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Resonant Voice Therapy Essay

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What is Resonant Voice Therapy?
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Voice production involving oral vibratory sensations, usually on the anterior alveolar ridge or higher in the face.
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Resonant Voice is a _______ of oral sensations and easy phonation builds from basic speech gestures through conversational speech.
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continuum
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Three steps in resonant voice therapy:
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1. Nonsense syllables – forward focus 2. Focused sentences – forced and forward focus 3. everyday conversations and speech
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Training methodologies are experiential, focusing on the processing of ___________ _____________.
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Sensory information
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What is the goal of resonant voice therapy?
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To maximize efficiency of voice use
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The fundamental perceptual target of RVT is:
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focused, oral vibratory sensations in the context of easy phonation.
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The singular training focus (resonance) is
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expected to affect multiple levels of physiology
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Training is strongly goal (results) driven, involving a dogged insistence upon the greatest possible _________ in the achievement of the perceptual tasks.
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precision
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Targeted Populations
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Any populations in which intra-vocal fold impact stress should be increased or decreased and able and willing to process auditory and kinesthetic information related to voice and speech
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Examples of injuries that should be decreased are
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edema, nodules, polyps, cysts, granulomas
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Examples of injuries that should be increased are
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paresis, paralysis, atrophy, bowing, sulcus
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Basic Training Gesture for RVT: Step One
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1. Hmmm-molm-molm-molm-molm…..As a sigh 2. Extreme forward focus is required with appropriate breath support 3. Make the connection from the abdominal muscles to the lips 4. Patient should feel very relaxed at the end of this gesture
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Stage One/Part one should be all ___________, and should change in the
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voiced; vary by rate, discover the vibrations; experiment with broad and narrow vibrations hopefully ending with narrow vibrations as they are preferred, and increase the ease of production by reducing the effort by 1/2 and 1/2 again
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What type of vibration should you eventually focus during therapy
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narrow vibration; “like a narrow beam of light”
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Stage One: Part two
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2. molm-molm-molm….. slow-fast-slow soft-loud-soft on ____ note
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Stage One: Part three
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3. molm-molm-molm….. as speech – use non-linguistic phrases; vary the rate, pitch, and loudness; make the connection from the abdominal muscles to the lips
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Stage One: Part four
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4. Chant the following voiced phrases on the musical note ___ – Mary made me mad. – My mother made marmalade. – My merry mom made marmalade. – My mom may marry Marv. – My merry mom may marry Marv. – Marv made my mother merry.
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Stage One: Part Five
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5. Over-inflect these phrases as speech
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RT Hierarchy: STAGE 2
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“Voice-Voiceless Contrasts”
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Stage 2: Basic Training Gesture
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1. mamapapa….. vary the rate on ___ note 2. mamapapa….. slow-fast-slow soft-loud-soft on ___ note 3. mamapapa….. As speech – use non-linguistic phrases; vary the rate, pitch, and loudness; make the connection from the abdominal muscles to the lips 4. Chant the following voiced/voiceless phrases on the musical note ___ Mom may put Paul on the moon. Mom told Tom to copy my manner. My manner made Pete and Paul mad. Mom may move Polly’s movie to ten. My movie made Tim and Tom sad. 5. Over-inflect these phrases as speech
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Stage Three
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“ANY PHRASE”
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Basic Training Gesture
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Produce the following phrases in sequence as follows: – First, chant the phrase on the note___, – then over-inflect it with extreme forward focus, and – then finally repeat it as natural speech with a forward focus. Each individual phrase should be produced following this 3-step sequence before moving on to the next phrase.
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Examples of Phrases
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– All the girls were laughing. – Get there before they close. – Did you hear what she said? – Come in and close the door. – Are you going tonight? – Put everything away. – Come whenever you can. – We heard that yesterday. – The player broke his leg. – The children went swimming.
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Stage Four
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“Paragraph reading” – read a paragraph with phrase markers – separate each phrase only by the natural inhalation of air – exaggerate focus and then repeat with a more normal speech/voice production – repeat the above without phrase markers
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Stage Five
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“Controlled Conversation” – practice forward speech placement in conversation – do not permit glottal attacks, glottal fry, etc.
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Stage 6
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“Environmental Manipulations” – simulate actual speaking environments – use tapes of background noise – go to noisy cafeteria
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Stage 7
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“Emotional Manipulations” use materials and topics that increasingly engage and challenge the patient
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RVT Home Exercises
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The critical portion of each exercise for each week is tape recorded as a home exercise example. The home program involves 15-20 minute sessions, two times per day with “minis” as needed 1. Stretches 2. Basic RV gesture 3. Selected level of hierarchy