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Fluency disorders
| Question | Answer |
|---|---|
| what are the 5 elements of fluency | rate, rhythm, smoothness, effort, atomaticalit |
| what is disfluency | the disruption of flow of speech |
| what qualiifies as a fluency disorder? | 3 or more stuttering like disfluencies per 100 words |
| core features | monosyllabic whole-word repetitions, part-word repetitions, sound prolongations, block |
| secondary behaviors | emotions or attitudes towards disfluencies |
| prevalence of stuttering | 1% of the population, currently 3 million americans stutter |
| incidence of stuttering | 5% over life time; 15 million americans |
| gender ratio | 3:1 at onset; 7:1 in adolescence |
| do more males or females stutter | males |
| _____% recover from stuttering | 75% |
| primary stuttering behaviors | monosyllabic whole-word repetitions, part-word repetitions, sound prolongations, blocks |
| psychosocial behaviors | avoidance (word/sound, and situation), passivity in conversation, avoids talking, fear, embarrasment |
| predisposing factors | (constitutional factors that increase suseptibility) gender, genetics |
| precipitating factors | developmental and environmental factors worsen stuttering (age, stress) |
| 2 approaches to treatment | stuttering modification, fluency shaping |
| which approach is easier? | stuttering modification |
| what is stuttering modification | teaching a person to stutter better, more fluently, light articulation |
| what is fluency shaping? | teaching a person to speak without stuttering, reconstructing speech production |
| different roles of voice | carries words, reflects personality, reveals physical state, delivers message and adds meaning to the message |
| what is resonance | shaping by vibration of air in cavities of head and neck |
| what is the driving force for speech | respiration |
| what are the 9 cartilages/muscles of the Larynx | arytenoids, corniculates, suneiforms, thyroid cartilage, cricoid cartilage, epiglottis |
| what is the epiglottis | flap that covers larynx and protects it |
| faster rate of vibration of the vocal folds produces... | higher pitch (more hertz) |
| greater pressure of air through the vocal folds causes... | greater intensity (loudness) and greater distance for the vocal folds to move when opening and closing |
| what makes the voice sound breathy? | air escapes through the vocal folds, the vocal folds don't close all the way |
| hypernasal | too much air goes through nose |
| hyponasal | not enough air goes through nose |
| what is a voice disorder | abnormal production or absence of vocal quality, pitch and loudness, given individual's ge and gender |
| why account for age and gender when looking at voice disorders? | gender- males have a deeper voice, females have a wider range; age- elderly people speak softer, puberty causes change in the voice |
| symptoms of voice problems | harseness, vocal fatigue, breathy voice, reduced range, aphonia, pitch breaks, tremor, pain and other physical sensations |
| vocal abuse | chronic overuse/misuse of vocal apparatus |
| vocally abusive behaviors | talking in noisy environments, coughing, clearing throat frequently, using caffeine,smoking |
| who's at risk for vocal nodules? | teachers, singers, children, cheerleaders |
| vocal hygiene, ways to protect vocal cords | drink water with caffeine, yell from diaphragm, don't whisper, speak at the level you are supposed to be speaking |
| women: WF vibration/VF size | 220 Hz, smaller size and more stretched out |
| men: VF vibration/ VF size | 120 Hz, larger/longer, more bulky |
| how to make a man's voice sound more feminine? | breathy phonation, lighter/softer voice, more pitch variability, more interjections (um) and hang gestures |