Week 1 - Normal vs Disorder Classifications Flashcards

1
Q

What are the normal perceptions of voice?

A

Loudness, pleasantness, flexibility, representation
effortless, clear, typical of age and gender
produced without developing vocal trauma and lesions

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2
Q

What is the function of voice?

A

paralinguistic and linguistic functions, audibility, exert control, influence social interactions
conveys information about age, gender, education, occupation, geographic/socioeconomic origin, social context, culture, emotion

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3
Q

What are the suprasegmental phonology features of voice?

A

Rise and fall of vocal pitch

intonation has grammatical role , makes contrasts, manipulation

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4
Q

What are the segmental phonology features?

A

coordination of phonology with articulation

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5
Q

What is the power-source-filter model

A
power = respiration
source = larynx - vocal folds
filter = resonance - oral/nasal cavity
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6
Q

What are the layers of the vocal folds?

A

outer layer = epithelium - protection of mucosal coverings from mechanical movement
middle layer = lamina propria - superficial, intermediate, deep layer
inner layer = vocalis muscle

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7
Q

What is fundamental frequency?

A

Rate of vocal fold vibration expressed in cycles per second or Hertz (Hz)

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8
Q

What is the intensity control?

A

Sound pressure level (SPL) of the acoustic output. Measures in decibels (dB)
Determined by - subglottal pressure, vocal fold vibratory phase, transglottal flow, supraglottic vocal tract tuning

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9
Q

What occurs to the larynx after puberty?

A
Increase testosterone/oestrogen 
Laryngeal cartilage enlarge
Laryngeal muscles enlarge
Vocal fold length increases
Epiglottis enlarges, flattens, elevates
Neck elongates
Larynx descends
Thorax enlarges
Resonators enlarge
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10
Q

What is a voice disorder?

A

A voice disorder exists when quality, pitch, loudness, or flexibility differs from the voices of others of similar age, sex, & cultural group

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11
Q

Examples of VF structural abnormalities

A
Uneven vibrating edges due to disruption of mucosal waves
inappropriate use
infection and disease
systemic changes
Congenital 
physical trauma
surface irritation
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12
Q

What is a functional voice disorder

A

Caused by psychoneuroses, personality disorder & faulty habits of voce use

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13
Q

Provide examples of a functional voice disorder

A
Functional dysphonia 
Muscle tension dysphonia 
VF thickening 
Vocal nodules, vocal polyps, Reinke's oedema 
Chronic laryngitis 
Ventricular dysphonia
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14
Q

What is an organic voice disorder

A

structural abnormalities or in response to injury

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15
Q

Provide examples of an organic disorder

A
Vocal process granuloma 
Intubation granuloma 
Leukoplakia 
Cancer 
Laryngeal web 
Infectious laryngitis 
Papillomatosis 
Vocal fold cyst
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16
Q

What is the difference between symptoms and signs?

A

symptoms are subjective reported by patient and represent a departure from normal function
signs are objective and detected by clinician and may be observed or tested

17
Q

Symptoms of a voice disorder

A

vocal fatigue, hoarseness, breathy, reduced phonation range, aphonia, pitch breaks, strain, tremor, discomfort

18
Q

Signs of a voice disorder

A

Mono-pitch-loudness, inappropriate pitch/loudness, pitch breaks, reduced pitch/loudness range, hoarse, breathy, tension, strain, sudden interruptions, phonation breaks, voice arrests, diplophonia, stridor, excessive throat clearing

19
Q

What is the typical fundamental frequency?

A

males - 100-150Hz

females - 180-250Hz

20
Q

What is the typical amplitude

A

conversational speech = 60-80dB

21
Q

What is the typical maximum phonatory duration?

A

s/z ratio - 0.4-2.0

22
Q

What are the typical aerodynamic features?

A

airflow = 0.5-2.0/sec

subglottal pressure = 2-9cm H20