Fichas
Lecture 4
Fichas del conjunto (29)
- 1The voice evaluation1. case history
2. assessment
- perceptual & instrumental
3. written report - 2interview processrelationship
nature and history of Ps problem
Attentive and sensitive listening - 3What does P bring to interviewanxiety
personal history of problems
previous contact with health professionals
personal needs
culture
need for support and guidance - 4responsibilities of SPconduct interview
smooth
focus
sensitivity
no personal feelings
open and accepting - 5Case historybibliographic info
P description of problem, and cause
general health status, onset of problem, duration, symptoms, variability vs consistency, voice use, social, recreational, vocational, effect of VD on life, peoples reactions - 6psychological assessmentassess Ps perception of the the impact of VD on daily life
- 7VHI subscales(voice handicap index)
functional - describe impact on daily life
Physical - represent self-perceptions of discomfort and voice
emotional - represent Ps affective response to VD - 8VHI scoring0=never
1=almost never
2=sometimes
3=almost always
4=always - 9PVHIpaediatric voice handicap index
- 10S/Z ratiocalculated by averaging 3 trials of each sound and s/z
- 11maximum duration sustained phonationholding sounds for as long as you can
- 12sound judgementcomputer program designed for training perceptual assessment skills in voice
- 13pitchhigh or low
speed of vibration
intonation=normal variations
abnormal=monotone or excess variability
modal & Variability- oral reading and conversational tasks
pitch range - 14loudnessinteraction between subglottal pressure and degree of VF adduction.
soft voice=subglottal pressure + inadequate aduction
modal & variability - same as pitch
range - count to 20 increasing vol. - 15qualityclarity of voice
conversation or oral reading - 16breathyaudible escape of air during phonation
incomplete adduction of VF
whisper=breathy+strained
hoarseness=breathy+strained+rough - 17strainedsounds like excessive vocal effort
increased laryngeal muscle tension and constriction
harsh=strained+rough - 18roughlack of clarity
irregular vibration of VF - 19glottal fryrapid series of low pitch "pops" or "taps"
creaky
complex and not well understood
longer than normal VF closure
low frequency
tightly adducted VF with free edges flacid
low subglottal pressure - 20falstettohigh pitched, thin
impression of immaturity
perception of excess air escape
high VF frequency
thinning of VF edge
incomplete closure along length of VF - 21pitch breakssudden, short, unexpected and uncontrolled changes in pitch
- 22diplophonia2 pitches simultaneously
not understood - 23Phonation breakssudden, short, unexpected, uncontrolled breaks in voice.
moment of turbulent air escape with no voice
sudden cessation of VF vibration - 24Voice arrestsvoice stoppages
uncontrolled adduction of VF - 25Tremorregular, rhythmical variation in pitch or loudness
due to neurological impairment
alternating contractions of ad and ab muscles of VF
oscillatory movements of entire larynx in a vertical direction - 26alternate tools for clinical auditory perceptual assessmentCAPE-V
GRBAS - 27CAPE-Vdescribes severity
- sustained vowels (3-5sec)
- sentence production
-spontaneous speech (response to "tell me about your weekend")
Scored by placing a mark on 100mm line
75mm along=75% severity - 28GRBAS (aspects)Grade - (hoarseness/voice abnormality)
Roughness - irregularity of vibration
Breathiness - air leakage
Asthenia - vocal intensity and energy
Strain - hyperfunction - 29GRBAS (scoring)0=absent
1=slightly represented
2=moderately represented
3=extremely represented
Información
- Descripción
- Case History & Perceptual Assessment
- Creado por
- alicecartwright9 · abr 2016
- Actualizado
- 28 abr 2016
- Visitas
- 20
- Etiquetas
- Valoración