,Inhoud
Leerdoelen............................................................................................................................................... 4
Hoofdstuk 1 De normale stem (De Bodt, 2015) ................................................................................... 6
1.1 Anatomie en fysiologie van de stemgeving............................................................................. 6
Macroscopische anatomie van de larynx ........................................................................................ 6
Microscopische anatomie (histologie) van de stemplooien ......................................................... 12
2.1 De ontwikkeling van de stem door het leven heen............................................................... 15
De ontwikkeling van de larynx en de stem.................................................................................... 15
1.4 Classificatie van stemgebruikers ........................................................................................... 18
5.1 Stembelasting en belastbaarheid .......................................................................................... 19
Inleiding ......................................................................................................................................... 19
Wat is stembelasting? ................................................................................................................... 19
Wat bepaalt de stembelasting?..................................................................................................... 19
Hoe potentiële belastbaarheid inschatten? .................................................................................. 20
Kan stembelastbaarheid verbeterd worden? ............................................................................... 21
2.2 Anamnese .................................................................................................................................. 22
Aspecten van de anamnese............................................................................................................... 22
Leeftijd ........................................................................................................................................... 22
De stemklacht ................................................................................................................................ 22
Hoogdringendheid van stemproblemen ....................................................................................... 23
Eerder gevolgde stemtraining ....................................................................................................... 23
Repetities....................................................................................................................................... 23
Stemmisbruik................................................................................................................................. 23
Algemene gezondheid ................................................................................................................... 23
Blootstelling aan fysische irritantia ............................................................................................... 23
Drugs en geneesmiddelen ............................................................................................................. 24
Muziekinstrument ......................................................................................................................... 24
Heelkunde ..................................................................................................................................... 24
Neurologische klachten ................................................................................................................. 24
Allergie........................................................................................................................................... 24
Respiratoire klachten .................................................................................................................... 24
Auditieve problemen ..................................................................................................................... 25
Endocriene dysfunctie ................................................................................................................... 25
Laryngofaryngeale reflux (LPR)...................................................................................................... 25
Temporomandibulaire stoornissen ................................................... Error! Bookmark not defined.
2.4 Het logopedisch stemonderzoek ........................................................................................... 26
, De perceptuele beoordeling van de stem ..................................................................................... 26
Mutatiestoornissen (puberphonia) ................................................................................................... 28
Prebyfonie ......................................................................................................................................... 28
Inleiding ......................................................................................................................................... 28
Mutatiestoornis (Puberfonie) ........................................................................................................ 30
Presbyfonie .................................................................................................................................... 31
HB1.2.2.1c Handboek stem-, spraak-taalpathologie ...................................................................... 32
Inleiding ............................................................................................................................................. 32
Diagnostische aspecten ..................................................................................................................... 32
Therapeutische aspecten .................................................................................................................. 33
Indicaties/contra-indicaties ............................................................................................................... 33
Slotbemerkingen ............................................................................................................................... 33
Interpretatie top 6 ................................................................................................................................. 34
Het minimale geluidniveau, de onderdrempel, min SPL. .................................................................. 34
Bereik boven 90 dB SPL ..................................................................................................................... 34
Hoog en zacht in het falsetregister ................................................................................................... 34
Opgedreven borststem, roepstem, registergebruik ......................................................................... 34
Spreekluidheid ................................................................................................................................... 34
Totale oppervlak, toonligging en vorm ............................................................................................. 34
2.1 Stemmisbruik......................................................................................................................... 35
2.2 Verkeerd stemgebruik ........................................................................................................... 36
, Leerdoelen
Leerdoel/toetsterm Hoofdstuk/paragraaf
1 In de rol van Logopedist en Gezondheidscoach beschrijft de student Stes, H2
preventieve maatregelen om stemproblemen te voorkomen.
De Bodt, H1.4 & 1.5
De stem gemeten
2 In de rol van Logopedist en Professional beschrijft de student de anatomie en De Bodt:
fysiologie van de stem. H1.1, 1.2, 2.4, 4.1 & 3.4
Stes, H1.3
3 In de rol van Logopedist en Professional beschrijft de student de ontwikkeling De Bodt:
van de stem van geboorte tot senescentie. H1.1, 1.2, 2.4, 4.1 & 3.4
Stes, H1.3
4 In de rol van Logopedist, Professional en Communicator beschrijft de student Handboek Stem-, spraak-,
doel en werkwijze van stemonderzoeken en meetinstrumenten, Taalpathologie
laryngoscopie, stroboscopie, fonetografie, VHI en GRBAS, MFT, S/Z ratio.
De Bodt, H2.2, 2.3, 2.4, 5
(402-406)
De stem gemeten
Alles over fonetografie
5 In de rol van Logopedist en Professional interpreteert de student de Handboek Stem-, Spraak-,
resultaten van stemonderzoeken inclusief bijbehorende conclusies. Taalpathologie
De Bodt, H2.2, 2.3, 2.4, 5
(402-406)
De stem gemeten
Alles over fonetografie
6 In de rol van Professional en Communicator beschrijft de student Handboek Stem-, Spraak-,
etiologische, fysiologische, visuele, akoestische en perceptuele kenmerken Taalpathologie
van fonatie.
De Bodt:
H1.2, 2.2, 2.3, 2.4, 4.1 & 3.4, 5
(402-406)
De stem gemeten
Stes, H2
Alles over fonetografie
7 In de rol van Logopedist, Professional en Communicator voert de student in Handboek Stem-, Spraak-,
simulatie een stemonderzoek uit en interpreteert de gegevens op basis van Taalpathologie
(fictieve) bevindingen van een cliënt met stemklachten.
De Bodt, H2.4
Kuiper, H2
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