Voice Ch. 8 Word Scramble
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| Term | Definition |
| 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 |
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jessicawalker
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