Raymond Colton and Janina Casper
Vocal Rehabilitation
Rationale:The goal of voice therapy is to restore
the best voice possible, a voice that will be functional for purposes
of employment and general communication. Voice therapy must be rooted
in and derived from an understanding of laryngeal anatomy and phonatory
physiology. The relationship between the person and the voice must be
understood and incorporated into the therapy program. It is important
for the client to verbalize perceptions of how the voice sounds and
feels.
Goals:
I. To restore the mucosa to a healthy condition to regain clear and
full vocal function
II. Identification and elimination of all abusive behaviors through
the reduction of laryngeal tensions institution of a vocal hygiene program,
environmental manipulation, easy voice production, and establishment of
improved vocal habits
III. Identification of patients needs that require other forms of
attention and appropriate referral
Goals in adjunct or secondary treatment:
I. Restore healthy function and return of good voice
II. Help individual client find the best voice of which she is capable
III. Help individual accept changed voice, exploration of the adequacy
of the voice for all necessary speaking situations, and suggesting
environmental adjustments as necessary
There are few techniques that are specific to a single voice disorder
because there is so much similarity in laryngeal physiology across many
disorders. Thus many of the same therapeutic techniques can be used in
each instance.
1. Breathy Phonation
2. Sigh, Aspirate Initiation,
Easy Initiation of Phonation
3. Yawn/Sigh
4. Post Bo Tox Injection
5. Trill
6. Pitch Extension Exercises
7. Chewing
8. Chant Talk
9. Hum and Nasal Consonants
10. Vocal Function Exercise Program
11. Digital Manipulation, Pressure
12. Easy Production of Falsetto or High
Pitch
13. Pushing, Pulling, Isometry
14. Um-Hum,
15. Whispering
16. Breathing
17. Phonating and Inhalation
18. Reducing the Amount of Talking
19. Environmental Manipulation
20. Energizing the Voice
21. Voice Effort
22. The Resonant Voice
References
Casper, C., Colton, R. (1996). Vocal rehabilitation. In J.P.
Butler(Ed.), Understanding voice problems; A physiological
perspective for diagnosis and treatment (pp. 270-316).
Baltimore, Maryland: Williams and Wilkins.
Angie Whitis and Nicole Roth