Voice assessment

Question 1

What is the full voice eval steps

Answer 1

8; Pt history, voice sample, perceptual analysis, acoustic analysis, stroboscopic assessment, respiratory, resonance/vp, recommendations

Question 2

What are a few extra steps in assesment you can take?

Answer 2

Oral-Facial exam, hearing assessment, instrumentation (EMG/EEG)

Question 3

List the things we ask in the Pt. History form:

Answer 3

History of the problem: origin/duration/severity,
Sx: vocal quality, pitch, resonance, loudness, reflux, cough, throat clear,
Social history: how do they use their voice,
Related medical history: (URI, surgery, allergy, psych/depression)
Vocal hygene: caffine? smoke? hydration?
Medications list

Question 4

Perceptual analysis

Answer 4

Cape V & VHI

Question 5

Cape V

Answer 5

Concensus auditory-perceptual evaluation of voice

Question 6

VHI

Answer 6

Voice Handicap index

Question 7

Acoustic analysis

Answer 7

MDVP

Question 8

Videostroboscopy

Answer 8

Oral rigid (better picture), FEES, montage/dual windows

Question 9

What can you rate from a video stroboscopy?

Answer 9

10,
Vocal fold edge (smooth?)
Glottal closure- max adduction
Phase closure - how much move together during phonation
Vertical level of vf approximation - same plane?
Amplitude - degree of movement med to lateral
Mucosal wave - degree of traveling wave on superior surface
Vibratory behavior - is anything not vibing?
phase symmetry - do vfs move semetrically during closure?
periodicity - are the cycles regular?
hyperfuction (A-P) press- ventricular compression

Question 10

What do you use to take a respiratory assessment?

Answer 10

spirometer, manometer, Pneumotachometer

Question 11

Spirometer

Answer 11

measures respiratory flow, volumes, and lung capacities FVC/FEV1

Question 12

manometer

Answer 12

Measures air pressure MIP and MEP

Question 13

Pneumotachometer

Answer 13

cough strengh (peak flow) Inspiratory muscle pphase compression phase of VFs

Question 14

Resonance

Answer 14

Nasometer/Nasopharyngoscopy

Question 15

Nasometer

Answer 15

Nasalance

Question 16

Nasopharyngoscopy

Answer 16

assessment of VP clossure

Question 17

What should be included in the POC?

Answer 17

7
Pt education
modified voice rest
voice home exercises
reflux management
vocal hygiene
voice therapy or reeval
referral