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Voice > Voice Therapy > Flashcards

Voice Therapy Flashcards

1
Q

What factors should you consider when planning therapy

A 
Cause
Background history
Voice demands
Work and social issues 
Motivation 
Patient skills
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2
Q

What are the 2 most important goals of therapy

A

Voice quality and QOL

Eliminate phonotrauma

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3
Q

What should short term goals include

A

Specific exercises
Accuracy
# of sessions
Homework plans

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4
Q

What should an education plan include

A 
Larynx model or pictures 
Normal physiology of voice
What causes the disorder
How you will manage and why
8th grade level
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5
Q

What is an indirect method of therapy

A

Vocal hygiene

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6
Q

What is a direct method of therapy

A

Physiologic methods

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7
Q

What are typical voice therapy methods

A 
Vocal wellness
Respiratory training 
Relaxation training 
Phonotory retraining 
Medical coordination 
Singing training 
Referral as needed
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8
Q

What is vocal wellness

A

Vocal hygiene

Phonotrauma management

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9
Q

What is respiratory training

A

Lower abdominal breathing
Use of breath in speech
Expiratory training

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10
Q

What is relaxation training

A

Whole body relaxation
Stress reduction
LAB
Laryngeal massage

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11
Q

What is phonotory retraining

A 
Easy voice 
Challenge principles 
Rate and intonation 
Vocal function exercises 
Valsalva
Resonant voice therapy (mask focus)
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12
Q

What do you ultimately want to see as a result of therapy

A

Increased efficiency of phonation

Generalization

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13
Q

What is the biggest factor when choosing a therapy

A

Evidence based practice

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14
Q

What is voice efficiency

A

Max use airflow

Min use muscles

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15
Q

What are good sounds to begin therapy

A

Wh words because of airflow

Nasals because they move the effort forwards

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16
Q

Describe a therapy session

A

Describe normal anatomy and physiology, causes of disorder,
Correlate cause with their symptoms and impact

Measure motivation
Discuss a timeline
Give homework materials

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17
Q

When do you end therapy

A 
Problem resolved 
Patient satisfied 
Clinician satisfied 
Other issues (reimbursement, health, travel)
Document everything
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18
Q

What are therapy approaches

A 
Voice rest
Modified voice rest 
Treat symptoms 
Psychogenic therapy 
Physiologic therapy 
Eclectic therapy
Combined modality
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19
Q

What is eclectic therapy

A

Using a combination

Holistic

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20
Q

What is combined modality

A

The use of other modalities such as biofeedback

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21
Q

What is physiologic voice therapy

A

Direct exercises that activate laryngeal muscles and subsystems

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22
Q

What are examples of physiologic therapy

A 
Vocal function exercises 
Flow phonation 
Lessac madsen resonant voice therapy 
Lee Silverman loud
Inspiratory and expiratory muscle strength
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23
Q

What causes breathing problems

A

Poor posture

Lack of LAB

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24
Q

What are examples of breathing therapy

A 
LAB exercises
Single and double hold breathing 
Relaxation and improving breath support 
Prolonged inhalation and expiration 
Quick breathing
Breathing in speech
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25
Q

What is the purpose of double hold breathing

A

Voluntary control

26
Q

What is the purpose of relaxation and improving breath support

A

Working against resistance

27
Q

What is the goal of prolonged inhalation and exhalation

A

Use more air over more time

28
Q

What is the purpose of quick breathing

A

Coordination

29
Q

What is the problem with breathing exercises

A

Lack of evidence

30
Q

What vowel do you typically use for max phonation

A

/i/

31
Q

What is the goal for breathing exercises

A

Increase air effort

32
Q

What are 3 components of vocal hygiene

A

Vocal health
Vocal abuse
Vocal misuse

33
Q

What are some strategies for good vocal hygiene

A 
Adapt the environment 
Reduce loudness 
Vocal rest 
Nonverbal feedback 
Vocal hygiene
34
Q

What are good activities for getting syllables per breath

A

Rainbow passage
Counting to 100
Progressively longer sentences

35
Q

What do flow phonation exercises do

A

Widen the vocal tract

Reduce tension in the folds

36
Q

What does semi occluded vocal tract exercises mean

A

Mouth is partially closed

37
Q

How does SOVT work

A

Less impact and stress on muscles while they stretch

38
Q

What are the benefits of SOVT

A

Mouth closed makes more air stay in tract
Fold vibrations are easier
Positive pressure helps push folds apart
Negative pressure helps pull them together
Less vocal fatigue
Helps the folds align

39
Q

Who is SOVT good for

A

Vocal fold lesions

40
Q

Name office based surgeries

A

Indirect laryngoscopy (mirror and flexible)
KTP laser
Injection laryngosplasty
Botox

41
Q

What proceedures are done in the operating room

A 
Microexcision
Microflap dissection
Laser
Microdebrider dissection
Injection laryngoscopy
Thyroplasty
Ini and bilateral cordectomy
Complete cordectomy
42
Q

What is the benefit of office procedures

A

Immediate feedback
No anesthesia
Cost effective

43
Q

What does botox do

A

Temporarily paralyzes fold

44
Q

What is laser surgery do

A

Burns out abnormal cells

45
Q

What are disadvantages to office procedures

A

Limited surgery
Not for more advanced cases
Patient comfort

46
Q

What surgical procedure would be used for nodules or small polyps

A

Microlaryngoscopy

47
Q

How do you treat cysts

A

Microflap incision

48
Q

What would you use a microflap dissection for

A

Large lesions

Submucal lesion

49
Q

What is the benefit of laser surgery

A

More precise with less burning
Less obstruction in surgical field
Less risk of airway fire

50
Q

What is an SLP role in surgery

A

Educate about voice rest and hygiene
Therapy after procedure
Videostroboscopy to document improvement

51
Q

What is the criteria for performing an injection laryngoscopy

A

Within one year
No permanent damage to RLN
Paralysis negatively affecting vouce or swallowing

52
Q

When do you do a thyroplasty implant

A

If over one year

Permanent damage to nerve

53
Q

What is thyroplasty

A

Medializes cord prrmanently by implant

Creates better glottal closure

54
Q

What is a type 2 or lateral thyroplasty

A

Move fold permanently to side

Abductor paralysis

55
Q

How do you determine type of surgical treatment

A

How active patient is
Timeline
Cause

56
Q

When would you use a unilateral transverse cordectomy

A

Abductor paralysis

57
Q

What is a bilateral cordectomy

A

Both folds are divided from the process

58
Q

What is AAC

A

Augmented alternative communication

59
Q

What are the Isshiki classification for phonosurgerylengthens cricothyroid for higher voice

A

Type 1: medialization laryngoplasty
Type 2: lateralization resulting in soft breathy voice
Type 3: anterior posterior thyroid cartilage. Shortens length lowers voice
Type 4

60
Q

What are type 3 and 4 thyroplasty surgeries used for

A

Transgender

Voice (2 decks)

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