voice therapy technique Flashcards

1
Q

what are the different voice therapy techniques?

A
Laryngeal relaxation
Laryngeal manipulation
circumlaryngeal massage
Low impact voice
RVT
VFE
LSVT
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2
Q

Laryngeal relaxation

A

Laryngeal sigh - sigh with or without voicingsigh with tongue and jaw release

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3
Q

Laryngeal manipulation- why?

A

cases of hyperfunction- elevated larynx

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4
Q

where will pain be found when palpated?

A

thyrohyoid ms
superior ridge of thyroid cart
inferior border ofhyoid bone

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5
Q

goal of digital laryngeal manipulation?

A

lower larynx

decrease supralaryngeal m tension

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6
Q

how do you do laryngeal manipulation?

A

place thumb and forefinger in the thyrohyoid space starting at the anterior aspect of thyroid cart and move posteriorly
move larynx side to side then downward
pay attention to pain

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7
Q

what is the goal of lsvt?

A

increase vocal loudness

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8
Q

what is the intensity of lsvt?

A

4 sessions a week for four weeks with daily homework

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9
Q

if you do not have LSVT software, what do you use?

A

SPL meter and pitch device

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10
Q

List the VFEs

A

Vocal function exercises (VFEs)
Vocal warmup
pitch glides
prolonged humming of /o/ @ selected pitches

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11
Q

what is the goal of VFEs?

A

increase bulk, strength, and coordination

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12
Q

when do you use VFEs

A

hyper and hypo functional disorders

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13
Q

RVT

A

Resonant voice therapy

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14
Q

what does RVT do?

A

trains the patient to decrease resonation at the level of the larynx

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15
Q

What are you doing durin RVT?

A

increasing intraoral pressure and increasing vibratory sensations in nasal and facial structures

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16
Q

what pathologies are RVTs good for?

A

Spastic, organic, and functional dysphonias

17
Q

list the hiearchy for RVTs

A
  • humming /m/
  • humming the word
  • humming phrase
  • humming sentence
18
Q

RVT Vocal fold positioning

A
  • slightly adducted most clear most prominent voice with little effort or injury
19
Q

Low Impact voice

A

reduction of overall loudness increasing breathiness

20
Q

when is low impact voice good to implement?

A

following acute vf injury
or
several weeks following surgery before introducing loudness

21
Q

circumlaryngeal massage

A

thyrohyoid circles and and suprahyoid pulldowns

22
Q

what is the goal of circumlaryngeal massage

A

decrease laryngeal muscle tension

23
Q

how do you do circumlaryngeal massages?

A

place the thumb and forefinger on each side of the thyroid cartilage of the thyrohyoids and massage in slow opposite circles for 10 reps. then put thumb and forefinger on the suprahyoid muscle pinch and drag down to clavicle