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Biological Functions of Larynx
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Voice

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Biological Functions of Larynx - aids the airway - closure of valves (birth, bowel movements, lifting heavy loads, coughing)
Functions of the Larynx Biological Protective Emotional Speech
Protective Functions of the Larynx Closure of airway during swallowing - upward movement of the larynx - closure of vocal folds and aryepiglottic folds
Emotional Functions of the Larynx Expression of emotions - vertical position of the larynx - relative relaxation of vocal folds - relaxation of pharyngeal and tongue muscles
Speech Functions of the Larynx - voicing - suprasegmental phonation
suprasegmental phonation characteristics that don't have to do with the speech units themselves (prosody)
Prosody qualities that provide speech with its melodic character - intonation - loudness - stress/duration - rate
Types of Voice Disorders -Organic -Neurogenic -Psychogenic -Muscle Tension Dysphonia
Organic Voice Disorders -structural deviations of the vocal tract -diseases of the vocal tract structures
Neurogenic Voice Disorders -originating in the brain -impairments of the muscle control and innervation of the muscles of the vocal tract -ex: Parkinsons
Psychogenic Voice Disorders -emotional or psychological trauma resulting in voice changes -no vocal fold pathologies
Muscle Tension Dysphonia -vocal hypertension: excessive effort in phonation -no vocal fold pathologies
Management & therapy of voice disorders no cookbook approach because everybody's different
Team Members in Treatment of voice disorders SLP Otolaryngologist or ENT Primary physician Teachers Coaches Singing coach Parents Psychologists
Respiratory System Functions -aids in gas exchanges (oxygenation of blood & removal of CO2 from body) -sound production (movement of air past vocal folds) -protection (prevention of & removal of contaminants from entering system) -humdification and warming of air as it enters syst
Trachea -16-20 horseshoe shaped cartilage rings -flexible but rigid to allow bolus through
Lungs bronchi bronchioles (1mm or less in diameter) terminal bronchioles alveoli (gas exchange occurs)
Ribcage 12 pairs manubrium sternum xiphoid process cartilage: elastic
Respiratory Anatomy Pharynxes Laryngeal Area Trachea Lungs Ribcage
Muscles of Respiration -Muscles of Rib Cage -Thoracic Muscles -Neck Muscles -Diaphragm -Muscles of Abdominal wall -Muscles of Respiration
Muscles of Rib Cage Internal intercostal muscle External intercostal muscle
External intercostal important for breathing in & breathing out
Thoracic muscles (muscles of rib cage wall) used for inspiration and expiration
Muscles of Rib Cage Wall neck muscles
Diaphragm main muscles of inspriation/expiration -dome shaped -divides thorax and abdomen -anterior attachment: sternum -lateral attachment: ribs/costal cartilages -posterior attachment: spinal column
Muscles of Abdominal Wall -Rectus abdominis -external oblique -internal oblique -transversus abdominis
Muscles of Respiration -diaphragm -muscles of rib cage wall - neck muscles - thoracic muscles - rib cage muscles - muscles of abdominal wall
Expiration -no muscles - only passive forces generated by RECOIL and ELASTIC properties of the lungs and muscles of rib cage as they return from an inflated state to a resting position -torqueing forces
torqueing forces something somewhat rigid is turned and brought back to resting position
Movement of air through system -movement of air accomplished because of pleural linings and muscle action - lungs cling to thoracic cavity because of the linings - lungs are forced to expand and recoil as volume of thoracic cavity changes during breathing
plurae continuous linings made up of elastic and fibrous tissue - visceral pleurae - parietal pleurae
visceral pleurae lungs
parietal pleurae thorax
pleural cavity potential space filled with pleural fluid
Boyle's Law Foe a given mass, at a constant temperature the pressure volume remains constant -increase pressure decrease volume
Inspiration -active forces (diaphragm & external intercostals) -decrease of intrapulmonary pressure -increase volume of thoracic cavity -visceral pleura clings to parietal pleura -lungs expand with visceral pleura -air is taken in
Muscles of inspiration External intercostal muscles (contract, increasing thoracic volume)
Diaphragm (does what for inspiration?) flattens as it contracts to increase the height of the thoracic cavity
Diaphrahm muscle of inspiration muscle for forced expiration (singing, prolonged speaking)
Passive forces of expiration -elasticity properties of lungs & rib cage -recoil properties of lungs and thoracic cage
Passive expiration -Decrease volume of thoracic cavity -Increase intrapulmonary pressure -Air is expelled
Inspiration - Sequence of Events Inspiratory mus.contract(diaphragm descends;rib cage rises) thoracic cavity volume increases lungs stretched;intrapulmonary volume increases Intrapulmonary pressure drops Air flows into lungs down its pressure gradient until intrapulmonary pressure is
Expiration - Sequence of events -Inspiratory muscles relax -Thoracic cavity volume decreases -Elastic lungs recoil;intrapulmonary volume decreases -Intrapulmonary pressure rises (to +1mm Hg) -Air (gases) flow out of lungs down its pressure gradient til intrapulmonary pressure is 0
Ventilation (Breathing) -active inhalation -passive exhalation
Inspiration - Forceful Breathing Contraction of accessory muscles Extra Expansion of thorax Extra air inflow
Expiration - Forceful breathing Contraction of abdominal muscles/internal intercostals abdominal contents move up diaphragm moves up
Tidal Volume amount of air inspired/expired during a typical respiratory cycle
Inspiratory reserve volume (IRV) maximum volume of air that can be inspired beyond the end of a tidal inspiration
Expiratory reserve volume (ERV) maximum volume of air that can be expired beyond the end of a tidal expiration
Residual volume (RV) volume of air that remains in lungs after a maximum expiration
Inspiratory capacity (IC) maximum volume of air that can be inspired
Vital capacity total amount of air that can be inspired
Functional residual capacity (FRC) volume of air contained in lungs at end of resting tidal exhalation
Total lung capacity (TLC) Total volume of air in lungs after maximum inspiration
Power for normal speech is achieved by passive elastic & recoil forces of respiration -lung tissue elasticity -gravity -visceral recoil -rib untorquing
muscle action needed to supply breath power for regular speech none
Amount of air taken in/expelled out for speech same as passive breathing. Difference is amount of TIME spent in taking in air/expelling air out
Quiet Breathing Inhale: 40% Exhale: 60%
Breathing for Speech Inhale: 10% Exhale: 90%
Sustained Voicing lung volume/alveolar pressure relationship changes
Speech vs quiet breathing speech requires much more muscular control in order to sustain the correct pressure over the long vocalisations -if there is no muscular control, air is released too quickly
How is pressure/air flow maintained -flow of air out of the lungs is braked by using the inspiratory muscles to keep lung volume high and slow the rate of expiration -upon reaching resting expiratory volume, the expiratory muscles are used to push air out until the end of the utterance.
braked use of checking action
Difference between speech and sustained voicing -temporal and stress patterns require a change in sub-glottal air pressure in speech -changes in glottis & vocal tract affect airflow and pressure
Functions of Laryngeal System -Breathing -Valving action to permit stoppage of airflow -Protection of airway from food/liquids during swallowing -Protection of airway from foreign infiltrates -Fixing thorax during activities that require high abdominal pressures
Cartilages rubbery, fibrous, dense connective tissue
Laryngeal Cartilages -epiglottis -hyoid bone -thyroid cartilages -cricoid cartilages -arytenoid cartilages -corniculate cartilages
Hyoid Bone Horseshaped bone -does not join to any other bone -ligaments and cartilage support the bone
Thyroid Cartilage -Adam's apple -anterior & lateral walls of the larynx -2 approximately quadrilateral plates joined anteriorly at an angle
Where the plates come together thyroid cartilage
Epiglottis -leaf-shaped cartilage -posterior to tongue -retroflexion during swallowing -prevents aspiration and penetration
Cricoid Cartilage -most inferior portion of larynx -ligaments on inferior surface attach to first tracheal cartilage -thin in front, large in back
Arytenoids -pair of small pyramid shaped cartilages -upper border of the cricoid cartilage at the back of the larynx
2 processes of Arytenoid cartilages Muscular process Vocal process
Muscular process laterally directed -attachment for intrinsic larygneal muscles that cause arytenoid cartilage to rock, rotate & slide on cricoid cartilage
Vocal process -anteriorly directed -posterior attachment for vocal ligament & vocalis muscle
Extrinsic Laryngeal Muscles primary functions support of larynx fixing larynx in position use in high & low pitches
Extrinsic Laryngeal Muscles attachment one muscle attachment to the larynx and another attachment to structure external to larynx -muscles are either elevators or depressors
laryngeal inlet passageway into larynx
Laryngeal Cavity parts -false vocal folds -true vocal folds -ventricular space -glottis -supraglottal space -subglottal space
Ventricular space space between the false & true vocal folds
glottis space between the vocal folds
supraglottal space space above the glottis
subglottal space space below the glottis
Intrinsic Laryngeal Muscles primary function abduct (open) and adduct (close) the vocal folds -both attachments are within larynx
Posterior Cricoarytenoids -only muscle of abduction Origin: posterior surface of cricoid cartilage Insertion: Arytenoids Function: abduction
Largest laryngeal intrinsic muscle Posterior Cricoarytenoids
Lateral Cricoarytenoid Muscle Origin: cricoid cartilage Insertion: arytenoids Function: adduction
Transverse Arytenoids -across Origin: Arytenoids Insertion: Opposite Arytenoids Function: Adduction
Oblique Arytenoids -crossover Origin: Arytenoids Insertion: Opposite arytenoid Function: adduction
Thyromuscularis Origin: Thyroid cartilage Insertion: Muscular process of arytenoid cartilages Function: phonation (voicing)
Thryovocalis Origin: Thyroid cartilage Insertion: Lateral surface of vocal process of the arytenoid cartilages Function: Phonation
Thyroartenoid muscles Thyrovocalis Thyromuscularis
Cricothyroid muscle Glottal tenser -origin: cricoid cartilage -Insertion: Thyroid cartilage -Function: Pitch control, vocal fold tensor
Myoelastic-Aerodynamic Theory of Phonation (1) Vocal folds are in closed position. Subglottal pressure increases relative to supraglottal pressure. The increased subglottal air pressure causes vocal folds to separate on inferior border. Column of air pressure continues to move from inferior border to
Myoelastic-Aerodynamic Theory of Phonation (2) superior border. When abducted, the velocity of airflow between the vocal folds increases and the pressure between the vocal fold decreases. Decreased air pressure, coupled with elastic recoil of the vocal folds, causes them to move back toward midline.
Myoelastic-Aerodynamic Theory of Phonation (3) The vocal folds approximate first on inferior border and then superior border, eventually abducting
Bernouilli Effect Given a constant volume flow of air, at a point of constriction there will be a decrease in air pressure perpendicular to the flow and an increase in velocity of the flow
Phonatory Cycle (closed-open-closed) -myoelastic and aerodynamic forces -cycle is repeated approximately 125 times/second Males: 125 Hz or 225 times/second Females: 225 Hz
Cover-Body Concept Vocal folds have 3 layers -epithelium -lamina propria -vocalis muscle
lamina propria layers superficial intermediate deep
Cover layer of vocal folds epithelium and superficial lamina propria
Transition layer of vocal folds Intermediate and deep layers of lamina propria
Body of vocal folds vocalis muscle
Cover-Body Concept -different stiffness levels of each layer - loosely adherent cover - stiff, supportive underlying vocal ligament - underlying, stiffer bulky muscle -mucosal wave
mucosal wave wave travels in a front-to-back or medial-to-lateral pattern
Cover-Body Concept accounts for mass and stability provided by the stiffer layers over which the more compliant and flexible layers oscillate -varied vibratory patterns exist because of different stiffness levels of different layers depending on what pitch we are doing
Vocal Register differences in modes of vocal fold vibration which result in a perceived change in voice quality
modal register -pattern of phonation used for most conversational speech -Women: 150-500 Hz (average 225 Hz) -Men: 80-450 Hz
Glottal fry register -lower register -rough sound -35-90Hz -vocal folds are very loose & floppy
Falsetto (loft) -higher register -thin sound -vocal folds are thinned along edges, stiff, long -minimal posterior vibration, rapid anterior vibration -vocal folds make brief contact
Epithelium Composition: Elastin fibers Function: air passes with minimal friction
Superficial layer - lamina propria Composition: Elastin fibers Function: Stretching is allowed; vocal folds can be thinned out along the edge
Intermediate layer - lamina propria Composition: elastin fibers & collagen fibers Function: stretching is allowed but only in certain directions
Deep layer - lamina propria Composition: Collagen fibers Function: Stretching is prohibited
Vocalis muscle Composition: muscle Function: bulky, supportive
Body Cover Epithelium Superficial layer - lamina propria Intermediate layer - lamina propria Deep layer - lamina propria Vocalis muscle
Pitch quality of sound determined by fundamental frequency of sound waves -Perceptual correlate of fundamental frequency -no acoustic analysis
Fundamental Frequency number of vibratory cycles of the vocal folds in one second (Hz) -Males average: 125 Hz -Females: 225 Hz
phonational range range of frequencies that a person can produce
Factors that affect pitch and fundamental frequency length tension and mass of vocal folds -subglottal air pressure
high pitch increase length increase tension decrease mass per unit length -faster vocal fold vibration
Low pitch Decrease in length Decrease in tension Increase in mass per unit length -Slower vocal fold vibration
Muscles of Pitch -Vocal fold tensors -vocal fold relaxer
Vocal fold tensors Cricothyroid muscle Thyrovocalis
Vocal fold relaxer thyromuscularis
Loudness -perceptual correlate of intensity -quality of voice related to changes in subglottal and transglottal air pressure drops
SPL sound pressure level of an utterance average SPL levels: 70-80dB
Dynamic range range of vocal intensities that can be produced (50-115dB)
Factors that affect loudness/intensity -subglottal pressure -medial compression of vocal folds -duration of vocal fold closure -degree of vocal fold opening
Loud voice increase vocal fold closure increase medial compression increase subglottal pressure increase degree of vocal fold opening
Factors that affect vocal quality tension of vocal folds mass per unit length medial compression subglottal pressure physical symmetry resonant characteristics
Vocal Quality -quality of voice is hard to measure ovjectively -quality of one's voice
Subjective nature of vocal quality breathy strained rough hoarse harsh
hoarse strained + rough + breathy
harsh strained and rough
monopitch Perceptual characteristics: lack of variation in pitch during speech
Inappropriate pitch Perceptual characteristics: pitch that is beyond the range of acceptable pitch for age or sex Acoustic Signs: mean Fundamental Frequency beyond acceptable values given age or sex
Pitch breaks Perceptual characteristics: uncontrolled sudden shifts of pitch Acoustic Signs: rapid shifts of Fundamental Frequency
Reduced pitch range Perceptual Characteristics: inability to produce the typical or expected pitch range Acoustic Signs: reduced range of frequencies
Pitch problems Monopitch Inappropriate pitch Pitch breaks Reduced pitch range
Loudness problems Monoloudness Loudness variation Reduced loudness range
Monoloudness Perceptual Characteristics: lack of variation in loudness level Acoustic Signs: reduced amplitude variation
Loudness Variation Perceptual Characteristics: extreme variations in loudness for a given setting Acoustic Signs: rapid shifts in amplitude range
Reduced loudness range Perceptual Characteristics: lack of range in loudness level during speech Acoustic Signs: reduced dynamic range
Vocal Quality problems breathy hoarse strained rough harsh
Breathy - Perceptual Characteristics -Continuous airflow during voicing -reduced loudness -lack of clarity in tone
Breathy - Acoustic Signs -spectral noise -reduced maximum phonation time -restricted phonation range -restricted dynamic range -airflow through glottis
Hoarseness - Perceptual Characteristics -roughness -continuous airflow during voicing -reduced loudness -lack of clarity in tone; noisy
Hoarseness - Acoustic signs -spectral noise -reduced maximum phonation time -restricted dynamic range -restricted phonation range
Strained -vocal tension -increased loudness
Rough Reduced clarity in tone Unpleasant sounding
Harsh a 'hard edge' to voice; hard glottal attacks -muscle tension -strained rough quality
Resonance problems Hypernasal Hyponasal
Hypernasal -nasal quality to voice -"tinny" sounding... not a lot of depth to it
Hyponasal can't talk at all with their nose sounds plugged up
Structures of resonance system oral cavity nasal cavity pharynxes
Function of Resonance system Gives the voice full, rich, quality
Central Nervous System Cerebral Hemisphere Thalamus Basal Ganglia Cerebellum Spinal Cord
Peripheral Nervous System Cranial Nerves Spinal Nerves
Frontal Lobe Functions Motor cortex -initiation, planning, execution of movements -speech/voice programming (Broca's area) -inferior frontal gyrus -descending motor pathways (help with movement)
Central Sulcus divides frontal/parietal
Functions of Parietal Lobe primary and secondary somatosensory areas -tactile -pain -temperature -proprioceptive function -integration of general somatosensory information
Proprioceptive function body sense, position, and space
primary somatosensory areas takes information in
secondary somatosensory areas fine tune information coming in
Functions of Temporal Lobe -primary auditory area -discrimination of sound -Wernicke's area -auditory comprehension (receptive language) -making sense of sound
primary auditory area Heschl's gyri
2 types of motor pathways direct activation pathways indirect activation pathways
Direct Activation pathway Gets from one stop to another with no stops in between -voluntary motor activity - movements generated by cognitive activity - skilled, discrete, and rapid movements
Projection Fibers -Corona radiata (radiating crown) -Internal capsule
Proejction Fibers Information is getting funneled into the brain stem from the corona radiata and fibers become known as the internal capsule
Direct Activation Pathways Lateral Corticospinal Tract Corticobulbar Tract
Lateral Corticospinal Tract known for movement of the limbs
Corticobulbar Tract known for movement of the face & neck
Direct Activation Pathways control voicing/phonation resonance speech -skilled, discrete and rapid movement -generated by cognitive ability
Indirect Activation Pathways -make several synapses throughout brainstem -reflexive, automatic activities not controlled by cognition -contribution to speech/voicing is unknown
Thalamus deep innermost structure
General Functions of the Thalamus -all sensory pathways synapse in it -several motor pathways travel through it -sensory-motor information is processed
Surrounds the thalamus Basal Ganglia
Structures of the Basal Ganglia -caudate nucleus -putamen -globus pallidus -substantia nigra -subthalamic nucleus
Striatum caudate nucleus + putamen -identical cell types, neurotransmitter systems
Pathways of Basal Ganglia either excitatory or inhibitory -requires balance among neurotransmitters (acetylcholine, dopamine, GABA)
Neurotransmitters Electrochemical signals - action potentials (electrical) - neurotransmitters (chemical)
neurons convert elctrical signal into chemical signal at the axon terminal
Basal Ganglia Functions -Modulation of movements made possible by various neurotransmitters -speech/voicing (modulation of speech & voicing) -helps with intensity or rate etc.
Cerebellar Function -motor learning -coordination of the timing and force of muscular contractions
Cerebellar Functions Role in Speech -coordination of muscles for voicing -modification of planned and ongoing speech movements -feedback to sensorimotor cortex -has flexibility to alter activity while it is being done
Cerebellum gets info from cortex via pons, then sends it out to cerebral cortex with a pit stop in the thalamus
Corticobulbar Tract origin: sensorimotor cortex Pathway: corona radiata, intertnal capsule, cerebral puduncle Destination: motor nerve nuclei in brainstem
Corticobulbar tract controls voicing/phonation resonance speech swallowing
Cranial nerves IX, X, XII Cranial NErves that have the most important impact on speech, swallowing and voice
Major Components of Brainstem -Midbrain, pons, medulla -cranial nerve nuclei -long ascending and descending fiber tracts -cerebellar pathways & circuits -reticular formation
important in staying awake reticular formation
Cranial Nerves 12 pairs numbered according to where their nuclei lie in the brain stem -motor, sensory, or both
CN IX Glossopharyngeal Nerve
CN IX Origin: posterior 1/3rd of tongue Course: nucleus solitarius and thalamus Termination: sensory cortex
CN IX synapses in nucleus solitarius (medulla area) processed in sensory cortex (parietal lobe)
Glossopharyngeal NErve Functions taste and general sensation -gives us sensory information about the posterior 1/3rd of the tongue
Glossopharyngeal Nerve structures innervated -posterior 1/3rd of tongue, pharynx, soft palate, middle ear, faucial pillars
Checking action Process in which you let air out during the speech act you are using muscles to restrain the airflow. You are checking the flow of air out of your inflated lungs by the use of inspiratory muscles
If you have more to say before you inhale again you are speaking on expiratory reserve volume
Sustained voicing and speaking on expiratory reserve volume takes energy to overcome normal recoil forces
Auditory Comprehension Sound Discrimination Temporal Lobe
Initiation of Voluntary movements Speech programming Frontal Lobe
Proprioceptive information Tactile information pain sensory processing parietal lobe
Motor Coordination Cerebellum
Modulation of movements through balance of neurotransmitters Basal Ganglia
Fan-like mass of fibers that originate in the cerebral cortex and proceed down toward the brain stem Corona radiata
Direct activation pathway originates in the cerebral cortex, courses through internal capsule or brainstem and ends at the brainstem
What are the 5 basal ganglia nuclei? -subthalamic nucleus -substantia nigra -globus pallidus -caudate nucleus -putamen
How does the basal ganglia's influence on movement differ from the cerebellar's influence on movement? -Cerebellum: coordination of fine motor movements, receives feedback from cerebral cortex and modifying act as speech is being executed Basal Ganglia: modifies or shapes movement patterns via neurotransmitters
the primary muscle responsible for change of vocal fundamental frequency cricothyroid
space between the vocal folds glottis
governs voluntary action frontal lobe or cerebral cortex
responsible for coordinating movement cerebellum
the sense of muscle and joint position proprioceptive function
information directed toward the brain efferent (sensory)
information directed from the brain afferent (motor)
includes the cerebrum, cerebellum, subcortical structures, brainstem, and spinal cord central nervous system
includes the 12 pairs of cranial nerves and 31 pairs of spinal nerves and sensory receptors peripheral nervous system
Created by: krdekkers
 

 



Voices

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