quiz 7 respiratory intervention

Question 1

respiratory intervention is warranted if patient has…

Answer 1

• only a few words per breath
• inability to increase loudness
• overall reduced loudness
• 5 cmH20 for less than five seconds

Question 2

IMST/EMST

Answer 2

• increase force to which a person can inhale exhale, increasing subglottal pressure and SPL
• most appropriate rationale at this point is increasing expiratory muscles for cough strength for airway protection
• incorporate talking in all tasks
• speech tasks are ideal inhalation - changing person’s behavior in the context of speech
• quick inspiration and prolonged, controlled expiration with adequate loudness

Question 3

inspiratory checking

Answer 3

• take a big breath, let air out slowly, focus is on a controlled expiration
• for very severe cases with no respiratory control at all
• checking the descent of the ribcage with active inspiratory muscles to counter passive expiratory
• can use a U-tube manometer - blow to a certain pressure and keep it there to teach control of the ribcage

Question 4

incentive spirometer

Answer 4

• useful for targeting pre-phonatory inspiration (2x tidal, 1000cc for men, 600cc for women)
• need strategies for individual not to rely on biofeedback and transfer to spontaneous speech
• take a big breath with incentive spirometer and focus on what it feels like to breathe in adequately
  then, for the next utterance, try to replicate the breath without using the incentive spirometer and say “…”

Question 5

respitrace biofeedback

Answer 5

• looks at circumferential displacement of the ribcage and abdomen
• establish controlled exhalation and inhalation
• show a person where they should be breathing in and out to

Question 6

increasing vital capacity

Answer 6

• can use respitrace to set targets of where they should be breathing in and out to
• to promote calibration and generalization, incorporate self-evaluation after every trial