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Management and therapy for special problems

This comprehensive overview addresses the unique voice characteristics and speech patterns of individuals who are deaf or hard of hearing, including common traits such as elevated fundamental frequency, varied pitch, and slower speech rates. It emphasizes the importance of amplification before voice training and outlines various airway obstruction causes and treatments. Additionally, it discusses abnormal laryngeal movement interference and techniques for improving breathing control. Key therapeutic strategies include vocal training, respiration training, and videoendoscopic feedback.

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Management and therapy for special problems

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  1. Management and therapy for special problems

  2. topics

  3. Deaf and hard of hearing

  4. Voice is not affected in a sensorineural hearing loss • Until the loss exceeds 50 dB in frequencies under 2000 Hz 1、common idea

  5. Voice charateristcs in deaf or profoundly hard of hearing people • Elevated F0 • Varied pitch and loudness changes • Downward formant shifts • Resonance variations • Speech characteristics of those people • Slower rate of speech by prolonging vowels • Variations in the prosody or melody of speech 2、voice characteristics

  6. Voice training for the severely hearing-impaired people should not begin • Until efforts are made to provide needed amplification. 3、management and therapy

  7. 3、management and therapy Awareness of voice Soft ware Cue arrows Fingers Visual feedback tactile feedback

  8. 3、management and therapy

  9. Airway obstrurctions

  10. 2 common causes • Structural and lesion mass airflow interference • Abnormal laryngeal movement interference • 2 types of airway obstructions • Airflow interference • Vocal fold paralysis 1、common causes

  11. 2 common causes • Infectious • Epiglottis and supraglottal structures • Result of bacterial infection • Subglottal obstruction • Croup – a viral disease • Noninfectious – space occupying lesions • Carcinoma • Large cysts 2、Airflow interference

  12. treaments • Infectious • Antibiotic therapy • Corticosteroids etc. • Noninfectious – space occupying lesions • Radiations therapy • Surgical reduction or removal of the lesions 2、Airflow interference

  13. Mostly is larngeal paralysis • 2 common types • Unilateral • Contributes to some compromise of the open airway • Bilateral • Bilateral abductor paralysis • A life-threatening obstacle of the open airway 3、abnormal laryngeal movement interference

  14. Faulty breath control

  15. 3 common causes • Organic disease • Functional misuse • Both of them 1、common causes

  16. Treatments • Respiration training!!! 2、treatments

  17. Paradoxical vocal fold movement

  18. Nonorganic disorder of the upper airway • Both true and false VFs • Exhibiting paradoxical function of closure on • Inspiration • Expiration • Combination of them Symptoms of respiratory distress do not respond to treatment for asthma 1、definition

  19. An excellent description and photograph of larynx during a PVFM inspiration • The membranous portion of the folds adducted • With a posterior triangular glottal chink 1、definition

  20. 3 common causes • Psychogenic • In conversion reaction • Visceral (本能的) • Related to irritation from LPR • Upper airway sensitivity • Neurological • A form of laryngeal dystonia 2、causes

  21. Aware of abnormal and normal VF positioning during inspiration and expiration • Voice therapy • Yawn sign • Nasal inspiration • Working on /s/ duration • Use of diaphragmatic-abdominal breathing • Videoendoscopic biofeedback 3、treatments

  22. Its all for today!

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