The Relationship Between Voice and Breathing in the Assessment and Treatment of Voice Disorders

2016 ◽  
Vol 1 (3) ◽  
pp. 94-104 ◽  
Author(s):  
Ali Lewandowski ◽  
Amanda I. Gillespie
Keyword(s):  
Voice Disorders ◽  
Voice Therapy ◽  
Assessment Practices ◽  
Voice Production ◽  
Normal Voice ◽  
Assessment And Treatment ◽  
Laryngeal Physiology ◽  
Lower Airways ◽  
The Relationship

Coordination between the larynx and lower airways is essential for normal voice production. Dyscoordination may contribute to myriad voice problems. The current study provides an overview of respiratory and laryngeal physiology as it relates to normal and disordered voice production, as well as a review of phonatory aerodynamic assessment practices. Finally, the integration of voice and breathing in common voice therapy programs is explored.

The Awareness Phase of Voice Therapy

1991 ◽  
Vol 22 (3) ◽  
pp. 158-162 ◽  
Author(s):  
Moya L. Andrews ◽  
Anne C. Summers
Keyword(s):  
Multiple Choice ◽  
Voice Disorders ◽  
Psychosocial Aspects ◽  
Voice Therapy ◽  
Voice Production ◽  
Adolescent Students

Adolescent students with voice disorders need information concerning the physiological, environmental, and psychosocial aspects of voice production. This paper describes a multiple choice quiz format that has been used effectively as part of the awareness phase of vocal reeducation.

Some Common Myths About Voice Therapy

1992 ◽  
Vol 23 (1) ◽  
pp. 12-19 ◽  
Author(s):  
Mary Pannbacker
Keyword(s):  
Voice Disorders ◽  
Voice Therapy ◽  
Perceptual Cues ◽  
Developmental Factors

There are many concepts about voice therapy that are at best, misleading and at worst, incorrect. Through this review, it is hoped that some of these misconceptions will be resolved. Issues reviewed include developmental factors, iatrogenic voice disorders, breathing habits, optimum pitch, palate training, and etiology based on perceptual cues.

scholarly journals Hyperacusis in Autism Spectrum Disorders

2021 ◽  
Vol 11 (4) ◽  
pp. 547-556
Author(s):  
Ali A. Danesh ◽  
Stephanie Howery ◽  
Hashir Aazh ◽  
Wafaa Kaf ◽  
Adrien A. Eshraghi
Keyword(s):  
Autism Spectrum Disorder ◽  
Autism Spectrum Disorders ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Assessment And Treatment ◽  
Spectrum Disorders ◽  
The Relationship

Hyperacusis is highly prevalent in the autism spectrum disorder (ASD) population. This auditory hypersensitivity can trigger pragmatically atypical reactions that may impact social and academic domains. Objective: The aim of this report is to describe the relationship between decreased sound tolerance disorders and the ASD population. Topics covered: The main topics discussed include (1) assessment and prevalence of hyperacusis in ASD; (2) etiology of hyperacusis in ASD; (3) treatment of hyperacusis in ASD. Conclusions: Knowledge of the assessment and treatment of decreased sound tolerance disorders within the ASD population is growing and changing.

The Extra-normal Voice

2014 ◽  
pp. 728-750
Author(s):  
Michael Edward Edgerton
Keyword(s):  
Complex Networks ◽  
Crucial Role ◽  
Sound Production ◽  
Power Source ◽  
Sound Sources ◽  
New Developments ◽  
Voice Production ◽  
Multiple Parameters ◽  
Normal Voice ◽  
Production Apparatus

This chapter presents an overview of new developments in vocal exploration. Beginning with a discussion of multiple parameters involved in voice production, this chapter identifies the crucial role that non-linear phenomena has in the performance of the extra-normal voice. In this article, two related taxonomies are presented (source production related to degree of voicing; emphases within the acoustic framework of power, source, resonance, and articulation) that may be used as powerful generative tools for the production of multiple sound sources, filtering processes, and aerodynamic effects, etc. The paper then posits how scaled, multidimensional networks may be used to intelligently explore all elements of the acoustic sound production apparatus and not solely articulation, as is seen with some proponents of complex networks. In this discussion, it will be presented how fully scaling each parameter space will encompass far reaching benefits by engaging with little traversed regions of the total vocal topography.

Presbylarynx, Functional Voice Disorders, Muscle Tension Dysphonia

2021 ◽  
Author(s):  
Elizabeth Erickson-DiRenzo ◽  
Christine M. Kim ◽  
C. Kwang Sung Sung
Keyword(s):  
Muscle Tension ◽  
Voice Disorders ◽  
Neuromuscular Control ◽  
Vocal Folds ◽  
Voice Therapy ◽  
Type I ◽  
Muscle Tension Dysphonia ◽  
Functional Dysphonia ◽  
Age Related ◽  
Type I Thyroplasty

Presbylarynx refers to age-related structural changes of the vocal folds that include muscle atrophy, reduced neuromuscular control, loss of superficial lamina propria layer, and reduced pliability. The changes result in thin and bowed vocal folds, increased vocal effort requirements, breathy voice, change in habitual pitch, and strain. The primary treatment options are voice therapy focused on strengthening breath support and the intrinsic muscles of the larynx, and optimization of resonance; injection augmentation of the vocal folds; and type I thyroplasty. Functional dysphonia is defined as change in voice quality in the absence of structural or neurological abnormalities of the larynx. Muscle tension dysphonia (MTD) is a subtype of functional voice disorders and involves laryngeal muscle tension imbalance due to excessive or dysregulated activation resulting often in strained or breathy voice. MTD can be divided into primary (psychological etiology or vocal misuse) and secondary (compensatory for organic laryngeal pathology). The mainstay of treatment for MTD is voice therapy, along with medical or surgical treatment of the underlying vocal pathology in secondary MTD. Mutational falsetto, or puberphonia, is a functional voice disorder where a high-pitched, pre-adolescent voice fails to transition to the lower pitch of adulthood. This review contains 5 figures, 7 tables, 4 videos and 10 references Key Words: Presbylarynx, Injection augmentation, Type I thyroplasty, Primary muscle tension dysphonia, Secondary muscle tension dysphonia, Muscle tension patterns, Manual circumlaryngeal therapy, Functional dysphonia, Mutational falsetto  

Teachers' self-efficacy and formative assessment of students: Moderating role of school goal structure

2020 ◽  
Vol 48 (6) ◽  
pp. 1-13
Author(s):  
Xiaoqing Xiang ◽  
Sichang Yum ◽  
Rong Lian
Keyword(s):  
Formative Assessment ◽  
Self Efficacy ◽  
Structural Equation ◽  
Moderating Effect ◽  
Equation Modeling ◽  
Assessment Practices ◽  
Goal Structure ◽  
Primary School Teachers ◽  
Mastery Goal ◽  
The Relationship

Although the importance of formative assessment of student progress has been well covered in previous studies, implementing formative assessment in the classroom requires targeted tools and educational policies. Therefore, we examined the factors that affect teachers' use of formative assessment practices and analyzed the moderating effect of the school's mastery goal structure in the relationship between teachers' self-efficacy and their use of formative assessment practices. Participants were 507 Chinese primary school teachers, who completed a survey. Structural equation modeling results reveal that teachers' selfefficacy regarding formative assessment and perception of a school mastery goal structure each positively predicted the use of formative assessment practices. The moderating effect of the school mastery goal structure in the relationship between teachers' self-efficacy and their use of formative assessment practices was also statistically significant. Our findings have implications for policy making and practice as well as for further studies regarding formative assessment of students.

scholarly journals Freedom to think: the need for thorough assessment and treatment of gender dysphoric children

2020 ◽  
pp. 1-5
Author(s):  
Marcus Evans
Keyword(s):  
Gender Identity ◽  
Gender Dysphoria ◽  
Current Approach ◽  
Conversion Therapy ◽  
Developmental Problems ◽  
Appropriate Treatment ◽  
Assessment And Treatment ◽  
The Relationship

Summary Referrals (particularly natal female) to gender identity clinics have increased significantly in recent years. Understanding the reasons for this increase, and how to respond, is hampered by a politically charged debate regarding gender identity. This article starts with a discussion of the so-called ‘affirmative approach’ to gender dysphoria and considers the implications of the Memorandum of Understanding on conversion therapy. I then say something about the relationship between gender dysphoria and the developmental problems that are characteristic of adolescence. Finally, I outline what changes to the current approach are needed to do our best to ensure these patients receive the appropriate treatment.

scholarly journals A Validity Study of COMLEX-USA Level 2-CE and COMAT Clinical Subjects: Concurrent and Predictive Evidence

2019 ◽  
Vol 11 (5) ◽  
pp. 521-526 ◽  
Author(s):  
Kimberly M. Hudson ◽  
Tsung-Hsun Tsai ◽  
Charles Finch ◽  
Joel L. Dickerman ◽  
Silu Liu ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Emergency Medicine ◽  
Multivariate Regression ◽  
Achievement Test ◽  
Validity Study ◽  
Assessment Practices ◽  
Licensure Examination ◽  
The Relationship ◽  
Predictive Relationship ◽  
Level 2

ABSTRACT Background The Comprehensive Osteopathic Medical Licensure Examination (COMLEX-USA) Level 2–Cognitive Examination (CE) and the Comprehensive Osteopathic Medical Achievement Test (COMAT) are administered to similar populations (third- and fourth-year osteopathic students) at similar points in time. Examining the relationship between scores on the 2 assessments that measure similar constructs ultimately supports the validity of both. Objective The purpose of this study is to provide empirical evidence of the concurrent and predictive validity of COMAT and COMLEX-USA Level 2-CE. Methods In 2018, first-attempt scores on Level 2-CE were aggregated from June 2015 to May 2018 and matched with first-attempt scores on each COMAT clinical subject. We conducted correlational analyses between performance on COMAT and Level 2-CE, and COMAT scores and Level 2-CE discipline subscores. Additionally, we used multivariate regression to analyze the predictive relationship between performance on all COMAT clinical subjects and Level 2-CE. Results The results from correlational analyses indicated statistically significant, positive associations between COMAT and Level 2-CE scores (r = 0.49–0.68, P < .0001), and statistically significant, but slightly weaker relationships between COMAT scores and Level 2-CE discipline subscores (r = 0.31–0.60, P < .0001). Furthermore, results from the multiple regression indicated that scores on COMAT explained 68% of the variance in Level 2-CE scores, and that COMAT internal medicine and emergency medicine were weighted more heavily than other specialties. Conclusions The findings from this study can inform assessment practices by supporting the use of COMAT for osteopathic medical schools that do not administer COMAT.

scholarly journals A Fast Semiautomatic Algorithm for Centerline-Based Vocal Tract Segmentation

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Anton A. Poznyakovskiy ◽  
Alexander Mainka ◽  
Ivan Platzek ◽  
Dirk Mürbe
Keyword(s):  
Major Part ◽  
Vocal Tract ◽  
Active Contours ◽  
Three Dimensional ◽  
Voice Therapy ◽  
Segmentation Method ◽  
Voice Production ◽  
Medical Issues ◽  
Dimensional Measurements ◽  
Spatial Geometry

Vocal tract morphology is an important factor in voice production. Its analysis has potential implications for educational matters as well as medical issues like voice therapy. The knowledge of the complex adjustments in the spatial geometry of the vocal tract during phonation is still limited. For a major part, this is due to difficulties in acquiring geometry data of the vocal tract in the process of voice production. In this study, a centerline-based segmentation method using active contours was introduced to extract the geometry data of the vocal tract obtained with MRI during sustained vowel phonation. The applied semiautomatic algorithm was found to be time- and interaction-efficient and allowed performing various three-dimensional measurements on the resulting model. The method is suitable for an improved detailed analysis of the vocal tract morphology during speech or singing which might give some insights into the underlying mechanical processes.

The professional voice

2010 ◽  
Vol 125 (2) ◽  
pp. 111-116 ◽  
Author(s):  
M S Benninger
Keyword(s):  
Voice Disorders ◽  
Musical Instrument ◽  
Care Team ◽  
Human Communication ◽  
Voice Production ◽  
Anatomy And Physiology ◽  
Human Voice ◽  
The Voice ◽  
Professional Voice ◽  
And Training

AbstractThe human voice is not only the key to human communication but also serves as the primary musical instrument. Many professions rely on the voice, but the most noticeable and visible are singers. Care of the performing voice requires a thorough understanding of the interaction between the anatomy and physiology of voice production, along with an awareness of the interrelationships between vocalisation, acoustic science and non-vocal components of performance. This review gives an overview of the care and prevention of professional voice disorders by describing the unique and integrated anatomy and physiology of singing, the roles of development and training, and the importance of the voice care team.

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