Voice Treatment

Question 1

Components of Vocal Hygiene:

Answer 1

1) Maintain the vitality of the vocal fold mucosa!!!!! Avoid trauma to the mucosa
2) Treat the muscles of the vocal mechanism like any athletic mechanism
3) Use the mechanism wisely

Question 2

Voice therapy management techniques

Answer 2

• Hygienic voice therapy
• Symptomatic voice therapy
• Psychogenic voice therapy
• Physiologic voice therapy
• Eclectic voice therapy

Question 3

Symptomatic Voice Therapy Focus

Answer 3

-Modification of deviant vocal symptoms such as breathiness, inappropriate pitch, loudness, inadequate respiration, and hard glottal attacks, etc. will improve the voice.

Question 4

Physiologic Voice Therapy

Answer 4

-Improves balance amongst respiratory support, laryngeal muscle strength, control and stamina and supraglottic modification of the laryngeal tone

Question 5

Eclectic Voice Therapy

Answer 5

Mixture of approachs

Question 6

Psychogenic Voice Therapy

Answer 6

Focus is on the emotional or psychosocial disturbances associated with or maintaining the voice disorde

Question 7

Hygienic Voice Therapy

Answer 7

• Voice disorders have direct behavioral cause.

- Modifies/ eliminates the cause to improve the vocal condition and the voice quality.

Question 8

Prognosis-contributing Factor

Answer 8

• Patient must recognize that there is a problem
• Patient compliance
• Presence of psychiatric problems
• is voice problem remediable with voice tx?
• Appropriateness of pt.’s expectations
• Patient’s general health status as well as current laryngeal status.

Question 9

Research indicates that ___________, __________, and __________ have high impact on patient compliance across all diciplines.

Answer 9

• clinician-client relationship
• clinician demeanor
• self efficacy

Question 10

MI identifies four general guiding principles to engage patients who are ambivalent about making changes to their behavior:

Answer 10

1) expressing empathy ;
2) build excellent rapport
3) developing discrepancy,
4) rolling with resistance & allowing resistance supporting self-efficacy

Question 11

Phonosurgeries –5 Major Groups

Answer 11

1) Removal of pathological tissue
2) Surgical correction of VF shape, position, or tension
3) Alteration or restoration of laryngeal neuromuscular function
4) Surgical reconstruction for partial loss, deformity or traumatic injury of larynx
5) Laryngectomy

Question 12

Pre-surgical care

Answer 12

• Train adequate breath support
• Eliminate any extralaryngeal or intrinsic laryngeal muscle tension
• Address vocal hygiene issues
• Train post-surgical voice therapy technique

Question 13

Post-surgical care

Answer 13

• After rest: Begin glides and semi-occluded VT exercises
• Train Confidential Voice if needed (decr. medial compression, glottis remains slightly open)
• Train Resonant Voice Therapy

Question 14

Three Main Methods of Alaryngeal Speech

Answer 14

Artificial larynx,
Esophageal speech,
Tracheoesophgeal speech