Voice: easy onset phonation – Flashcards

With easy onset: your vocal folds come together without compression, then smoothly begin to vibrate as air is exhaled through them. This is what we are going for."

yawn-sigh stretch and flow resonant voice therapy

Inhale during yawn, exhale with sigh (/h/) and begin to phonate

Relaxes vocal tract Larynx lowers Tongue moves forward Pharynx widens

People can be taught to self monitor laryngeal position - If laryngeal elevation is felt, they are taught to go back to the sigh in isolation Studies have reported patient success and improvement with yawn-sigh

Some people may have difficulty initiating a yawn - Possibly due to our society's views yawning in public Research as a whole is limited - One-time performance of healthy individuals - Part of broader interventions for dysphonia - Lack research of yawn-sigh in isolation Majority of research available is dated

1. Explain physiology of yawn. a. Stretching of mouth b. Widening of airway c. Talk about what a yawn feels like 2. Have patients yawn 3. Slightly phonate on exhale 4. Yawn-phonate in monosyllabic syllables that begin with /h/ or open- mouthed vowels 5. Begin increasing words per yawn to four-five words 6. Begin to reduce the yawn entirely by gradually phasing out and replacing it with normal, open‐mouthed inhalation followed by the sigh. 7. Once yawn is terminated, begin focusing on relaxed sigh by having the patient say /ha/ after initiation of the sigh. a. Gradually work to middle and low vowels b. Focus on blending the phonation with the sigh 8. Once developed, discuss the relaxed feeling of approach 9. Client should develop ability to produce easy onset with just thinking of the yawn-sigh approach.

A technique developed by Daniel Boone and Stephen C. McFarlane in 1988 to decrease hard glottal attacks due to vocal hyperfunction.

Patients exhibiting vocal hyperfunction, including Muscle Tension Dysphonia, vocal abuse, vocal nodules, and vocal polyps.

Reduce vocal hyperfunction