Symptomatic Voice Therapy Techniques – Flashcards
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Techniques to Decrease Laryngeal Muscle Tension
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Circumlarngeal massage & digital manipulation -decreases muscle tension, can lower larynx, decreased thyrohyoid tension Decrease 'supraglottic' muscle tension: -Tongue stretches, yawns, and 'Deep Sniff'
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Techniques to Decrease Hard Glottal Attacks
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USe of Pre-phonation Glottal airflow to eliminate hard glottal attacks -easy onset/ linking -yawn-sign -Chewing technique for hard glottal attacks/hyperfunction -Chant talk technique for hard glottal attacks/hyperfunction (has constant air flow) -Biofeedback monitoring of productions (use of instrumental devices)
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Therapy Technique for Hyperfunctional Disorders with Severe Swelling
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Confidential Voice -Used post-surgically, or post-injury (nodules, polyps, swelling etc) -Eliminate hard glottal attacks Goal: Easy onset of phonation, decreased impact stress, decreased medial compression Consists of 'just audible' breathy phonation but NOT a whisper Is a temporary voicing technique, not a permanent technique
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Hypofunctional Disorders
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Purpose: Improve glottic closure, VF strength Useful for: VF paresis, VF paralysis, bowing, presbylaryngis Techniques: Vocal Fxn Exerciser; Resonant Voice, LAryngeal muscle relaxtion exercise
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Lee Silverman Voice Therapy (Ramig) LSVT
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A physiological approach for Parkinsons's Focus is on Loud Phonation Tasks: -Loud sustained /a/ -Pitch glides up and down -Loud phonation on 10 functional phrases -Then, generalization to sentences, short paragraghs, reading passages, controlled conversations, spontaneous conversation, and speech in noise
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Voice Therapy: Additional Techniques
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Teaching auditory discrimination Relaxation Therapy- progressive relaxation Relation exercises for jaw, tongue, neck, shoulders Shaping vegetative vocal productions like laugh, cough throat clear, hum, yawn-sigh, phonation on inhalation
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Improving Breath Support
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Breathing exercises to train abdominal breathing Breathing exercises to increase control of expiration Training coordination of breathing and phonation Exercises: lower back breathing or abdominal breathing, Dante Pavone Breathing Exercises, Vocal Function Sustain Exercises Teach expiration with voice occuring simultaneously