resp measurement 1 Flashcards

1
Q

What are the four variables we focus on for respiration measures?

A
  1. Pressure (sub and supraglottal)
  2. Airflow
  3. Volumes
  4. Timing
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2
Q

In speech, do our muscles engage in reciprocal activation or co-activation?

A

Co-activation

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3
Q

What 2 variables can a wet spirometer measure?

A
  1. Volume
  2. Flow (somewhat)
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4
Q

What is inductive plethysmography (aka respitrace)? What conditions is this useful for?

A
  • Indirect measurement of lung volumes by movement of lungs
  • Stuttering, Parkinson’s, dysarthria, cerebral palsy
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5
Q

How does respitrace work? (3)

A
  • Rib cage and abdominal bands
  • Oscillator
  • Signal demodulator (splits RC and AB signals)
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6
Q

Formula for pressure?

A
  • P = F/A
  • F = force, A = surface area
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7
Q

Do SLPs measure pressure directly or indirectly?

A

Indirectly

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8
Q

What are the 2 types of pressure measurements?

A
  1. Static (steady state pressure level)
  2. Dynamic (rapid changes in pressure levels, aka speech)
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9
Q

What is the most basic measurement device for static measurements?

A

U-tube manometer

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10
Q

For u-tube manometers, what kind of fluid is used for high vs low pressures?

A
  • High: mercury
  • Low: water
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11
Q

T or F: u-tube manometers are unreliable

A

False – so reliable that they even calibrate complex electronic devices

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12
Q

When measuring static intraoral pressure, what kind of assumptions are we making about intraoral air pressure and alveolar pressure?

A

That they are equal (glottis is wide open)

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13
Q

How do we measure static intra-oral pressure using a u-tube?

A

Blow and maintain 6-10cm H2O of pressure for specified amount of time

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14
Q

What is the purpose of a bleed tube?

A

Prevents person from using tongue to close off opening / forces them to use continuous lung pressure

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15
Q

Why must the tube be small and unobtrusive?

A

To avoid perturbation to speech

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16
Q

What material is used nowadays for the tube used to indirectly measure DYNAMIC intra-oral pressure? How is it inserted into the mouth?

A
  • Flexible polyethylene
  • Horizontally, perpendicular to airflow
17
Q

What happens if the tube is facing airflow? What if it’s facing away from airflow?

A
  • Facing: overestimates pressure
  • Away: underestimates pressure
18
Q

How is dynamic intraoral pressure measured? What does it provide estimates of?

A
  • Sensing tube placed in posterior parts of oral cavity and patient repeats CVC or CV at typical conversational loudness (voiceless bilabial stops work best bc vocal folds will be completely open)
  • Estimates peak pressure during consonant production
19
Q

During stops, the intraoral peak pressure = ___

A

Subglottal pressure

20
Q

What kind of responses are ideal for the frequency response transducer to produce?

A

Sharp and fast, i.e., steep rise and fall

21
Q

How is intraoral pressure influenced by age?

A

Higher for children (cavity size)

22
Q

How is intraoral pressure influenced by vocal intensity?

A

Higher when louder (greater Psub)

23
Q

How is intraoral pressure influenced by vocalic position?

A

Higher for prevocalic position

24
Q

How is intraoral pressure influenced by manner of articulation?

A

Higher for stops than fricatives

25
Q

How is intraoral pressure influenced by voicing?

A

Faster rise time for voiceless

26
Q

What would explain the difference in rise time of intraoral pressure between voiceless and voiced stops?

A

Vocal folds closed half the time in voiced sounds, so takes twice as long to reach same pressure levels. In other words, voiceless = no obstruction.

27
Q

Pros and cons of DIRECT subglottal measurements?

A
  • Pros: more accurate
  • Cons: need medical oversight
28
Q

What are 2 forms of direct subglottal measurements?

A
  1. Subglottal catheterization: mini pressure transducer placed per nasal thru posterior glottis
  2. Tracheal puncture: between 1st and 2nd tracheal rings
29
Q

Why do we need direct measurements? (3)

A
  1. Diagnosing and monitoring voice disorders: laryngeal pathologies
  2. Post-surgical evaluation of vocal fold efficiency
  3. Assessment of vocal efficiency and function