Isis Castro – Mónica Muñoz

Second unit summary

Symptomatic exercises of non-locutionary parameters

Posture exercises

Look in front of a mirror The patient must stand in front of a mirror, while the
therapist corrects the posture.

Contact points in matt Patient lying on a mat and recognizing, with the help of the
therapist, each point of contact on his body

monkey pose Patient must simulate the posture of a monkey to…

Dynamics with a partner Standing facing each other, one hits the other's hands
trying to destabilize him. To do this, the other must place
his feet firmly on the ground to avoid falling.

Resistance as a couple We walk and the other person has to resist our step, trying
to destabilize us, and we have to try to return to the center
axis, avoiding imbalance.

muscle release You begin by walking and becoming aware of your entire
body and thus trying to take an appropriate posture. You
can see where the most tension occurs in the feet, knees,
hips, chest, neck, shoulders, armpits, and hands.

Relaxation for body posture Position yourself in a squat position, letting all your body
weight fall: 1- squatting position, bending your head
towards your chest; 2- squatting position bending the head
towards the chest emitting /m/; 3- squatting position
bending the head towards the chest emitting /m/.

Muscle tone exercises

Segmental relaxation Movements of the head, neck, arms, etc. are made.

Laryngeal massages Massages are performed on the extrinsic muscles, which

can be with cream or heat.

Rag monkey Patient stands and little by little he transforms into a rag
monkey, first the head, arms, trunk, etc.

Freschel Instruct the patient to chew in a relaxed manner, with the

mouth open, in an exaggerated manner and acting as if
moving a candy inside the mouth, with exaggerated lingual
 Isis Castro – Mónica Muñoz

movements, then indicate this same chewing movement by

emitting the phoneme /m/.

Ball massage at the base of As a third corporal exercise, an activity is carried out with a
the feet. ball, in which the students stand in an upright position on
the Mat and must pass the ball through different parts of
the foot, such as the external and internal sides of the foot,
metatarsal, heel, arch.

Respiratory exercises

Awareness with elastic The therapist positions elastic bands at the level of the
bands abdomen, so that the patient can move them when
inhaling.

Raise awareness by Patient sitting in front of a mirror should take into account
looking in a mirror not raising the shoulders while inhaling.

Lying on the matt and lifting Patient lying on the mat, a book is placed in the abdominal
weight area, or anything that is heavy but can be mobilized, so that
when he inhales he can lift it.

Relaxed throat breathing The patient takes a “relaxed breath and throat” keeping the
tongue on the floor of the mouth with the lips gently closed
and releasing the jaw. The patient should put their hands
on the abdomen to feel it expand on inhalation and when
exhaling, release the air with a soft /s/ with abdominal
support.

Blowing boats in the water For smaller patients, work on breathing in a more playful
way

Keep going while I blow For smaller patients. You must blow on a ping pong ball to
make it move along a path.

Long and short inspirationsThe person must be standing and must:

- inhale long and exhale long
- inhale long and exhale short
- inhale short and exhale long
- inhale short and exhale short
now you must:
- Inhale briefly and exhale for 5 seconds one /s/
- Inhale briefly and exhale one /s/ for 10 seconds.
- Inhale briefly and exhale for 15 seconds one /s/.
Positioning in the ventral The person lies on the ventral prone matt (face down):
prone and kneeling matt. - you must breathe calmly 3 times.
- then inhale again and when exhaling you must utter an /s/
 Isis Castro – Mónica Muñoz

and the therapist must apply pressure on your back at the

level of the abdomen.
- Now the person changes position and stands on their
knees, bringing their head to the ground, stretching their
arms, and breathes in and out again.

Positioning of the body in The person should lie on the mat in a supine dorsal position
the dorsal and lateral and remain relaxed and breathe calmly.
supine matt. - then inhale until the stomach is inflated, several times.
- then inhale and exhale, emitting a
/s/, repeat it 3 times.
- You are immediately asked to inhale and exhale but your
abdomen is kept tight.
- The same exercise is repeated but this time the person is
in a lateral position and pressure is placed on the
intercostal muscles.

Respiratory support exercises

Inhale and exhale effortlessly Through the execution of phoneme

emission. For this we will inhale and during
the exhalation in 5 counts we will emit an /s/
or an /f/ without overexerting ourselves or
losing body alignment. This exercise will be
repeated 4 times
Aerial dosing You must inhale and when you are exhaling
you must do it slowly according to the time
indicated by the therapist.

Calling voice You will be asked to say “HEY” in a space,

then the therapist moves away and you
must continue saying the same word,
drawing the attention of the other person.

Staccato or staccato sounds It should emit short or prolonged choppy

sounds.

CFR exercises

horse position The person stands on the mat in a relaxed

 Isis Castro – Mónica Muñoz

position, then positions himself with his legs

as if he were riding a horse.
- To anteriorize, posteriorize and center the
hips, while inhaling and exhaling calmly.

automatic series You must inhale and when you release the
air you must emit an automatic series
requested by the therapist

Texts marked for air intake Breathe in air and when you release it you
must read a text that will have marked
punctuation.

Symptomatic exercises locutionary parameters

Resonance Exercises

fist in mouth Patient puts his fist in his mouth imitating

the sound of a “ship” to feel the previous
resonance

humming Prolonged production of a nasal sound /m/,

performing the chewing movement at the
time of emission.

Finger kazoo Bring your lips together making the sound of

a ship and place your index finger on your
lips making the gesture of silence.

Lingual vibration You should inhale through your nose and

when you release it you should make your
tongue vibrate, without making a sound.

lip vibration You must take air through your nose and
when you release it you must vibrate your
lips, without making sounds.

hand in mouth You must make a sound by placing your

hand over your mouth, the patient must feel
the vibration when the sound is made.

Tongue shift The patient should bring the tongue as far

back as possible, but without detaching it
from the floor of the mouth.
 Isis Castro – Mónica Muñoz

Intensity exercises

Mezza di voce with /z/ Raise and lower the intensity from the
normal tone to the high pitch and lower it to
the low pitch by emitting the sound /z/

Intensity increase with automatic series You must say an automatic series starting
in your voice volume until increasing the
intensity in the last word.

Reading with large and small letters You will be shown a text in which the letters
will increase or decrease in size so that you
can read it.

speak or think loudly You should make your voice louder than
normal.

y-buzz You will be asked to bring your lips together

and, leaving them slightly open, you must
make the sound /y/

confidential voice The patient should make the softest voice

possible, but without whispering since it
should be a hoarse sound.

Calling voice You will be asked to say “HEY” in a space,

then the therapist moves away and you
must continue saying the same word,
drawing the attention of the other person.

Pitch exercises

Ascending and descending glissando You must make a sound starting from your
tone of voice towards the highest pitch and
then go down to the lowest pitch.

Raise pitch with musical scales We use a keyboard, a key will be pressed
and the patient must make a sound as
similar to the musical note they hear.

Lower tone by tone + /u/ The tone of voice must be lowered from
high pitched to a soft voice emitting the u
sound.
 Isis Castro – Mónica Muñoz

Ascending and descending glissando in Perform lax vox exercise with prolonged
prolonged lax vox ascending and descending glissando

Tonal extension exercises

Upload tones with keyboard support Using a keyboard you should make the
sound as close as possible to that heard on
the keyboard.

Keep new tones achieved effortlessly You will be asked to make high-pitched
sounds without making any effort.

Use singing voice A singing voice should be performed during

therapy.

tonal changes Emissions are made throughout the octaves

between modal and falsetto, you can vary
between vowel, consonant or vibratory
sounds.

Glottal coaptation exercises

Ascending glissando + /i/ You must perform an ascending glissando

by making the sound /i/

Ascending glissando + /m/ You must perform an ascending glissando

making the sound /m/

Lax vox with ascending glissando You must blow through the tube making
ascending glissandos

Spaghetti You should inhale through your mouth,

imitating the sound of slurping a noodle.
Lower the larynx

Sniff + /m/ You should inhale through your nose briefly

and quickly and release the air by emitting
an /m/.

Pushing technique Patient sitting in a chair, must put his hands

under his legs and generate counterforce,
at the same time he must speak.

inspirational phonation Phonation is performed on inspiration.

 Isis Castro – Mónica Muñoz

Voiced incomplete swallowing The patient must swallow and a vowel is

pronounced as soon as the tongue is
removed from the palate.

Physiological exercises of non-locutionary parameters

Posture exercises

Proper posture with emission of /s/ While you are performing a phonatory task,
we will correct that you maintain correct
posture. Emission of an /s/

Proper posture sitting on therapeutic ball Sitting on a therapeutic ball you must
maintain your posture and balance

Lax vox in pulse on medicine ball The lax vox exercise should be performed
but the patient should be sitting on a
medicine ball, taking care of their posture.

Correct posture on a mat with the help of a The patient should be lying on the mat at
rolled towel the same time that the therapist places a
rolled towel in the space between the
scapula and the spine.

Muscle tone exercises

Lax vox without sound Blow through the resonator tube

Sniff + /s/ You will be prompted to sniff and then

output an /s/

Voiceless lip vibration You must inhale and when you exhale the
air you must vibrate your lips without
making a sound.

Voiceless lingual vibration You must inhale and when you exhale the
air you must make your tongue vibrate
without making a sound.

Voiceless wave sounds Perform wave vibrations without sounds

Spaghetti You should take a deep breath

 Isis Castro – Mónica Muñoz

Respiratory exercises

Abdominal respiratory type + emission You must breathe in and make a sound
when you breathe out.

Lip buzzing Put your lips together and make a humming

sound

Respiratory mechanism Initiate speech with a larger inhalation

volume than normal, changing the amount
of air during speech, using a little more and
then a little less.

Stacatto lip buzz Do the lip buzz with the emission between
cuts.

Voiceless lingual vibration Perform lingual vibrations during expiration,

after having performed an abdominal
inspiration.

Sniff + /s/ Make sure that when performing the sniff,

there is no elevation of the shoulders and
that it is more abdominal, making an
emission with /s/

Respiratory support exercises

Lax vox + air dosing You must inhale and when you release the
air we use the lax vox tube at times set by
the therapist.

Stacatto + /s/ We must inhale and when we exhale we do

so by emitting an /s/ with staccatos (a
clipped sound).

Prolonged lip vibration It must inspire the PCTE. And when you
release the air you must vibrate your lips for
a long time with each exhalation.

Lip buzzing Put the air behind the moderately closed

lips and generate a lip vibration.

Bibliography
 Isis Castro – Mónica Muñoz

- Farias P. (2007) exercises that restore vocal function. Clinical observations.

AKADIA Publishing House

- Behrman A. Haskell J. Exercises for voice therapy. Translation Ricardo Álvarez

speech therapist.

-------------------------------------------------------------------------------

Third unit summary

Dysphoria exercises for trans woman/trans man

Breathing - Lying down with weights

- hand in jug

- Lying on side

- Fist on the back

- squatting

- Dosing with phonation (TVSO spoken

voice)

laryngeal posture
♀ ♂
- ascending - Descending
glissandos, glissandos

- incomplete
swallowing

- super high
pitched tones

- laryngeal
manipulation

- aspirated /h/

Muscular tone - Jacobson

- Vibration with /r/ sound

- Schultz

vocal tone - Ascending glissandos

 Isis Castro – Mónica Muñoz

- Keyboard with trichords

- Hyperacute

- TVSO

- Vowels /i/ and /u/

- chanted voice

Resonance - voiceless vibrations

- Ascending and descending glissandos

- Hands in triangle on face

- Head down

- humming

Intensity - confidential voice

- mezza di voce with /z/

- marked texts

- TVSO in stacattos

Vocal quality - TVSO with low impedance

- TVSO with high impedance

Prosody - Pacing board

- Accentuation

- Phrases with different inflections

Joint - Overarticulation

- Texts with vowels or consonants

- Tongue twister

Special dysphonias
Abductor spasmodic dysphonia

Breathing - Inspiration with elastic bands and

 Isis Castro – Mónica Muñoz

exhalation in /s/

Muscular tone - segmented Jacobson

Laryngeal tonicity - Sniff + /s/

- Sniff + /b/

Glottal coaptation - Spaghetti + /u/

- Sniff + /s/

Resonance - fist in mouth

Intensity - Call voice in ambient noise

vocal tone - Ascending and descending

glissandos with lip-buzz

- Ascending and descending

glissandos with vibrations

- Laxvox with low impedance

CFR - Reading with marked texts

Adductor spasmodic dysphonia

Perilangeal muscle tone Massage therapy

Laryngeal muscle tone Lipbuzz in pulses

Breathing Elastic bands

Glottal coaptation - Sniff + /s/ and choppy Y-buzz

- Yawn sigh

Resonance - fist in mouth

- humming

Intensity - Buzzing with Mezza di voce

- chanted voice

Respiratory support - Aerial dosing

CFR - Reading text with marked points

 Isis Castro – Mónica Muñoz

phonatory resistance - Long sounds with /b/

- Long sounds with /m/

- laxvox

Adolescent vocal mute

Position - Raise awareness of posture in front

of the mirror

- Vertical alignment

- Contact points in the matt

Muscular tone - Laryngeal and perilaryngeal

massage with mov. Circulars

Respiratory type - Mobilize bag with weight supported

on abdomen

Glottal coaptation - /h/ + words that start with vowels

Resonance - Upload tones with keyboard support

Intensity - Increase with automatic series

vocal tone - Laryngeal descent (thumb and index

finger)

Respiratory support

Tonal extension

childhood dysphonia

Position - footprints in the snow

- Rag monkey

- Move like a robot

Muscular tone - speak like chinese

 Isis Castro – Mónica Muñoz

Respiratory type - Blowing boats in the water or sails

- Move pinpon balls on a track

- Name objects with an inspiration

- Mobilize balloon supported on

abdomen

Glottal coaptation -

Resonance - cow sound

- Talking on the phone with glass

Intensity - imitate animals

vocal tone - Speak cetacean

- Imitate instruments

Prebisphony

Position - seated patient massages himself

with a ball hoping to correct his
posture

- replacement base stabilization

- postural modeling

Muscular tone - chanted voice

- Laxvox low impedance

- Lingual or labial vibrations

- /vsy/ sound in pulses

Respiratory type - Inspiration and expiration sound /ts/

pulses

Glottal coaptation - Ascending glissandos with

staccato /i/

- Emission of the PATAKA syllables

 Isis Castro – Mónica Muñoz

repeatedly

Resonance - humming

- Finger kazoo

- Tvso with water

Intensity - Reading with large letters

- Speak and think loudly

- Voice Mezzanine

vocal tone - Basal sounds (men)

- Descending glissandos (woman)

vocal extension