Voice therapy to treat voice disorders
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Voice therapy aims to rehabilitate patients to achieve optimal pitch, loudness, and quality while addressing voice and speech disorders through various methods, including hygienic, symptomatic, physiologic, and psychogenic approaches. Techniques like respiratory retraining, muscle tension reduction, and vocal functional exercises are utilized to improve vocal function and reduce laryngeal tension. The document outlines specific techniques such as circumlaryngeal massage, the yawn-sigh approach, and the Lee Silverman Voice Treatment to enhance therapy outcomes.
Voice therapy to treat voice disorders
- 3. rehabilitate to a level of function best possible pitch, loudness, and quality reduce or eliminate prevent recurrence
- 4. ELEMENTS OFVOICETHERAPY Hygienic voice therapy Symptomatic voice therapy
- 5. Symptomatic voice therapy Symptomatic voice therapy Symptomatic voice therapy
- 7. Specific methods (PUSHINGTECHNIQUE). (FINGER MANIPULATION AND PRESSURE). (COUGH, HUM, MASKING..).
- 10. INDICATIONS 1- DISORDERS OFVOICE 2- DISORDERS OF SPEECH: a- Dysarthria: b- Stuttering: 3- DISORDERS OF LANGUAGE:
- 11. VOICETHERAPY APPROACHES • HYGEINIC • SYMPTOMATIC • PHYSIOLOGIC • PSYCHOGENIC
- 13. HYGIENICVOICETHERAPY inappropriate hygienic behaviours first step in voice therapy programs
- 15. PROCEDURES OFVOCAL HYGIENETHERAPY a. The clinician will provide the patient with a behavioural chart to record all inappropriate hygienic behaviours b. Provide life-style modifications list that help the patient reduce laryngeal irritation
- 17. CORRECTION OF IMPROPER POSTURE
- 19. A. TECHNIQUESTO REDUCE LARYNGEALAREA MUSCLESTENSIONAND EFFORT B. TECHNIQUESTO MODIFY AIRFLOW (RESPIRATORY RETRAINING) C. TECHNIQUETO MODIFYVOCAL PITCH
- 20. A. TECHNIQUESTO REDUCE LARYNGEALAREA MUSCLESTENSIONAND EFFORT • Circumlaryngeal MassageTechnique • Chewing exercises • Yawn-sigh approach • Biofeedback training B. TECHNIQUESTO MODIFY AIRFLOW (RESPIRATORY RETRAINING) C. TECHNIQUETO MODIFYVOCAL PITCH
- 21. A. TECHNIQUESTO REDUCE LARYNGEALAREA MUSCLESTENSIONAND EFFORT B. TECHNIQUESTO MODIFY AIRFLOW (RESPIRATORY RETRAINING) • Therapy approach for Breath support • Abdominal/Diaphragmatic Breathing • Lee SilvermanVoiceTreatment • ConfidentialVoiceTherapy C. TECHNIQUETO MODIFYVOCAL PITCH
- 22. A. TECHNIQUESTO REDUCE LARYNGEALAREA MUSCLESTENSIONAND EFFORT B. TECHNIQUESTO MODIFY AIRFLOW (RESPIRATORY RETRAINING) C. TECHNIQUETO MODIFYVOCAL PITCH • Therapy approach for vocal pitch
- 23. TECHNIQUES TO REDUCE LARYNGEAL MUSCLES TENSION
- 24. Circumlaryngeal MassageTechnique • Hands-on Approach eliminate pain while speaking, relax muscles in the laryngeal area, and reduce tension in the upper body
- 27. CHEWING EXERCISES Better vocal fold approximation optimum muscular adjustment of the vocal folds
- 28. PROCEDURE chew relaxed, open-mouthed, exaggerated manner start phonating softly inhale deeply
- 29. chew, phonate, and articulate two- or three-word combinations
- 30. YAWN-SIGH APPROACH expand the pharynx stretch and then relax extrinsic laryngeal muscles lowering the larynx neutral position forward placement of the tongue
- 34. BIOFEEDBACK TRAINING self- control of physiological functions • Electromyographic biofeedback
- 35. TECHNIQUES TO MODIFY AIRFLOW (RESPIRATORY RETRAINING)
- 36. THERAPY APPROACH FOR BREATH SUPPORT coordinating breathing with vocalization.
- 38. Abdominal/Diaphragmatic Breathing greater amount of thoracic or chest breathings
- 39. • The most efficient method downward contraction of the bottom the diaphragm greater flow of file air into the lungs
- 41. LEE SILVERMAN VOICE TREATMENT hypokinetic dysphonia Parkinson disease increasing loudness
- 42. LEE SILVERMAN VOICE TREATMENT exhale higher volumes of air out more forcefully simultaneously closing their vocal folds Louder and stronger voice
- 43. CONFIDENTIALVOICETHERAPY reduce the force of vocal fold collision prescribed period to promote mucosal healing
- 44. CONFIDENTIALVOICETHERAPY • First-LineVoiceTherapy Regimen Early Recovery Period VOCAL CORD INJURY /VOCAL M.TENSION a soft, breathy voice without full vocal fold closure.
- 45. INSPIRATORY MUSCLE STRENGTH TRAINING (IMST)
- 46. INSPIRATORY MUSCLE STRENGTH TRAINING (IMST) bilateral abductor vocal fold paralysis paradoxical vocal fold motion.
- 47. INHALATION PHONATION • Phonation during inspiration adduction of true vocal cords
- 48. PHYSIOLOGIC AND HOLISTIC VOICE THERAPY TECHNIQUES
- 49. VOCAL FUNCTIONAL EXERCISES strengthen and rebalance the subsystems maximum vowel prolongations pitch glides 4 systematic exercises intrinsic laryngeal muscles.
- 51. VOCAL FUNCTIONAL EXERCISES 2) stretching of the laryngeal muscles by gliding from the lowest note to the highest note. 4) building muscular power by sustaining musical notes for as long as possible.
- 52. VOCAL FUNCTIONAL EXERCISES strengthen” and increase the flexibility of the laryngeal muscles
- 54. • ARTHUR LESSAC or • Voice produced in “mask” of face is most efficient form of voice. feel the vibrations of their voices along the lips, tongue, and nose
- 55. • LESSAC-MADSEN RESONANTVOICETHERAPY (LMRVT) produce voice vocal folds lightly touching humming or chanting
- 57. pulsed abdominal breaths glottal closure Bernoulli effect new respiratory / voice pattern
- 58. to increase voice clarity. accentuated and rhythmic movements pronunciations and in related body movements relax the vocal muscles synchronize voice production rhythm produced by another part of the body.
- 61. CAUSES OF FAILURE OFVOICETHERAPY