hygienic voice therapy

Question 1

T or F: moisture supposedly protects the folds from injury and may help reversing existing lesions

Answer 1

true

Question 2

excitation of moist vocal folds is believed to require _______

Answer 2

less pulmonary energy

Question 3

what kind of medications can fluidify body secretions? (2)

Answer 3

• humibid
• robitussin

Question 4

T or F: you should drink 8 glasses of water a day

Answer 4

false; no scientific evidence

Question 5

risk of excessive hydration?

Answer 5

hyponatremia (low blood sodium)

Question 6

when is aggressive hydration counter-indicated? (3)

Answer 6

• for pt w excessive fluid retention
• for pt w heart/circulatory problems
• for pt w kidney problems

Question 7

which of the following statements is true:
a) normal intake of caffeine does not interfere with hydration
b) caffeine has no effects on phonation threshold pressure, perceived vocal effort, or vocal loading

Answer 7

both!

Question 8

T or F: SLPs should encourage pts undergoing voice tx to cut out caffeine from their diets

Answer 8

false

Question 9

does milk increase mucus production?

Answer 9

no evidence demonstrates that it does

Question 10

what happens in GERD?

Answer 10

gastric acids spill into hypopharynx and larygneal aditus irritating larynx

Question 11

diff bw GERD and laryngopharyngeal reflux (LPR)?

Answer 11

• heartburn uncommon in LPR
• predominantly daytime reflux in LPR
• normal esophageal motility in LPR

Question 12

tx of GERD? (3)

Answer 12

1. behavioural (food, sleep, weight loss)
2. pharmacological (histamine blockers or proton pump inhibitors to block acid formation)
3. fundoplication surgery (laparoscopic suturing of gastric wall)

Question 13

describe the irritable larynx syndrome severity spectrum (4)

Answer 13

1. chronic throat clearing (least severe)
2. chronic cough
3. paradoxical VF motion
4. laryngospasm (most severe)

Question 14

role of SLP in irritable larynx syndrome? (4)

Answer 14

1. educate and counsel
2. optimize vocal hygiene and minimize irritants
3. teach strategies for clearing/coughing control
4. encourage sense of control

Question 15

breathing techniques for laryngospasms? (3)

Answer 15

• quick sniffs
• inhaling thru pursed lips/straw
• silent inhalation

Question 16

what is training for exercise-induced paradoxical vocal fold motion? (2)

Answer 16

• walk to jog
• consciously integrate breathing pattern into movement patterns of sport

Question 17

techniques for cough suppression? (5)

Answer 17

1. hold breath for 5
2. blow thru pursed lips
3. swallow
4. swallow w chin tucked
5. sip water again