CSD 306K Lecture Notes - Lecture 21: Phoneme, Premaxilla, Neurology

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Endoscopy:*Visualizing*the*vocal*folds*or*swallow*in*real*time*
**
Stroboscopy:*Mechanism*on*the*camera*that*picks*up*the*vibration*rate*and*then*flashes*the*lights*at*a*
slower*rate*so*you*can*see*the*vocal*folds*move*at*a*slower*time*
o Best*devices*to*see*what*is*going*on*with*the*vocal*folds*
**
VisiPitch:*not*an*imaging*technique*
Is*a*voice*analyzer*
High*tech*microphone*that*is*hooked*into*a*computer*program*that*will*analyze*different*
components*of*the*voice*to*determine*what*voice*problems*would*be**
**
Voice*Therapy*-*Direct*Voice*Therapy*
*****-*Indirect*Voice*Therapy*
**
Indirect*Voice*Therapy*
Education*is*the*main*focus*
Increase*knowledge*of*normal*vocal*anatomy*and*physiology*
Increase*voice*care/vocal*hygiene*
o Increase*awareness*of*potentially*traumatic*vocal*behaviors,*and*provide*alternatives.*
o Minimize*shouting/yelling*
o Minimize*whispering*
o Minimize*caffeine*and*alcohol,*as*they*are*diuretics*
o Minimize*coughing*and*throat*clearing*
o Minimize*grunting*or*vocalization*during*exercise*
o Do*not*compete*vocally*with*noisy*exercise*
o Eliminate*tobacco*use*and*exposure*to*second-hand*smoke*
o Conserve*the*voice*during*periods*of*excessive*fatigue*and*stress*
o Minimize*laryngopharyngeal*reflux*through*behavioral*and*or*dietary*modifications*
o Keep*hydrated*by*drinking*at*least*8*glasses*of*water*per*day*and*1*addition*glass*for*every*
serving*of*caffeine*or*alcohol*consumed.*If*needed,*consider*use*humidifiers,*steam*inhalers,*
or*both**
o All*behavioral*changes*that*you*can*do*that*wont*change*the*way*you*speak*
**
Direct*Voice*Therapy*
Changing*patient's*maladaptive*speaking*pattern*is*main*focus*
Typically*requires*1-2*therapy*sessions*per*week*for*approximately*6-8*weeks*
Direct*Methods*include:*
o Boone's*Facilitating*Techniques**
o Vocal*Function*Techniques*
o Resonant*Voice*Therapy**
o Confidential*Voice*Therapy*
Often*see*more*among:*
o Singers*
o Teachers*
**
Voice*Therapy*
Hygienic**
Symptomatic*
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Document Summary

Endoscopy: visualizing the vocal folds or swallow in real time. Is a voice analyzer: high tech microphone that is hooked into a computer program that will analyze different components of the voice to determine what voice problems would be. Increase knowledge of normal vocal anatomy and physiology. If needed, consider use humidifiers, steam inhalers, or both: all behavioral changes that you can do that wont change the way you speak. Direct voice therapy: changing patient"s maladaptive speaking pattern is main focus. Typically requires 1-2 therapy sessions per week for approximately 6-8 weeks: direct methods include, boone"s facilitating techniques, vocal function techniques, resonant voice therapy, confidential voice therapy, often see more among, singers, teachers. Symptomatic: dealing with the problem in the moment, physiologic, how to adapt with your speech problem all together. Structures forming roof of mouth and face begin grow closely, and if undisturbed, will unite to form palate and lip: process complete ~ 9 weeks.

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