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voice > quiz 3 > Flashcards

quiz 3 Flashcards

1
Q

voice therapy orientations

A

hygeienic voice therapy
symptomatic, psychogenic,physiologic,eceelleclectic,

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2
Q

hygienic voice therapy concentrates on

A

discovering the behavioral causes of the voice disorder and modification/elimination of the causes to improve the vocal condition and the voice quality.

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3
Q

hygienic voice therapy is organized and promoted by____

A

every voice text.

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4
Q

hygienic voice therapy: there is always a cause for a voice disorder; ____, ____/_____ and the voice improves

A

discover modify/eliminate and the voice improves.

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5
Q

weakness of hygienic voice therapy

A

the cause may no longer be the precipitating factor.

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6
Q

the general focus of the hygienic therapy approach

A

identify the primary and secondary behavioral causes of the voice disorder then to modify or eliminate the causes.

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7
Q

some causes of a voice disorder

A

smoking
laryngeal dehydration (poor hydration, caffiene and medications)
voice abuse (talking lougly over noise at work, coughing, and throat learing)
inhalation of large quantities of powder

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8
Q

symptomatic voice therapy

A

modification of deviant vocal symptoms such as breathiness, inappropriate pitch, loudness, hard glottal attachs, and so on.

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9
Q

symptomatic voice therapy is organized and promoted by

A

daniel boone in his text the voice and voice therapy (1971)

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10
Q

symptomatic voice therapy: if the voice component is inappropriate

A

modify that component.

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11
Q

weakness of symptomatic voice therapy

A

what is symptom/cause?

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12
Q

syptommatic therapy approach general focuse uses facilitating techniques to

A

rais pitch, reduce lodness, reduce laryngeal area tension and effort.

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13
Q

psychogenic voice therapy focus is on

A

the emotional and psychosocial status of the patient that led to and maintained the voice disorder.

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14
Q

psychogenic voice therapy is organized and promoted by

A

arnold aronson in his text clinical voice disorders: and interdisciplinary approach (1980).

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15
Q

psychogenic voice therapy: there is always a psychosocial reason for the___

A

behavior that led to the voice disorder, treat the psychosocial problem and the voice improves.

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16
Q

weakness of psychogenic voice therapy.

A

psychosocial contribution may be over-stated.

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17
Q

psychogenic therapy approach general focus

A

would explore the psychodynamics of the voice disorder including things mentioned later

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18
Q

the psychodynamics of the voice disorder including: this method of treatment

A
  1. detailed interview
  2. determination of the exact relationship of emotional problems and voice problem.
  3. counsel the paitent
  4. direct reduction of musculoskeletal tension.
  5. support of ongoing psychological counseling.
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19
Q

the detailed interview of the psychogenic therapy is used to determine the cause an efects of

A

stress, tension, and depression.

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20
Q

in psychogenic therapy approach you should coundel the pt regarding the effects of

A

emotions on the voice problem.

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21
Q

psyiologic voice therapy is based on

A

expanded knowledge of vocal function as evaluated through objective voice assessment.

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22
Q

physiologic voice therapy strives to improve the balance amonf

A

voice respiratory support, laryngeal muscle strength, control and stamina, and supraglottic modification of the laryngeal tone.

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23
Q

pshysiologic voice therapy promots a

A

healthy vocal fold cover.

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24
Q

physiologic voice therapy is promoted by ___ and ____

A

colton and casper (1990) and stemple, glaze and gerdeman (1993).

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25
Q

physiologic voice therapy concentrates on the modification of the underlying

A

physiology of the voice producing mechanisims: respiration, phonation, resonance.t

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26
Q

weakness of physiologic voice therapy

A

does not account for behavior.

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27
Q

the general approach of the physiologic therapy approach is to evaluate the present pshysiologic conditoin of voice production and

A

develop direct physical exercises or manipulations to improve that condition

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28
Q

a pt that demonstrated increased mass and stiffness of the folds changing the physical dynamics of vocal fold vibration would use the

A

physiologic therapy approach

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29
Q

pt that demonstrated increased mass and stiffness of the folds changing the physical dynamics of vocal fold vibration was required to build

A

greater subglottic air pressure to initiate and maintain vibration which required borderline high airlow rates = in turn caused her to speak to loudly.

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30
Q

a pt that airlow rates cuase them to speak loudly may have attempted to overcome these problems by

A

making physical adjustments such as increasing supraglottic tension.

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31
Q

the physiologic mgmnt may include

A

vocal exercises and resonant voice therapy
hydration program and defrease caffine.

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32
Q

decreasing caffine improves

A

lubrication.

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33
Q

vocal function exercises and resonant voice therapy improves laryngeal

A

muscle control, strength and stamina and to balance airflow, laryngeal muscle activity, and resonance

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34
Q

eclectic voice therapy is

A

a combination of any and all of the previous orientations to affect positive vocal change.

35
Q

as voice pathologists, we should be aware of all management approaches and use

A

those which are most effective not only for the pt, but for the therapist as well

36
Q

eclectic is obviously the treatment

A

of choice.

37
Q

identifying abusive behaviors strategies in therapy

A

hygienic

38
Q

describing the physiologic effects of those behaviors on the voice production mechanism strategies in therapy

A

hygienic

39
Q

defining the specific occurences strategies in therapy

A

hygienic

40
Q

defining specific occurences strategy therapy type

A

hygienic

41
Q

modiying or eliminating the behavior strategies therapy type

A

hygienic

42
Q

vocal abuses/misuses

A

shouting, loud talking, screaming, vocal noises, coughing, throat clearing.

43
Q

hygienic therapy for shouting

A

eliminate

44
Q

hygienic voice therapy for loud talking

A

may be required, strategies

45
Q

hygienic voice therapy for screaming

A

ask me about the kid in my hood?

46
Q

hygienic voice therapy for vocal noises

A

will change over time, modify

47
Q

hygienic voice therapy for coughing

A

needs medical work-up, may be a hypersensitivity issue.

48
Q

hygienic therapy strategy for throat clearing

A

eliminate with behvaior modification approach.

49
Q

a pt that has coughed for months or years with negative medical testig and no cough inhibitor mediccaations are causing it may present with

A

chronic cough syndrome

50
Q

t/f in some cases of chronic cough LPR is not an issue.

A

t

51
Q

t/f chronic cough syndrom has 50 million dr visits to the MD per year

A

3- 30 million

52
Q

t/f 10-50% of people with chronic cough syndrom have persistent idiopathic cough.

A

f 10-20%

53
Q

chronic cough syndrome: laryngeal hypersensitivity cuased by the cough causes coughing during

A

forced inhalation, normal drainage, humidity changes.

54
Q

a cough begats a______.

A

cough!!.

55
Q

cough substitution for chronic cough syndrom includes

A

forceful swallow, hydration

56
Q

t/f cold/hot water can sometime trigger the cough

A

t

57
Q

the forceful swallow (effortful swallow) is a similar routine to

A

chronic throat clearing.

58
Q

with habitual throat clearing behavior modification with

A

forceful (effortful) swallow.

59
Q

with habitual throat clearing lightly ___ vocal folds.

A

adducted.

60
Q

summary of vocal hygiene plan

A

1.identify phonotrauma (shouting, loud talking, etc)
2. describe the effect
3.define specific occurrence
4. modify the behavior

61
Q

in the summary of vocal hygiene plan: desribe the effect by utilizing

A

pictures, diagrams, drawings, and video. do not hesitate to give simple explanations of anatomy and physiology to pt.

62
Q

in the summary of vocal hygiene plan: define the specific occurence means that these will be ____ with every individual child

A

distinctly differnt.

63
Q

in the summary of vocal hygiene plan: define the specific occurance means that _____ of the behavior must also be described

A

psychodynamics

64
Q

in the summary of vocal hygiene plan: modify the behavior: means to modify or eliminate ____ and eliminate throat___

A

modify or eliminate vocal noises, and eliminate throat clearing.

65
Q

in symptomatic voice therapy: direct symptom modification includes the major components of voice production

A

respiration, phonation, resonance, pitch, loudness, rate.

66
Q

in symptomatic voice therapy:any one of the major components of voice production may be used _________necessitating_____

A

inefficently necessiating direct modification.

67
Q

in symptomatic voice therapy the main wuestion is

A

symptom or cause?

68
Q

in symptomatic voice therapy: direct modification of respiration

talking on end of air stream, the solution would be

A

id problem (ear training, audio recording)) and component modification (say as many numbers as possible on exhalatoin, mark a paragraph with phrase markers, audio record open discussion)

69
Q

in symptomatic voice therapy: direct modification of respiration problem: shallow breathing (tenseness)

the solution is

A

to utilize box diagram to describe breathing strategies
book on stomach
hands on chest and abdomen
words, phrases, pargraph reading, conversation.

70
Q

in symptomatic voice therapy: direct modification of phonation: problem hard glottal attack
what is the solution?

A

initiate phonation with /h/ (vowels, vowel/consonants, words, phrases, sentences, paragraphs, conversation).w

71
Q

in symptomatic voice therapy: direct modfication of flottal fry phonation
solution:

A

train a sligh increase in pitch and loudness (may use acoustic instrumentation for monitoring speech output).

72
Q

in symptomatic voice therapy: direct modification of phonation problem breath phonation.

solution:

A

establish a more firm or engaged vocal fold approcimation.
use more precise articulation
increase vocal intensity
exercise closure with glottal attack and pushing.

73
Q

direct modification of functional resonance probles may include

A

hypernasality, hypo nasality, and tone focus problems.

74
Q

the presence of any anatomical causes must be ruled out prior to the onset of behavioral therapy in in symptomatic voice therapy of

A

resonance.

75
Q

in symptomatic voice therapy: direct modiication of what is ariculation therapy used for

A

hyper

76
Q

n symptomatic voice therapy: direct modiication of what is lower pitch and increase loudness modification used for

A

hypernasality

77
Q

in symptomatic voice therapy: direct modiication of what is non-speech phonation (animal engine noises) used for

A

hypernasality and hypo nasality

78
Q

in symptomatic voice therapy: direct modiication of what is utilizing normal nasal phonemes used for

A

hypo

79
Q

in symptomatic voice therapy: direct modiication of what is humming used for

A

hypo

80
Q

in symptomatic voice therapy: direct modiication of what is articulation deep test used for

A

hyper

81
Q

in symptomatic voice therapy: direct modiication of what is what is utilizing hypernasal resonance used for?

A

hypo

82
Q

in symptomatic voice therapy: direct modiication of what is negative practice used for (minimal pairs practice).

A

hypo and hyper

83
Q

in symptomatic voice therapy: direct modiication of what is what is do the obvious aka denasality- using a “cold voice expored for ___)?

A

hyper

84
Q

in symptomatic voice therapy: direct modiication of what is instrumental biofeedback-nasometer used for? (aka foggy doggy)

A

hyper

voice (4 decks)

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