Samenvatting boek Stemstoornissen van De Bodt. Deze samenvatting is gebaseerd op de lesstof en de leerdoelen.
Met deze samenvatting heb ik een voldoende behaald.
Inhoud
1. In de rol van Logopedist en Gezondheidscoach beschrijft de student preventieve maatregelen om
stemproblemen te voorkomen...............................................................................................................5
Classificatie van stemgebruikers:........................................................................................................5
Vier verschillende groepen ingedeeld op basis van de professionele afhankelijkheid van hun
stem:...............................................................................................................................................5
Drie groepen stemgebruikers op basis van kennis en betrokkenheid op de stem:.........................5
Stembelasting en belastbaarheid.......................................................................................................5
Persoonsgebonden factoren...........................................................................................................6
Niet-persoonsgebonden factoren...................................................................................................6
De actuele laryngale conditie:........................................................................................................6
Een stembelastingtest:...................................................................................................................6
Kan stembelastbaarheid verbeterd worden?.................................................................................6
Besluit:............................................................................................................................................7
Samenvatting Stess.............................................................................................................................7
Hoofdstuk 2: afwijkend stemgedrag...............................................................................................7
2. Gedragsaspecten: stemmisbruik en verkeerd stemgebruik........................................................7
2.1 stemmisbruik............................................................................................................................7
2.1.1 roepen, krijsen, gillen............................................................................................................7
2.1.2 overspannen vocaliseren.......................................................................................................8
2.1.3 overdreven veel praten.........................................................................................................8
2.1.4 revers foneren.......................................................................................................................8
2.1.5 explosief vocaliseren en het gebruik van glottisslagen..........................................................8
2.1.6 hoesten en keelschrapen.......................................................................................................8
2.1.7 spreken in lawaai...................................................................................................................8
2.2 verkeerd stemgebruik...............................................................................................................8
2.2.1 toonhoogte............................................................................................................................9
Toonhoogte - luidheid....................................................................................................................9
Toonhoogte – constrictie................................................................................................................9
2.2.2 luidheid..................................................................................................................................9
2.2.3 kwaliteit...............................................................................................................................10
Stemgeving...................................................................................................................................10
Wijze van stemgeving...................................................................................................................10
Stemconstrictie.............................................................................................................................10
Stemplaatsing...............................................................................................................................10
, Ademhaling – houding..................................................................................................................11
Gelijkmatigheid.............................................................................................................................12
2. In de rol van Logopedist en Professional beschrijft de student de anatomie en fysiologie van de
stem......................................................................................................................................................13
3. In de rol van Logopedist en Professional beschrijft de student de ontwikkeling van de stem van
geboorte tot senescentie......................................................................................................................13
Anatomie en fysiologie van de stemgeving:.....................................................................................13
Macroscopische anatomie van de larynx:.....................................................................................13
De larynx bestaat uit:....................................................................................................................13
Innervatie van de larynxspieren...................................................................................................14
Laryngale vascularisatie................................................................................................................14
Epitheel.........................................................................................................................................14
Basement membrane zone (bmz).................................................................................................15
Lamina propria..............................................................................................................................15
Musculus vocalis...........................................................................................................................15
Specifieke componenten..............................................................................................................15
Laryngale functies.........................................................................................................................15
Slikken..........................................................................................................................................16
Inspanningsafsluiting....................................................................................................................16
Ademhaling...................................................................................................................................16
Fonatie..........................................................................................................................................16
Fysiologie......................................................................................................................................17
Frequentieregulatie......................................................................................................................17
Fase vibrotorische cyclus:.............................................................................................................18
De ontwikkeling van de stem door het leven heen:.........................................................................18
Ontwikkeling van de larynx en de stem........................................................................................18
Fasen preverbale vocale ontwikkeling..........................................................................................18
Adolescentie.................................................................................................................................19
Volwassenheid..............................................................................................................................19
De ouder wordende stem.............................................................................................................19
De ontwikkeling van de lengte en de structuur van de stemplooien............................................20
Ontwikkeling van fundamentele frequentie.................................................................................21
De ontwikkeling van de vitale capaciteit......................................................................................21
De ontwikkeling van maximale fonatietijd....................................................................................21
Mutatiestoornissen (Puberphonia)...................................................................................................21
Presbyfonie...................................................................................................................................22
, Samenvatting Stes............................................................................................................................22
1.3 Fysiologische correlaten van stemgedrag...............................................................................22
4. In de rol van Logopedist, Professional en Communicator beschrijft de student doel en werkwijze
van stemonderzoeken en meetinstrumenten, laryngoscopie, stroboscopie, fonetografie, VHI en
GRBAS, MFT, S/Z ratio..........................................................................................................................23
5. In de rol van Logopedist en Professional interpreteert de student de resultaten van
stemonderzoeken inclusief bijbehorende conclusies...........................................................................23
6. In de rol van Professional en Communicator beschrijft de student etiologische, fysiologische,
visuele, akoestische en perceptuele kenmerken van fonatie...............................................................23
Anamnese.........................................................................................................................................23
Leeftijd..........................................................................................................................................23
Blootstelling aan fysische irritantia...............................................................................................24
Muziekinstrument........................................................................................................................24
Heelkunde....................................................................................................................................24
Laryngopharyngeale reflux (LPR)..................................................................................................24
De Voice Handicap Index (VHI).........................................................................................................24
Klinisch NKO-onderzoek...................................................................................................................24
Instrumenteel onderzoek.............................................................................................................25
Keelspiegel....................................................................................................................................25
Rigide laryngostroboscopie..........................................................................................................25
Beeldanalyse en interpretatie.......................................................................................................26
Transnasale Flexibele Laryngoscopie (TFL)...................................................................................27
Endostroboscopie.........................................................................................................................29
Het logopedisch stemonderzoek......................................................................................................30
De GRBAS-schaal..........................................................................................................................30
Het ademtype...............................................................................................................................30
Maximale fonatietijd.....................................................................................................................30
Fonatiequotiënt............................................................................................................................31
S/Z ratio........................................................................................................................................31
Fonetografie: de stemomvang uitgedrukt in frequenties, intensiteiten en morfologie....................31
Afname.........................................................................................................................................31
Akoestische metingen...................................................................................................................31
Toepassing van de ICF bij stemstoornissen......................................................................................32
Eerste deel....................................................................................................................................32
Eerste deel....................................................................................................................................32
Tweede deel: factoren..................................................................................................................32
Codering binnen de ICF:................................................................................................................32
, Primaire en secundaire, organische en niet-organische problemen blz. 148 en H4.........................32
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