Techniques

Question 1

Laryngeal sigh is a relaxation technique used for what 3 things?

Answer 1

1. Organic Pathologies.
2. Functional Dysphonias
3. Other hyper functional disorders

Question 2

What is the laryngeal sigh especially used for ?

Answer 2

MTD

Question 3

What does the laryngeal sigh incorporate?

Answer 3

incorporates a long silent sigh with release of the jaw and tongue base musculature

Question 4

how often is laryngeal sigh recommended?

Answer 4

as many times a day as possible

Question 5

What is added to the sigh as the patient progresses?

Answer 5

voicing

Question 6

Efficient breathing is abdominal or what ?

Answer 6

inspiring deep into the lungs without clavicular or thoracic activity.

Question 7

Efficient breathing allows for what?

Answer 7

more air in and better control on exhalation.

Question 8

what is the best way to gauge efficient breathing?

Answer 8

place a hand on the abdomen and have the pt. sit in front of a mirror. The hand should move anteriorly on inspiration with no upper thoracic movement (shoulders, clavicle, and anterior neck). Hand should be lightly pressed into the abdomen on exhalation

Question 9

when breath support is coupled with voicing, when should the patient begin voicing?

Answer 9

at the top of inhalation.

Question 10

what is the core of Buteyko Breathing?

Answer 10

The core of this method involves normalizing breathing by training 6 respiratory cycles per minute (10 seconds for inspiration and expiration.

Question 11

what 3 things are involved with Buteyko breathing

Answer 11

Nasal Breathing
Reduced Breathing Rate
Relaxation

Question 12

what can be used to help in some disorders?

Answer 12

Forcing inspiration above tidal volume can be used to help in some disorders.

Question 13

What 3 things has Buteyko breathing been found to reduce?

Answer 13

1. reduce heart rate
2. reduce blood pressure
3. reduce painful conditions

Question 14

In most cases of hyper function, the larynx is in what position?

Answer 14

elevated

Question 15

pts. of hyper function often report what?

Answer 15

generalized neck pain

Question 16

On palpation of hyper function patients, focal areas of tenderness can be noted in which three areas?

Answer 16

1. thyrohyoid musculature
2. along superior ridge of thyroid cartilage
3. along the inferior border of the hyoid bone

Question 17

hyperfunction pts. may present with a significantly decreased ………… due to excessive muscle tension

Answer 17

decreased thyrohyoid space

Question 18

what is the goal of digital laryngeal manipulation? (2)

Answer 18

1. lower the larynx

2. decrease supralaryngeal muscle tension.

Question 19

how do you perform laryngeal manipulation?

Answer 19

1. place thumb and forefinger in thyrohyoid space, starting at the anterior aspect of the thyroid and moving posteriorly.
2. manipulate the larynx from side to side and then downward. special attention should be paid to any areas of more intense focal pain.

Question 20

what is the goal of circumlaryngeal massage?

Answer 20

the goal is to decrease laryngeal muscle tension.

Question 21

how can we decrease laryngeal muscle tension?

Answer 21

thryohyoid circles and supra hyoid pull downs

Question 22

What is a thyrohyoid circle?

Answer 22

place the thumb and forefinger on each side of the thyroid cartilage on the thyrohyoids and massage in slow opposite circles for 10 reps.

Question 23

what is a supra hyoid pull down?

Answer 23

palpate the supra hyoid muscles with thumb and forefinger, pinch in, and drag muscles down each side of the larynx until you reach the clavicle.

Question 24

What is a low impact voice?

Answer 24

Reducing overall loudness of the voice while increasing breathiness in order to reduce vocal fold collision force and to reduce supra laryngeal and laryngeal muscle tension.

Question 25

a low impact voice is usually indicated following what?

Answer 25

acute vocal fold injury; also useful for several weeks following surgery prior to gradually and safely introducing increased loudness.

Question 26

Stretches of which 3 muscles can reduce extraneous laryngeal muscle tension?

Answer 26

1. Trapezius 2. Levator Scapulae 3. SCM Muscles - hold each for 10 seconds and do 10 of each (5 on each side)

Question 27

Resonant Voice Therapy involves:

Answer 27

decreasing resonation at the level of the larynx by increasing intraoral air pressure...

Question 28

What is RVT associated with?

Answer 28

vibratory sensations in nasal and facial structures.

Question 29

RVT is often used in what?

Answer 29

1. organic pathologies. 2. functional dysphonia 3. spastic dysarthrias.

Question 30

what is the RVT hierarchy?

Answer 30

1. humming consonant /m/ 2. humming at word 3. humming at phrase 4. humming at sentence level 5. eventually generalizing Resonant voice to conversation

Question 31

how is resonant voice produced?

Answer 31

vocal folds slightly abducted or barely adducted position.

Question 32

The laryngeal posture of RVT (vocal folds slightly abducted or barely adducted position) is favorable for which patients?

Answer 32

patients who present with laryngeal hyperfunction, hyper adduction( pressed voice) or both. This vocal fold positioning appears to produce the clearest and most prominent voice with little effort and decreased risk of injury...

Question 33

Vocal Function exercises are based on what principle?

Answer 33

to increase bulk, strength, and coordination of laryngeal musculature

Question 34

what are VFE's used for?

Answer 34

used for hyper functional and hypo functional voice disorders.

Question 35

what are the 3 steps to VFE program?

Answer 35

1. vocal warmup 2. pitch glides (high to low and low to high) 3. prolonged humming of /o/ at selective pitches... each step completed twice/2x a day doing these exercises without strain using resonant voice is imperative