Therapy for Special Populations
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Older Americans | 1 in 8 Americans are 65+, this number is increasing
Going to see more aging voices in out caseloads because of this
🗑
|
||||
| Adults Seeking Tx | Adults 70+ are 2.5 times more likely than those under 70 to be diagnosed with a voice disorder
🗑
|
||||
| Presbyphonia | The clinical condition of elderly patients presenting to the ENT with gradual weakening of the voice
🗑
|
||||
| Laryngeal Signs in Presbyphonia | - Mild bowing of VFs
- Anteriorly placed glottal gaps
- Prominent arytenoid cart. vocal processes
- VF edema
- Asymmetry of VF vibration
- Predominant open phase
🗑
|
||||
| Auditory-Perceptial Features of Presbyphonia | - tremor
- Hoarseness
- Breathiness
- Voice breaks
- Decreased loudness
- Slow speaking rate
- change in habitual pitch
🗑
|
||||
| Acoustic Features of Presbyphonia | Increased F0 in males, decreased in females
Decreased SPL (sound pressure level)
Increased noise-to-harmonics ratio
Inconclusive findings on jitter and shimmer changes
🗑
|
||||
| Management of Presbyphonia | 1. Laryngoplasty
2. Thyroplasty
3. Voice therapy
🗑
|
||||
| Voice Disorders in Children | Hard to determine due to methodological limitations
about 7.5 million children have some level of dysphonia
Childhood dysphonia has an adverse effect on listener's perceptions of child
🗑
|
||||
| Educational Risks in Children with Voice Disorders | - Difficulty being heard
- Limited participation/public speaking
- Fear of oral reading
- Fear of interpersonal interactions
- Limited participation in music ed
- Reluctance to participate in activities
- Hinderance of academic goals on peers
🗑
|
||||
| Treating Vocal Hyperfunction in Children | Hyperfunction has the ability to jeopardize function in classroom
Behavioral tx is effective in either reducing size of nodules or eliminating them
Prevention programs are effective
🗑
|
||||
| Barriers to School-Based tx for Voice Disorders | - Restrictions for qualifying for services
- Hard to obtain laryngoscope exams
- Lack of parental/physician follow ups
- Lack of resources in rural areas
- Lack of education in staff
- Need for better IP comm. between SLP and others
🗑
|
||||
| Role of School-Based SLP in voice | Some students fail to get school-based services because of a lack of educational impact, but receiving services is not conditional upon academic performance
🗑
|
||||
| Service Delivery Options | - Pull out
- Collaborative method
- Consultative method
- Individual
- Small-group
🗑
|
||||
| Voice Goals for IEPs | - Awareness/discrimination
- appropriate respiration
- Relaxation strats
- Use of appropriate voice quality
- Understand oral mechanism
- Use appropriate non-verbals
- appropriate resonance, onset of voice, pitch/loudness/rate
- Vocal hygiene
🗑
|
||||
| Vocal Hygiene | Identify vocal abuse
Explore alternative methods
Increase water intake
Decrease coughing and throat clearing
Quiet-time at home
🗑
|
||||
| "Just Right" voice | Incorporate the just right voice idea in therapy, school, and home
Child identifies just right voice qualities
Just right voice goals book given to child and everyone establishes goals
🗑
|
||||
| VFAs for Nodules in Children | Relaxation
Yawn-sigh
Chant Talk
Focus
Open Mouth
Respiration Training
Inhalation phonation
🗑
|
||||
| Areas to focus on in TG Voice therapy | Vocal characteristics
Resonance/articulation
Language and nonverbals
Self-perception and QoL
🗑
|
||||
| Voice Features of Focus for MTF Clients | Increased pitch
Upward intonation
Slightly breathy vocal quality
Slightly lighter voice onset
🗑
|
||||
| Resonance or Arctic Features for MTF Clients | Increasing formant frequencies
Forward Tone focus
Prolonged vowels
Increased consonant precision
Light articulatory contacts
More fluent articulation (less choppy)
🗑
|
||||
| Language Feats for MTF clients | Increased use of tag questions
Increased used of adjective/verbs
Increased use of hedges
Increased emotionality
Increased details
🗑
|
||||
| Selp-perception and QoL for MTF clients | Acceptance of their new voice/speech are not the only factors
Nonverbal behaviors including physical appearance, are equally as important
🗑
|
||||
| Phonosurgery for FTM clients | Type III Thyroplasty: shortening of the anterior-posterior length of the thyroid cartilage
May result in lowering the F0 by about 100 Hz
🗑
|
||||
| Psychosocial Issues | Need to address
- Gender attribution and discrimination
- Nature/nurture controversy
- Shame and guilt
- "coming out"
- Struggles of partners and family
- Employment
🗑
|
||||
| Measuring QoL in TG Clients | Transsexual Voice Questionnaire for MTF Transsexuals (TVQ)
- self evaluation designed for use with TG women
- Measures their experience with their voice
- 30 items with a 4-point scale for responses
🗑
|
||||
| Therapy for the TG Client | Clinician should consider
- Clients needs
- Biological constrains
- Access to therapy
- Goal -sequencing
- Transfer and maintenance
Groups and individual therapy can be used
🗑
|
||||
| VFAs for TG Clients | Auditory feedback
Change in loudness
Counseling
Focus
Pitch Inflections
Visual feedback
Yawn-sigh
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
jessicawalker
Popular Speech Therapy sets