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SLP Comps WITH 100- SURE ANSWERS.
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.EUNICE
SLP Comps WITH 100% SURE ANSWERS
Terms in this set (212)
roughness perception of aberrant VF vibration
breathiness perception of audible air escape in the sound signal or bursts of breathiness
strained quality perception of increased effort; tense or harsh as if talking and lifting at the same time
strangled quality as if talking with breath held
aphonia loss of voice
hoarseness raspy, audible aperiodicity in sound
Noah & Polly Cry Literally Every Sunday Constantly Causing Grandma Large Pimples
nodules
polyps
cysts
laryngitis
Structural voice disorders
edema
sulcus vocalis
contact ulcer
carcinoma
granuloma
leukoplakia
papilloma
paralysis
abductor spasmodic dysphonia (more common)
Neurogenic voice disorders
adductor spasmodic dysphonia
bowing
Functional voice disorders MTD, PVFD, puberphonia
1/16
,.
Case history
Oral-peripheral exam
Hearing Screening
VHI
Voice Diagnostic plan (CSUEB clinic)
Standardized audio recording: CAPE-V, acoustic measures (using PRAAT)
Aerodynamic Measures: Phonatory Aerodynamic System
Laryngeal imaging: endoscopy, videostroboscopy (SERF form) + treatment probes
Exit interview
yawn-sign, singing, inhalation phonation, falsetto during speech
Cough, clear throat
Sing
Read passage
Voice therapy probes
Easy onset; phonation inhalation
Relaxation techniques & abdominal breathing
Alternate loudness & pitch
Say "mmm" before speaking
Effortful glottal closure/glotall attack
obtain info about ONSET, DURATION, CAUSES, AND VARIABILITY of voice problems
obtain info about associated symptoms
Voice Case History (rationale)
identify factors
gather info regarding previous therapy, medical intervention, or other attempts to
deal with voice problem
the specialist uses a bright light source and a small, round 21-25-mm mirror, angled
on a long, slender handle, to lift the velum and press slightly against the patient's
Indirect Laryngoscopy (Mirror posterior pharyngeal wall area
Laryngoscopy)
the mirror should be positioned to view the laryngeal structures during phonation
and quiet respiration
-patient is knocked out
direct laryngoscopy -VFs are looked at but patient cannot phonate
-used for taking a biopsy when assessing laryngeal cancer
-uses thin, flexible tube with lens and light
Flexible Fiber-Optic Laryngoscopy -passes through nose
-patient can talk and prolonged view of VFs is obtained
flexible = through the nose
rigid = orally
Endosopy
structured illuminated by light, can be attached to video camera
flexible: can view velopharyngeal mechanism
2/16
, .
spectogram: graphic representation of sound wave
acoustic analysis
used to obtain baseline measurements prior to therapy or surgery + post-treatment
a cancer arising in the epithelial tissue of the skin or of the lining of the internal
organs.
Carcinoma
Smoking is a common etiology of cancer. The client complains of an occasional sore
throat, and since she is a mild smoker, carcinoma must be considered.
instruct patient to touch their belly and feel it move in and out with their breath (little
to no shoulder movement)
Abdominal breathing
RATIONALE: increase breath support
for post VF surgery
- speak with low intensity, minimal effort
- use softest loudness level for all speaking situations
Confidential Voice Therapy - use fewer words per breath
- increase fluid intake
RATIONALE: allows time for the person's voice to heal
-inappropriate ab- or adduction of VFs during inhalation, exhalation, or both
-appear asthmatic
Paradoxical Vocal Fold Motion (PVFM)
-display stridor
-due to psychological or physiological reasons
SIGNS & SYMPTOMS
- hoarseness & roughness
- discomfort and dryness in throat
- pitch level higher or lower than normal
- difficulty speaking loudly
EXPECT TO SEE
- inflammation of VF and larynx
- redness, small dilated blood vessels
Laryngitis
- dry, thickened epithelium
- increased asymmetry and aperiodicity
ETIOLOGIES:
- GERD
- environmental agens
- phonotrauma
- upper respiratory infection
- chronic abuse
SIGNS & SYMPTOMS
- dysphagia, dysphonia
- nasality
- hoarseness, breathy voice, vocal weakness
EXPECT TO SEE
Myasthenia gravis
- HYPOadduction
- greater airflow
ETIOLOGIES
- chronic immune neuromuscular disease characterized by degrees of weakness of
voluntary muscles
3/16
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