COMD 4500 EXAM 2 (MODULES 5-9) PART 1
ABductor (spasmodic dysphonia) - answer-_increased opening of the VF
-voice: breathy, pitch breaks
ABductor Muscle (intrinsic)
(open the glottis & separate VFs) - answer--posterior cricoarytenoids (PCA)
Acoustic - answer--frequency/ amplitude/ duration
ADductor (spasmodic dysphonia) - answer--increased closing of the VF (slamming
together)
-voice: strained-strangled, choppy speech
ADductor Muscles (intrinsic)
(close the glottis & bring VF together) - answer--lateral cricoarytenoids
interarytenoids (oblique & transverse)
-cricothyroid
thyroarytenoids (muscular part of VF)
Aphonia/Dysphonia - answer--no voice
-consistent or episodic
Aryepiglottic Folds - answer--most superior layer
-contract to pull epiglottis over larynx entrance during swallow
-main role: airway phonation
Carcinoma of the VF (Laryngeal Cancer) - answer--malignant tumor on VF
-unilateral or bilateral
-50-70% deaths associated with smoking
-often not detected until voice symptoms are present
-treatment: surgery, radiation., chemo, full laryngecctomy
Case History - answer--patients opinion about nature and seriousness
-onset/progression
-previous treatment
-medical history
-social history
-history of previous communication disorders
-habits related to vocal hygiene (yelling)
-patient report (VHI)
Case Study Inquiries - answer--water intake
-caffeine intake
-alcohol intake
-smoking
-acid reflux symptoms
-voice use habits
-environmental exposure
-surgical history (intubation)
, Causes of Nodules
VOCAL ABUSE/MISUSE - answer--excessive talking without resting voice
-straining
-screaming/yelling
-coughing
-low/high pitch
-poor breath support
-poor diet
Components of Voice Assessment - answer--case history
-voice exam (observe: look/listen)
-consultation with specialists
Cricoarytenoid Joints - answer--attach to base of arytenoids & superior surface of
cricoid.
-enable movement in many directions
-instrumental for opening/closing VF
-main agent of phonation
Cricothyroid Joints - answer--attach to inferior horns of thyroid & sides of cricoid
-enables movement between cricoid & thyroid and stretching of the VF
-main agent of pitch regulation
Direct Treatment (voice therapy) - answer--voice training
-posture and movement
-laryngeal relaxation
Disorders of Vocal Loudness - answer--monoloudness
-loudness variations
Disorders of Vocal Pitch - answer--monopitch
-inappropriate pitch
-pitch breaks
Disorders of Vocal Quality - answer-hoarseness/roughness
breathiness
vocal tremor
strained-struggle
Eclectic Voice Therapy - answer-elements of multiple approaches
Functions of the Larynx - answer-breathing
voicing/phonation
airway protection
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