Voice Evaluation Flashcards

1
Q

Voice Evaluation includes (8):

A
  1. Patient history
  2. Voice sample
  3. Perceptual analysis
  4. Acoustic analysis
  5. Stroboscopic assessment
  6. Respiratory assessment
  7. Resonance/vp assessment
  8. Recommendations/POC
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2
Q

Which types of voice samples are recorded (2):

A

sustained

connected

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3
Q

The perceptual analysis is (subjective or objective)

A

subjective

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4
Q

Types of Perceptual analyses we do (2):

A
  1. VHI (voice handicap index) (their perception)

2. CAPE-V (our perception)

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5
Q

The Acoustic analysis is (subjective or objective)

A

objective

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6
Q

Type of Acoustic analysis we do (1):

A

MDVP (Multi-Dementional Voice Profile)

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7
Q

Types of Respiratory assessment tools (3):

A
  1. spirometry
  2. manometry
  3. pneumotachometry
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8
Q

Type of Resonance/vp assessments (2):

A
  1. nasopharyngoscopy

2. nasometer

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9
Q

What do you have the patient do/say when getting a connected and sustained voice sample? (3 things)

A
  • state name
  • sing aaa (high and low pitch)
  • then count to 10
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10
Q

What is recorded from the case history and present problem? (10 things)

A
  1. Origin (When problem first began, vocal abuse + medical history)
  2. Duration (vocal use, vocal abuse/misuse)
  3. Present Problem (severity)
  4. Reflux symptoms
  5. Pain?
  6. Swallowing problems?
  7. Smoking history
  8. Alcohol use
  9. Caffeine consumption
  10. Hydration
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11
Q

What is included on the Voice Handicap Index (VHI) (3)?

A
  1. Functional
  2. Physical
  3. emotional
    (questions about how they feel about their voice)
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12
Q

How is the Voice Handicap Index (VHI) recorded?

A

Likert scale 0-4/best to worst

Score each section to see if they are having a problem in that section

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13
Q

How do you interpret the scores from the VHI?

A

1-30 = mildly disruptive voice

31-60 = moderately disruptive

61-120 = severely disruptive

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14
Q

What is included on the CAPE-V (Consensus Auditory Perceptual Evaluation of Voice) (9)?

A
  1. Roughness
  2. Breathiness
  3. Strain
  4. Pitch (Nature of abnormality)
  5. Loudness (Nature of abnormality)
  6. Resonance
  7. Additional features
  8. Overall severity
  9. Is the problem consistent or intermittent for each

*rated on a line: mild, moderate, severe

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15
Q

Other things that can be included in a voice evaluation:

A
  • Oral-facial exam (oral mech exam)
  • Hearing assessment
  • Instrumentation (EMG + EGG)
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16
Q

Why would you do a hearing assessment?

A

If a patient is not hearing well, they might increase their volume of their voice which can cause damage

17
Q

What does an EMG (Elctro-myography) measure?

A

muscle activity in volts

surface electrodes measure muscles

18
Q

what does an EGG (eletroglottal graph) measure?

A

Mean flow rate (MFR) of airflow at glottis