voice therapy technique Flashcards
(23 cards)
what are the different voice therapy techniques?
Laryngeal relaxation Laryngeal manipulation circumlaryngeal massage Low impact voice RVT VFE LSVT
Laryngeal relaxation
Laryngeal sigh - sigh with or without voicingsigh with tongue and jaw release
Laryngeal manipulation- why?
cases of hyperfunction- elevated larynx
where will pain be found when palpated?
thyrohyoid ms
superior ridge of thyroid cart
inferior border ofhyoid bone
goal of digital laryngeal manipulation?
lower larynx
decrease supralaryngeal m tension
how do you do laryngeal manipulation?
place thumb and forefinger in the thyrohyoid space starting at the anterior aspect of thyroid cart and move posteriorly
move larynx side to side then downward
pay attention to pain
what is the goal of lsvt?
increase vocal loudness
what is the intensity of lsvt?
4 sessions a week for four weeks with daily homework
if you do not have LSVT software, what do you use?
SPL meter and pitch device
List the VFEs
Vocal function exercises (VFEs)
Vocal warmup
pitch glides
prolonged humming of /o/ @ selected pitches
what is the goal of VFEs?
increase bulk, strength, and coordination
when do you use VFEs
hyper and hypo functional disorders
RVT
Resonant voice therapy
what does RVT do?
trains the patient to decrease resonation at the level of the larynx
What are you doing durin RVT?
increasing intraoral pressure and increasing vibratory sensations in nasal and facial structures
what pathologies are RVTs good for?
Spastic, organic, and functional dysphonias
list the hiearchy for RVTs
- humming /m/
- humming the word
- humming phrase
- humming sentence
RVT Vocal fold positioning
- slightly adducted most clear most prominent voice with little effort or injury
Low Impact voice
reduction of overall loudness increasing breathiness
when is low impact voice good to implement?
following acute vf injury
or
several weeks following surgery before introducing loudness
circumlaryngeal massage
thyrohyoid circles and and suprahyoid pulldowns
what is the goal of circumlaryngeal massage
decrease laryngeal muscle tension
how do you do circumlaryngeal massages?
place the thumb and forefinger on each side of the thyroid cartilage of the thyrohyoids and massage in slow opposite circles for 10 reps. then put thumb and forefinger on the suprahyoid muscle pinch and drag down to clavicle
