Tx Flashcards
what are the five voice tx philosophies?
hygienic, symptomatic, psychogenic, physiologic, eclectic
hygienic voice tx: concept, proponents, and weakness
c: voice px has a direct behavioral cause
p: eliminate-change bx and voice will improve
w: cause of voice px may not be the precipitating factor
symptomatic voice tx: concept, proponents, and weakness
c: modify deviant vocal symptoms (breathiness, hard glottal attacks, etc.)
p: use voice tx facilitating techniques (yawn-sigh, chanting, etc.)
w: symptom(s) may not be the cause
psychogenic voice tx: concept, proponents, and weakness
c: voice px is related to emotional-psychosocial px
p: treat the psychosocial px and voice will improve
w: psychosocial pas may be overstated
physiologic voice tx: concept, proponents, and weakness
c: modify pt’s underlying physiological mechanisms (subsystems)
p: improve balance between respiration, phonation, and resonance (resonant voice, lee silverman, etc.)
w: does not account for bx
eclectic voice tx: concept, proponents, and weakness
c: any combination of voice tx (hygienic, symptomatic, psychogenic, physiologic)
p: use what’s most effective
w: every pt is unique
list the guidelines of voice tx
patient education; focus on kinesthetics of voice production; use audio-visual feedback; do not rush; model tx tasks; record-document ssns; provide specific home practice
list contributing factors of prognosis
whether or not the pt: recognizes they have a px, is compliant to the tx plan, is willing to change-stop bus, has psychiatric pxs, is remediable, has appropriate expectations, is generally healthy
name the symptomatic voice tx techniques
digital manipulation; yawn-sigh; chewing; easy onset / linking; tongue stretch / supraglottic relaxation; push-pull; chanting; breathing; altering habitual pitch-loudness
symptomatic voice tx techniques are most commonly used to ___
decrease extralaryngeal-supraglottic muscle tension; decrease hard glottal attacks; increase glottic closure
describe easy onset / linking
SYMPTOMATIC
trains continuous airflow to help eliminate glottal attacks as in “…i’ll-have-eggs-over-easy”
describe yawn-sigh
SYMPTOMATIC
fake yawn then produce /h/ to lower larynx and release supraglottic squeezing as in opens mouth “…hi”
describe chewing
SYMPTOMATIC
speaking while “chewing” to disengage laryngeal tension
describe chanting
SYMPTOMATIC
trains continuous airflow to help eliminate glottal attacks as in “ninety-seven ninety-eight ninety-nine”
describe digital manipulation
SYMPTOMATIC
palpate pt to assess for muscle tension (intrinsic, extrinsic, or both) and to massage pt