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