Voice Assessment: Critical Elements and Auditory Perceptual Analysis

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What is the purpose of establishing the patient's understanding for referral?

To ensure the patient comprehends the reason for referral to address their voice disorder.

Why is it important to seek etiologic factors associated with the history in establishing the chronology of the problem?

To understand the root cause of the voice disorder and its progression over time.

What is the significance of observing whole body tension during the oral-peripheral examination?

To assess if tension in other areas of the body could be contributing to the voice disorder.

How is the voice quality described in the perceptual evaluation?

Using descriptive terms or a scale system to characterize the voice quality. Signup and view all the answers

What components are examined under the category of phonation in the perceptual evaluation?

Hard glottal attacks, glottal fry, breathiness, and diplophonia. Signup and view all the answers

Why is it important to test the present pitch range in the perceptual evaluation?

To understand the variability and limitations in the patient's pitch production. Signup and view all the answers

What are some critical elements to consider in voice assessment?

Reason for referral, medical history, onset and duration of dysphonia, occupation, social activities, eating habits, patient's personality, self-rating of dysphonia. Signup and view all the answers

Why is auditory perceptual analysis important in voice assessment?

It is used to judge voice quality and detect any deviations from normal voice. Signup and view all the answers

What are some components of voice quality that are assessed?

Roughness, breathiness, strain, pitch, diplophonia, aphonia, pitch instability, tremor, vocal fry, falsetto, wet/gurgly quality, loudness, overall severity. Signup and view all the answers

How can inter-rater and intra-rater reliability be used in voice assessment?

They can be used to ensure accuracy in judgment. Signup and view all the answers

What is the purpose of the Institute for Voice Analysis and Rehabilitation's evaluation form?

To collect essential information about the patient including name, age, address, telephone, date, examiner, referral source, reason for referral. Signup and view all the answers

Why is the global, integrated impression of voice deviance important in voice assessment?

It helps in understanding the overall severity of the voice disorder. Signup and view all the answers

What are some factors that can affect the mucosal wave?

Pathology, scarring, pitch, loudness, hyperfunction, hypofunction, anxiety, subglottic driving force Signup and view all the answers

What should be equal in a healthy vocal fold according to stroboscopy parameters?

Closed and open phase timing Signup and view all the answers

Give an example of mass lesions or abnormalities of the vocal fold cover.

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What are some examples of glottic closure abnormalities in vocal fold paralysis?

Larger than normal posterior gap, Spindle shaped, Hourglass closure, Irregular closure Signup and view all the answers

What does aerodynamic analysis of voice production focus on?

Measurements of air pressures and air flows Signup and view all the answers

According to Baken & Orlikoff (2000), what is the vocal tract considered to be?

An aerodynamic sound generator and resonator system Signup and view all the answers

What are the advantages of using flexible endoscopy during speech tasks?

Helps view the larynx during connected speech tasks. Allows a broader view of the vocal tract and supraglottic region, tonsil, and base of tongue region. Signup and view all the answers

What are the disadvantages of using flexible endoscopy?

Darker image. Limited by disruptive movements of the velum or swallows. At times it is difficult to achieve a stable image. Signup and view all the answers

What does laryngeal videostroboscopy demonstrate?

It demonstrates the gross movements of the laryngeal structures, provides immediate image of presence or absence of pathology and a permanent visual record. It also shows the characteristics of vocal fold vibration and the integrity of the mucous membrane fold covering. Signup and view all the answers

What are the instrumental components of stroboscopy?

Rigid or flexible endoscope, video camera, light source (halogen and xenon), digital recorder, monitor, printer, and computer interface. Signup and view all the answers

What are the structures of normal vocal folds?

Trachea, arytenoid, vocal process, true vocal fold, epiglottis, false vocal fold, anterior commissure. Signup and view all the answers

Under stroboscopic/xenon light, what features are assessed during examination?

Glottic closure observed during vibration of the vocal folds. Amplitude of vibration. Lateral excursion of the vocal folds. Signup and view all the answers

What is the maximum time that a vowel may be sustained while using maximum airflow volume?

Maximum phonation time (MPT) Signup and view all the answers

How is the airflow rate calculated in voice therapy?

Volume divided by MPT (volume in liters / MPT in sec) Signup and view all the answers

What is the focus of Hygienic Voice Therapy?

Concentrates on discovering the behavioral causes of the voice disorder and modification/elimination of the causes Signup and view all the answers

Who organized and promoted Symptomatic Voice Therapy?

Daniel Boone in his text The Voice and Voice Therapy (1971) Signup and view all the answers

What are some examples of deviant vocal symptoms addressed in Symptomatic Voice Therapy?

Breathiness, inappropriate pitch, loudness, hard glottal attacks, and so on Signup and view all the answers

Why is it important to consider age, sex, size, and health when measuring airflow volume in the lungs?

Airflow volume will vary with these factors Signup and view all the answers