facilitating approaches

Question 1

change of loudness

Answer 1

-Specific pop
-for patient who needs to increase or decrease loudness
- decrease in loudness: patient identifies 5 type of voices
- increase in loudness: discuss soft voice w/ patient

Question 2

chewing

Answer 2

-Specific pop
-pts with vocal hyper function who speak through clench teeth
-chewing motion, develops more relaxed, open, and natural oral movements.

Question 3

focus (forward) aka: resonance voice

Answer 3

-General pop
-forward focus resonance allows the voice to fully resonate through he cavities above the larynx into pharynx

Question 4

glottal fry

Answer 4

-Specific pop
- for pts w/ vocal nodules
- produced in relaxed manner w/ very little airflow and subglottic air pressure
- shortens thyroarytenoid muscles & vocal ligaments

Question 5

Redirected phonation

Answer 5

-Specific pop
-pts w/ functional aphonia or functional dysphonia
-SLP searches with the patient to find some kind of vegetative phonation (e.g., coughing, gargling, etc.) or intentional voicing (e.g., humming, singing, etc.) or saying um-hmm.

Question 6

hierarchy analysis

Answer 6

-General pop
- its for hyper-functional voice problems
- teaches pts relaxed responses to anxiety evoking situtations

Question 7

Relaxation

Answer 7

-General pop
-hyper functional voices
-Develop different methods of relaxation: read chapters on stress management,

Question 8

Visual Feedback

Answer 8

-General pop
-device screen can serve as a feedback device.

Question 9

Yawn-Sigh

Answer 9

-General pop
- minimize the tension effects of vocal hyperfunction.
-helps ↓ the larynx to a low position, relax the larynx, the tongue is more forward, there is a slight opening between the vocal folds, and the pharynx is usually dilated.

Question 10

auditory feedback

Answer 10

-General pop
- Loudness and Quality
- real time amplification of own voice
-auditory metronome to help w/ pacing
- playback of voice

Question 11

chant talk

Answer 11

• Specific pop
• helps voice probs related to hyper function
• reciting syllables on one continuous tone

Question 12

confidence voice

Answer 12

-General Pop
- loudness & quality
- effective in reducing loudness, vocal use, and vocal patterns
- increased breathiness reduces vocal loudness; relax airway

Question 13

counseling

Answer 13

-General pop
- pitch & loudness
- helps individuals know why they have voice problem

Question 14

digital manipulation

Answer 14

-Specific pop
- pitch & quality
- finger pressure on thyroid cartilage
Help to
- lower pitch
- monitor movements of larynx
- for its w// unilateral VF paralysis

Question 15

Elimination of abuses

Answer 15

-General pop
- loudness & quality
- recognize and eliminate behaviors to improve vocal performance
- using a graph increases pts awareness

Question 16

establish new pitch

Answer 16

• Specific pop
• pitch & quality
• for pts that want to increase or decrease their pitch
  -record and playback feedback to pt

Question 17

head position

Answer 17

• General pop
• pitch & quality
• pts for unilateral VF paralysis
  ExampleS:
• normal straight ahead
  -extended forwards w/ head tilted down face look up
• neck flexed down w/ head tilted down face looking down

Question 18

inhalation phonation

Answer 18

• Specific pop
  -pitch & loudness
• for its who have functional aphonia and functional dysphonia
• inhale w voice w/ palms upturned and exhaling w/ palms turned down

Question 19

laryngeal massage

Answer 19

-Specific pop
-pitch & quality
-gentle manipulation & massage of the larynx
- pts w/ functional voice disorder which structural or neurogenic causal factors cannot be identified

Question 20

masking

Answer 20

-Specific pop
-pitch & loudness
- functional dysphonia
- uses voicing reflex test

Question 21

nasal glide stimulation

Answer 21

-specific pop
-quality
- patients with functional dysphonia, spasmodic dysphonia, and dysphonias related to fold thickening, nodules, and polyps.
- tx: focuses on using words that contain many nasal and glide consonants,

Question 22

open mouth app

Answer 22

-specific pop
-pitch & quality
- encourages pt to develop more oral openness
- optimum approximation of vocal folds
-increases oral resonance

Question 23

Pitch inflections

Answer 23

-specific pop
-pitch
-functional dysphonia related to vocal hyperfunction
-Goal of approach: seeks not only to establish more optimum pitch levels, but also to increase the amount of pitch variability

Question 24

Respiration training

Answer 24

-specific pop
-loudness & quality
-Breath support training
-pt w/ functional voice disorder
-

Question 25

Tongue Protrusion /i/

Answer 25

-pitch & quality
-pts with ventricular phonation or tightness in the voice
-Implementation: Pt with such is asked to produce /i/ with the tongue extended outside the mouth and raise toward the hard palate