Voice therapy to treat voice disorders, basics , different techniques, methods advantages and disadvantages, where and what method to choose? otorhinolaryngology ent

2. VOICE THERAPY

3. rehabilitate to a level of function
best possible pitch, loudness, and
quality
reduce or eliminate
prevent recurrence

4. ELEMENTS OFVOICETHERAPY
Hygienic
voice therapy
Symptomatic voice therapy

5. Symptomatic voice therapy
Symptomatic voice therapy
Symptomatic voice therapy

6. Voice therapy methods

7. Specific methods
(PUSHINGTECHNIQUE).
(FINGER MANIPULATION AND PRESSURE).
(COUGH, HUM, MASKING..).

8. Diverse methods

9. Holistic methods

10. INDICATIONS
1- DISORDERS OFVOICE
2- DISORDERS OF SPEECH:
a- Dysarthria:
b- Stuttering:
3- DISORDERS OF LANGUAGE:

11. VOICETHERAPY APPROACHES
• HYGEINIC
• SYMPTOMATIC
• PHYSIOLOGIC
• PSYCHOGENIC

12. HYGIENIC VOICE THERAPY

13. HYGIENICVOICETHERAPY
inappropriate hygienic behaviours
first step in voice
therapy programs

14. Functional
vocal behaviours.

15. PROCEDURES OFVOCAL HYGIENETHERAPY
a. The clinician will provide the patient with a behavioural chart
to record all inappropriate hygienic behaviours
b. Provide life-style modifications list that help the patient
reduce laryngeal irritation

17. CORRECTION OF IMPROPER POSTURE

18. SYMPTOMATIC VOICE THERAPY

19. A. TECHNIQUESTO REDUCE LARYNGEALAREA MUSCLESTENSIONAND EFFORT
B. TECHNIQUESTO MODIFY AIRFLOW (RESPIRATORY RETRAINING)
C. TECHNIQUETO MODIFYVOCAL PITCH

20. A. TECHNIQUESTO REDUCE LARYNGEALAREA MUSCLESTENSIONAND EFFORT
• Circumlaryngeal MassageTechnique
• Chewing exercises
• Yawn-sigh approach
• Biofeedback training
B. TECHNIQUESTO MODIFY AIRFLOW (RESPIRATORY RETRAINING)
C. TECHNIQUETO MODIFYVOCAL PITCH

21. A. TECHNIQUESTO REDUCE LARYNGEALAREA MUSCLESTENSIONAND EFFORT
B. TECHNIQUESTO MODIFY AIRFLOW (RESPIRATORY RETRAINING)
• Therapy approach for Breath support
• Abdominal/Diaphragmatic Breathing
• Lee SilvermanVoiceTreatment
• ConfidentialVoiceTherapy
C. TECHNIQUETO MODIFYVOCAL PITCH

22. A. TECHNIQUESTO REDUCE LARYNGEALAREA MUSCLESTENSIONAND EFFORT
B. TECHNIQUESTO MODIFY AIRFLOW (RESPIRATORY RETRAINING)
C. TECHNIQUETO MODIFYVOCAL PITCH
• Therapy approach for vocal pitch

23. TECHNIQUES TO REDUCE
LARYNGEAL MUSCLES TENSION

24. Circumlaryngeal MassageTechnique
• Hands-on Approach
eliminate
pain while speaking, relax muscles in the
laryngeal area, and reduce tension in the
upper body

25. Circumlaryngeal MassageTechnique
INDICATIONS:

26. CIRCUMLARYNGEAL MASSAGE

27. CHEWING EXERCISES
Better vocal fold approximation optimum muscular
adjustment of the vocal folds

28. PROCEDURE
chew relaxed, open-mouthed, exaggerated manner
start phonating softly
inhale deeply

29. chew, phonate,
and articulate two- or three-word combinations

30. YAWN-SIGH APPROACH
expand the pharynx stretch and then relax extrinsic
laryngeal muscles lowering the larynx
neutral position forward placement of the
tongue

31. YAWN-SIGH TECHNIQUE

32. HALF SWALLOW BOOMTECHNIQUE

33. HALF SWALLOW BOOMTECHNIQUE

34. BIOFEEDBACK TRAINING
self- control of physiological functions
• Electromyographic biofeedback

35. TECHNIQUES TO MODIFY AIRFLOW
(RESPIRATORY RETRAINING)

36. THERAPY APPROACH FOR BREATH SUPPORT
coordinating breathing with vocalization.

37. Procedures
A. EAR TRAINING

38. Abdominal/Diaphragmatic Breathing
greater amount of thoracic or chest
breathings

39. • The most efficient method
downward contraction of the bottom the diaphragm
greater flow of file air into the lungs

40. ABDOMINAL BREATHING

41. LEE SILVERMAN VOICE TREATMENT
hypokinetic dysphonia
Parkinson disease
increasing loudness

42. LEE SILVERMAN VOICE TREATMENT
exhale higher volumes of air out
more forcefully simultaneously closing their vocal folds
Louder and stronger voice

43. CONFIDENTIALVOICETHERAPY
reduce the force of vocal fold collision
prescribed period to promote mucosal healing

44. CONFIDENTIALVOICETHERAPY
• First-LineVoiceTherapy Regimen Early Recovery Period
VOCAL CORD INJURY /VOCAL M.TENSION
a soft, breathy voice without full
vocal fold closure.

45. INSPIRATORY MUSCLE STRENGTH
TRAINING (IMST)

46. INSPIRATORY MUSCLE STRENGTH
TRAINING (IMST)
bilateral
abductor vocal fold paralysis paradoxical vocal
fold motion.

47. INHALATION PHONATION
• Phonation during inspiration adduction of true vocal
cords

48. PHYSIOLOGIC AND HOLISTIC VOICE
THERAPY TECHNIQUES

49. VOCAL FUNCTIONAL EXERCISES
strengthen and rebalance the
subsystems
maximum vowel prolongations pitch glides
4 systematic exercises intrinsic laryngeal muscles.

51. VOCAL FUNCTIONAL EXERCISES
2) stretching of the laryngeal muscles by gliding from the
lowest note to the highest note.
4) building muscular power by sustaining musical notes
for as long as possible.

52. VOCAL FUNCTIONAL EXERCISES
strengthen” and increase the flexibility of the laryngeal muscles

53. VFE
INDICATIONS:-

54. • ARTHUR LESSAC
or
• Voice produced in “mask” of face is most efficient form of voice.
feel the vibrations of their voices along the
lips, tongue, and nose

55. • LESSAC-MADSEN RESONANTVOICETHERAPY (LMRVT)
produce voice vocal folds lightly
touching
humming or chanting

57. pulsed abdominal breaths glottal
closure
Bernoulli effect
new respiratory / voice pattern

58. to increase voice clarity.
accentuated and rhythmic movements
pronunciations and in related body movements
relax the vocal muscles synchronize
voice production rhythm produced by another
part of the body.

59. PSYCHOGENIC VOICE THERAPY

60. PsychogenicVoiceTherapy
emotional and
psychosocial disturbances

61. CAUSES OF FAILURE OFVOICETHERAPY