Voice Disorders Management

Question 1

When conducting voice therapy, an SLP must consider

Answer 1

absenteeism, adherence, and a client’s self-efficacy

Question 2

Given that individuals with voice therapy are likely to not attend therapy and/or adhere to therapy, what can SLPs do?

Answer 2

Educate the patient on why voice therapy maters; schedule the patient’s therapy session as soon as possible; use empowering and non-judgemental language

Question 3

What factors contribute to a patient not adhering to voice therapy and absenteeism?

Answer 3

the rapport between the client and patient; family support and cultural norms; clinician’s engagement at the first meeting; how severe the patient views their voice issues; the patient’s self-efficacy

Question 4

What are the primary causes of clients not adhering to voice therapy?

Answer 4

Distance to the clinic, not having insurance coverage, and acceptance of the problem

Question 5

When is a patient more likely to complete therapy?

Answer 5

The more times they attended sessions

Question 6

When is a patient less likely to complete therapy?

Answer 6

the more weeks they delay the start of treatment

Question 7

What are the two types of treatment approaches with voice therapy?

Answer 7

direct approaches and indirect approaches

Question 8

What is the goal of direct approach to treating voice disorders?

Answer 8

to change vocal behaviors and establish healthy voice production

Question 9

What is the goal of indirect approach to treating voice disorders?

Answer 9

to change cognitive, behavioural, psychological, and phyiscal environments

Question 10

With the direct approach to voice disorder treatment, an SLP focuses on

Answer 10

manpulating the following systems (phonation, respiration, and musculoskeletal function); a holistic approach can be incorporated too.

Question 11

With the indirect approach to voice disorder treatment, an SLP focuses on

Answer 11

educating and counseling the patient on vocal misues; discussing ways to keep your voice healthy and manage stress

Question 12

What are the physiologic voice therapy methods?

Answer 12

Resonant voice therapy, semi-occluded vocal tract exercises
, accent method, conversion training therapy; vocal function therapy; accent method; vocal function exercises along with RVT

Question 13

What is the purpose of physiologic voice therapy?

Answer 13

To restore balance of the three subsystems of voice production: respiration, phonation, and resonance

Question 14

What is the purpose of resonant voice therapy?

Answer 14

to achieve a resonant voice through middle ground laryngeal adduction; this approach addresses a pressed voice or a breathy voice

Question 15

What is the purpose of semi-occluded vocal tract exercises?

Answer 15

to reduce tension and to train someone to use less energy to produce. It can also help someone achieve resonant voice. It works by a person speaking through a straw which raises the air pressure above the vocal folds and reduces the impact collison force.

Question 16

What are vocal function exercises?

Answer 16

one physiologic voice method that strengthens and coordinates laryngeal muscles, thereby making them efficient.

Question 17

What are manual circumlaryngeal techniques?

Answer 17

a physiologic voice method that reduces tension in the musculoskeletal system and hyperfunction by massaging different parts of the larynx.

Question 18

What is the accent method?

Answer 18

a physiologic voice method that uses pulsed abdominal breaths to spur glottal closure and ultimately create a new breathing pattern and voice pattern

Question 19

Which symptomatic voice therapy techniques can be used to target pitch?

Answer 19

chant talk and yawn sigh

Question 20

Which symptomatic voice therapy technique can be used to target intensity?

Answer 20

amplification

Question 21

Which symptomatic voice therapy technique can be used to spur self-awareness in a client?

Answer 21

Biofeedback

Question 22

Which symptomatic voice therapy technique can be used to reduce using lots of effort to produce voice?

Answer 22

Relaxation (whole-body and laryngeal tension)

Question 23

What is the purpose of symptomatic voice therapy?

Answer 23

address particular voice symptoms (e.g., glottal fry, breathiness, pitch breaks, reduced loudness) and change them

Question 24

Examples of symptomatic voice therapies are

Answer 24

biofeedback, relaxation, amplification, yawn-sigh, chant-talk

Question 25

How can an SLP ensure a client adheres to therapy, thereby hindering abseenteism?

Answer 25

educate the patient on why voice therapy matters; use language that is empowering and non-judgemental (e.g., muscle tension instead of vocal abuse/misuse); schedule time as early as possible for an evaluation

Question 26

What are conversation training techniques?

Answer 26

a physiologic voice therapy approach in which voice goals are addressed in the context of a naturalistic conversation; techniques include prosody, clear speech, basic gestures, negative practice, awareness of hearing and body movement

Question 27

What are unhygenic vocal behaviors?

Answer 27

Coughing/throat clearing, speaking loudly, yelling, unconventional sounds (like animal noises), hard glottal attacks, glottal fry, singing at a range that is not comfortable for you, speaking during strenuous exercise