Voice Flashcards
1
Q
LPR symptoms
A
- hoarseness
- globus sensation
- pain
- irritation & inflammation
- increased mucous production
2
Q
LPR treatment
A
suppress acid through a PPI
- dont eat 3 hours after meals
- elevate head of bead
- diet changes
3
Q
principles of voice therapy (7)
A
education behavioral modifications relaxation work postural work breath work voice production shaping counseling
4
Q
Relaxation approaches
A
- progressive relaxation (Jacobson)
- direct massage (McClosky) —- massage face, stretch tongue, passive movements of jaw, massage neck, etc.
- stretch/flex and release exercises
5
Q
Postural tx
A
- assess “plumb line”
- assess balance of head on atlas
- look at their work-station, etc.
- -tx:
- “here i am sitting”
- sit as you would stand
- refer to OT or chiropractor
6
Q
why work on breathing & problems
A
“voice disorders disrupt normal speech breaking behaviors (Hillman)
- shallow inhalations
- running out of air
- exhalation prior to speech
- breath holding
- paradoxical respiratory movements
7
Q
tx for breathing
A
target abdominal breathing
- stablalize shoulders
- force exhalation, feel for recoil
- candle blowing
- slow rate of inhalation
- breath through nose
8
Q
PVFM
A
- when the larynx closes off not allowing the person to breath
- difficulty getting breath in
- tightness in throat
- inhalatory stridor
- 02 stats stay above 90
- stops soon after excersise
9
Q
tx for PVFM
A
rescue breathing technique
- breathe in through nose slowly with wide throat posture
- breath out through puckered lips
- feel throat widen as you breathe in
10
Q
decreased glottal competence tx techniques
A
- pushing
- hard glottal attacks
- coughing, troat clearning
- pitch manipulation
- laryngeal manipulation
11
Q
approaches to shape phonation
A
- onset manipulation
- aspirate onset to reduce hard glottal attacks
- light glottal attacks to reduce breathiness
- easy/gentle onset - reinforce active/continuous breath flow
- kazoo buzzes
- lip/tongue trills
12
Q
in voice don’t treat the _______, treat the _____
A
don’t treat the symptoms, treat the cause
13
Q
non-adducted hyperfunction
A
- aphonia or dysphonia
- crisp, vegetative cough or throat clear
-dx confirmed via endoscopy
severe hoarseness—>aphonia–>conscious transfer into a whisper—>URI resolves —>pt remains locked in a whisper
14
Q
tx for non-adducted hyperfunction
A
- describe the problem – “laryngeal muscle tension”
- lay the ground rules
- explain bad vs good voice
- you have control over your voice
—**Clinician’s toolbox of tricks
15
Q
what CN involved most in voice??
A
CN x -Vagus
