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VFAs

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Term
Definition
1: Auditory Feedback   Real-time amplification Looping playback of what was just said Delayed auditory feedback Masking Metronome - Should be immediate  
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2: Change of Loudness   Decreasing loudness, increasing loudness, increasing variability Children: develop awareness of different voices Adults: discuss perception of loud and soft speakers LSVT Auditory & Visual feedback helps  
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3: Chant Talk   Smooth and connected with no breaks between words Evaluated pitch, prolonged vowels, lack of syllable stress, softening glottal attack  
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4: Chewing   For those who speak like ventriloquists Video feedback Model exaggerated chewing Often used with open-mouth approach  
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5: Confidential Voice   Voice not loud enough to awaken someone sleeping nearby Increases breathiness, sloe speaking rate Temporary use oral reading and through hierarchy of speaking tasks  
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6: Counseling   Educate pt about normal voice and voice disorders Explore pts reaction to his or her voice Explore factors which ay be causing an unhealthy voice Know when to refer to mental health professionals  
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7: Digital Manipulation   Nudging thyroid cartilage inward to shorten VFS Nudging thyroid cartilage to decrease tension Gently pushing thyroid wall to approximate VFs (VF paralysis)  
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8: Elimination of Abuses   Identifying vocal abuses with checklist Educate patient about continued misuse and abuse  
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9: Establishing new pitch   Best pitch produced with least amount of physical and cognitive effort Best loudness and quality Patient may have more than one habitual pitch  
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10: Focus   Good focus is in middle of mouth above just above the tongue High and forward sounds thin and babylike - practice posterior sounds Low and posterior - practice anterior sounds Low vertical - practice nasals  
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11: Glottal Fry   Relaxes VFs and reduces hyperfunction Have patient phonate /i/  
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12: Head Positioning   Alternate head positioning changes resonance characteristics of the vocal tract Used with other VFAs Use vowel stimuli  
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13: Hierarchy Analysis   Expose pt to situations which cause the most-least anxiety and worst-best voice Tx begins by recaptioning those situations that produce best voice Help client generally good voice to anxiety inducing situations  
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14: Inhalation phonation   Best taught via modeling, elevate shoulders during inhalation Model exhalation voice that matches inhalation voice Once patient masters that model a lower pitch on exhalation  
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15: Laryngeal massage   Used with patients suffering from puberphonia, MTD, VF paralysis  
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16: Masking   Works well with severely dysphonic or aphonic patients Masking using speech frequencies Pt produces voice for 10 seconds without masking then with masking for 10 seconds Record change in voice during masking and play it back  
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17: Nasal/Glide stimulation   Using nasal and/or glide sounds often facilitates easy voice onset and maintenance Incorporated into any approach requiring voice production  
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18: Open Mouth   Voice produced with open mouth has better quality, louder, more resonant Visual feedback is key Vowel sounds are good stimuli Used with Focus  
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19: Pitch Inflections   Auditory feedback is important Practice upward and downward pitch inflections Once mastered at single-word level, progress through hierarchy Often used with change of loudness  
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20: Redirected phonation   Use vegetative voicing to establish phonation Cough, gargle, hum, laugh, sing, trilling, um-hmm  
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21: Relaxation   Establish total body relaxation Mental imagery is important Biofeedback helps  
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22: Respiration Training   teach the concept of breathing as it relates to voice production  
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23: Tongue protrusion   Helps to reduce laryngeal tension, protrude tongue comfortably and produced sustained /i/ at a higher pitch, eventually lower pitch  
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24: Visual feedback   Self explanatory  
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25: Yawn-sigh   Yawn and sigh are produced with maximum widening of supra glottis and gentle glottal attack Model Produce vowels preceded by /h/ Progress to natural voice production  
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Created by: jessicawalker
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