Voice treatment

Question 1

Which of the following terms refers to the science and practice of voice rehabilitation?

Answer 1

vocology

Question 2

Which kinetic motor pattern is associated with muscle tension dysphonia?

Answer 2

hyperkinesia

Question 3

Which of the following best defines direct interventions?

Answer 3

treatments that modify vocal behavior through one or more physiological domains

Question 4

Which of the following best describes indirect interventions?

Answer 4

treatments that modify the cognitive, behavioral, psychological, and physical environment in which voicing occurs

Question 5

The domains of a vocal hygiene program could include…

Answer 5

hydration, respiratory health, vocal habits, antireflux precautions.

Question 6

An organized group of treatments, typically structured in sequence with each other, and administered using one or more delivery methods defines what?

Answer 6

vocology

Question 7

Level 1 of stretch and flow voice treatment elicits what behavior from the patient?

Answer 7

a steady flow of unvoiced air without effort through rounded lips, as in a slow, comfortable exhalation

Question 8

Which voice treatment utilizes the conscious perception of vibrotactile sensations in the oral and nasal cavities to reduce excessive laryngeal motor activation during sound production?

Answer 8

resonant therapy

Question 9

In what way is laryngeal manual therapy (LMT) different from manual circumlaryngeal therapy (MCT)?

Answer 9

LMT initially focuses on the sternoclaidomastoid and submandibular region

Question 10

Which of the following voice disorders would phonation resistance training (PhoRTE) be most appropriate for?

Answer 10

prebylaryngis

Question 11

Vocal function exercises (VFEs) consist of how many types of exercises in each set?

Answer 11

4

Question 12

What is inertive reactance in relation to voice production?

Answer 12

backward-directed pressure onto the surface of the vocal folds which occurs when the anterior oral cavity is semioccluded

Question 13

When performing circumlaryngeal massage, what is the first step?

Answer 13

locate the hyoid bone

Question 14

On which factors to SLP base treatment selection when working with voice-impaired patients?

Answer 14

the patient’s needs and preferences
the underlying impaired physiology
the research evidence that supports a specific treatment
the competency (knowledge and skill) of the clinician

Question 15

Which domain of direct intervention would the treatments of push/pull exercises, maximum phonation time (MPT), and flow phonation fall under?

Answer 15

vocal function

Question 16

Which domain of direct interventions is circumlaryngeal massage treatment associated with?

Answer 16

musculoskeletal

Question 17

Relative to cough control intervention, which of the following is a specific cough control technique?

Answer 17

open throat breathing

Question 18

What is the approximate prevalence of dysphonia in school-aged children?

Answer 18

6-9%

Question 19

What is another commonly used name for paradoxical vocal fold motion (PVFM)?

Answer 19

vocal cord dysfunction (VCD)

Question 20

The second exercise of vocal function exercises (VFE) is called “stretch”. What tasks does it require the patient to perform?

Answer 20

Glide from the lowest to the highest vocal frequency

Question 21

Which voice treatment program was originally developed structured around four weekly session for four consecutive weeks?

Answer 21

LSVT

Question 22

Which of the following voice treatment programs would be appropriate to use as a primary approach for glottal insufficiency?

Answer 22

PhoRTE and LSVT

Question 23

A frequent voice treatment goal established for trans women and male-to-female transsexuals (MFT) is to…

Answer 23

pass as a female based on auditory-perception of their speaking voice

Question 24

Which of the following would be an appropriate treatment approach for paradoxical vocal fold motion (PVFM)?

Answer 24

open throat breathing

Question 25

The laryngeal pushback and hyoid pulldown are part of what treatment program?

Answer 25

manual circumlaryngeal therapy

Question 26

A treatment protocol for chronic cough might include...

Answer 26

education, cough control technique, vocal hygiene training, and psychoeducational counseling

Question 27

What direct and/or indirect treatment methods should clinicians recommend for a pt with primary MTD (e.g., professional speaker with excessive effort, strain, and fatigue)?

Answer 27

``` indirect= vocal hygiene plan direct= vocal function exercises ```

Question 28

Resonant focus, tongue advancement, vegetative/automatic voicing, and chewing are intervention strategies for ____________.

Answer 28

Hyperfunction

Question 29

T/F: Therapy approaches involving tucking the chin towards the chest, leaning over, and humming describes tongue advancement treatment,

Answer 29

False; that describes resonant focus

Question 30

What treatment approach facilitates hyoid bone movement with protrusion of the tongue to reduce laryngeal tension?

Answer 30

tongue advancement

Question 31

Name 3 hyperfunction treatment programs:

Answer 31

Stretch and flow, frontal resonant treatment (FRT), and vocal function exercises (VFEs)

Question 32

Vocal function exercises include four steps: warm up, stretch, contract, and ________.

Answer 32

Power

Question 33

__________ elongates the anterior vocal tract to facilitate changes in VF vibration and laryngeal muscle contraction.

Answer 33

(SOVT) semi-occluded vocal tract exercises

Question 34

T/F: Laryngeal posturing techniques are a form of manual circumlaryngeal therapy.

Answer 34

True

Question 35

LSVT-LOUD, PhoRTE, and SPEAK-OUT are treatment programs for ________________.

Answer 35

hypofunction