chapter 5 Flashcards
(44 cards)
the diagnostic voice evaluation is a _____ therapy tool.
primary
the effectiveness of the diagnostic voice evaluarion will dictate the
sucess or failure of therapy
primary objectives of the voice evaluation
id the causes
describe the present vocal components
develop the mgmnt plan
secondary objectives of the voice evaluation
pt education
pt motivation
establish credidbility of voice pathologist
referral sources
otolaryngologists, other medical specialists, slps, voice coaches singing teachers, former pts, family, friends
professional relationships are
evolution of the voice team
complementary relationships
the medica examination: indirect laryngoscopy
laryngeal mirror and light
the meical examination: fiberoptic laryngoscopy-
flexible tube with camera and light via nasal or oral cavity
direct laryngoscopy
anestheia, rigid laryngoscope plase in the pharynx via oral cavity
laryngeal videostroboscopy
stroboscopic light source capture slow-motion images of the vocal folds in motion
the voce pathology evaluation includes these four things
pt interview, perceptual voice assessment, instrumental assessment of vf function, laryngeal videostroboscopy
evaluation form consists of
general information, referall and reason for referral
the referral of the evaluation form eastablishes
the referral source
the reason for referral does this
reason and
the pts understanding
knowledge of the voice disorder,
and establish credibility of examiner.
the history of the problems purposes
establish the chronology of the problem, seek etiologic factors associated with the history, and determine the pt motivation
the medical history of the evaluation’s purpose
seek medically-related etiologic factors and estabish awareness of the paitents personality.
the social history of the evaluation purposes
id work, home and recreational environments,
discover emotional, social, family, occupational activities, challenges, difficulties.
and seek more etiologic ffactors.
the oral peripheral examination purpose
determine the physical condition of the oral mechanism
observe whole body tension
observe laryngeal area tension
check for swallowing difficulties
check ffor laryngeal sensations
perceptual evaluation: general quality
describe quality in descriptive terms (scale, grbas, CAPE-V)
examine inappropriateness of voice components.
perceptual evaluation: respiration/breathing
describe type of breathing pattern
s/z ratio
maximum phonation time
breathing pattern descriptions/ meanings
supportibe/non-supportive
locus of respiration
breath holding
shallow breathing
coordination of respiration and phonation
s/z ratio considered abnormal that mak indicate problems with vf adequacy (phonatory adequacy)
ratios greater than 1.4
maximum phonation time meaning
measure that assesses the amount of time a person can sustain phonation.
perceptual evaluation: phonation
hard glottal attacks
glottal fry
breathiness
diplophonia
