Tx

Question 1

prognosis (contributing factors) in voice tx

Answer 1

patient recognizes there is a problem; patient is compliant to tx plan and recommended bx change(s); psychiatric factors; whether voice px is stimulable; appropriate patient expectations; patients overall health and vocal health

Question 2

guidelines for voice therapy

Answer 2

patient education; patient focusing on kinesthetics; audio-visual feedback; don’t rush; clinician models tx tasks; record sessions; provide home programs / hw

Question 3

list the five voice tx management philosophies

Answer 3

hygienic, symptomatic, psychogenic, physiologic, eclectic

Question 4

hygienic voice tx

Answer 4

assumes voice disorders have a direct behavioral cause; modifies / eliminates the cause to improve the voice; promoted by every text related to voice disorders

weakness : the cause of the patient’s voice disorder may no longer be the precipitating factor

Question 5

symptomatic voice tx

Answer 5

modification of deviant vocal symptoms (breathiness, inappropriate pitch, loudness, inadequate respiration, hard glottal attacks, etc.) to improve voice; aka modification of inappropriate vocal components

weakness : the symptom may not be the cause

Question 6

psychogenic voice tx

Answer 6

focuses on the emotional or psychosocial disturbances associated with or maintaining the voice disorder; “there is a psychogenic reason for the behavior that led to the voice disorder; if you treat the psychosocial px, the voice will improve”

weakness : psychosocial contributions may be over-stated

Question 7

physiologic voice tx

Answer 7

aim : modification of the underlying physiology of the voice producing mechanisms (respiration, phonation, resonance) AND to improve balance amongst respiratory support, laryngeal muscle strength, control and stamina and supraglottic modification of the laryngeal tone :: weakness : does not account for bx

Question 8

list five physiologic voice tx techniques

Answer 8

vocal function exercises, resonant voice tx, accent method, lee silverman voice tx, semi-occluded vocal tract exercises

Question 9

eclectic voice tx

Answer 9

a combination of any and all of the previous orientations to affect positive vocal change; we must be aware of all management approaches and use those which are most effective for the patient; each patient is unique