5252409
Description
Flashcards by alicecartwright9, updated more than 1 year ago
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Created by alicecartwright9
about 9 years ago
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| Question | Answer |
| The voice evaluation | 1. case history 2. assessment - perceptual & instrumental 3. written report |
| interview process | relationship nature and history of Ps problem Attentive and sensitive listening |
| What does P bring to interview | anxiety personal history of problems previous contact with health professionals personal needs culture need for support and guidance |
| responsibilities of SP | conduct interview smooth focus sensitivity no personal feelings open and accepting |
| Case history | bibliographic 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 |
| psychological assessment | assess Ps perception of the the impact of VD on daily life |
| VHI 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 |
| VHI scoring | 0=never 1=almost never 2=sometimes 3=almost always 4=always |
| PVHI | paediatric voice handicap index |
| S/Z ratio | calculated by averaging 3 trials of each sound and s/z |
| maximum duration sustained phonation | holding sounds for as long as you can |
| sound judgement | computer program designed for training perceptual assessment skills in voice |
| pitch | high or low speed of vibration intonation=normal variations abnormal=monotone or excess variability modal & Variability- oral reading and conversational tasks pitch range |
| loudness | interaction 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. |
| quality | clarity of voice conversation or oral reading |
| breathy | audible escape of air during phonation incomplete adduction of VF whisper=breathy+strained hoarseness=breathy+strained+rough |
| strained | sounds like excessive vocal effort increased laryngeal muscle tension and constriction harsh=strained+rough |
| rough | lack of clarity irregular vibration of VF |
| glottal fry | rapid 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 |
| falstetto | high pitched, thin impression of immaturity perception of excess air escape high VF frequency thinning of VF edge incomplete closure along length of VF |
| pitch breaks | sudden, short, unexpected and uncontrolled changes in pitch |
| diplophonia | 2 pitches simultaneously not understood |
| Phonation breaks | sudden, short, unexpected, uncontrolled breaks in voice. moment of turbulent air escape with no voice sudden cessation of VF vibration |
| Voice arrests | voice stoppages uncontrolled adduction of VF |
| Tremor | regular, 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 |
| alternate tools for clinical auditory perceptual assessment | CAPE-V GRBAS |
| CAPE-V | describes 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 |
| GRBAS (aspects) | Grade - (hoarseness/voice abnormality) Roughness - irregularity of vibration Breathiness - air leakage Asthenia - vocal intensity and energy Strain - hyperfunction |
| GRBAS (scoring) | 0=absent 1=slightly represented 2=moderately represented 3=extremely represented |
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