intercostals control exhalation, pull ribs down
during therapy you want to talk about rib breathing and focusing on air coming into the ribcage (never diaphragatic). want relaxation in the neck (no clavicular or shoulder movement).
teach client about relaxing abdominal muscles to inhale and then using them just a little bit to pull in and support the voice by squeezing the guts under the diaphragm and raising the air pressure. belly breathing!
