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WorksheetsWeek 4 Voice Evaluation Strobe & Aerodynamics
Total questions: 20
Worksheet time: 10mins
Phase symmetry
The degree that TVFs match in movement during closure.
The alignment of vocal cords during phonation.
The timing of breath support during speech.
The pitch variation in vocal fold vibration.
SAPMuC
Symmetry
Amplitude
Closure
Frequency
Periodicity
Regularity of vibratory cycles
Irregularity of vibratory cycles
Frequency of sound waves
Amplitude of sound waves
Endoscope
Instrument used to visualize the vocal folds. Can be rigid or flexible.
A tool for measuring blood pressure.
A device for monitoring heart rate.
An instrument for examining the ear.
Closure
Closure pattern of the glottis at maximum adduction
Closure pattern of the glottis at minimum adduction
Closure pattern of the vocal cords during inhalation
Closure pattern of the glottis during speech production
Low-tech measurements where expensive equipment is not needed
S/Z ratio, Mean phonation time (aka Maximum Phonation Time)
Voice quality assessment
Acoustic analysis using spectrograms
Lung capacity measurement
Benefits of flexible stroboscopy
Less likely to make a patient gag
Can evaluate velopharyngeal insufficiency
Patient can speak normally (not limited to only the /i/ vowel)
Increases the risk of gag reflex
Cranial nerve assessment
Can be done during a voice evaluation
Is only necessary for patients with neurological disorders
Is not relevant to speech therapy
Only assesses CN 1 and 2
Benefits of rigid stroboscopy
High quality image (larger and better resolution)
Increased risk of infection
Requires general anesthesia
Longer recovery time
Videostroboscopy or Laryngostroboscopy
Uses a strobe light to show the full phase of TVF vibration from one cycle to the next
Is a method for measuring lung capacity
Involves the use of a camera to record vocal cord movement
Is primarily used for diagnosing hearing loss
Subglottic pressure
The amount of pressure that builds up below the TVFs
The pressure exerted by the vocal cords during phonation
The pressure in the trachea during inhalation
The pressure in the lungs during exhalation
Adverse effects of laryngoscopy
Gagging, discomfort, globus sensation, nose bleeds (flexible scope)
Nausea, vomiting, headache, dizziness
Sore throat, fever, cough, fatigue
Chest pain, shortness of breath, wheezing, palpitations
Subglottal air pressure
The amount of pressure directly below the TVFs for voice production
The pressure in the lungs during inhalation
The pressure exerted by the vocal cords when closed
The atmospheric pressure outside the body
Amplitude
Degree of lateral excursion or medial to lateral movement/ flipping of the TVFs during a vibratory cycle
The maximum frequency of sound produced by the vocal cords
The minimum volume of sound that can be heard
The speed at which sound travels through the air
Symmetry
Are both TVFs adducting and abducting at the same time? Are they mirror images?Yes, they are mirror images and both adducting and abducting at the same time.
No, they are not mirror images but can adduct and abduct.
Yes, they are mirror images but only adducting.
No, they are neither mirror images nor adducting.
Average airflow
Measured by sustained vowel production.
Indicates the maximum airflow capacity.
Reflects the pitch of the voice.
Determines the volume of speech produced.
Mucosal wave
Degree of movement on the inferior surface of the TVF
Degree of movement on the superior surface of the TVF (the mucosa)
Degree of movement on the lateral surface of the TVF
Degree of movement on the posterior surface of the TVF
Laryngologist
Is an ENT that has completed an additional fellowship in laryngology.
A specialist in treating skin conditions related to the ear, nose, and throat.
An ENT who focuses on pediatric patients only.
A doctor who performs surgeries on the heart and lungs.
Limitations of rigid stroboscopy
Patients with a strong gag reflex may not tolerate the scope
Patients can produce any vowel sound during the procedure
The procedure can be performed without any patient preparation
Patients must remain silent throughout the examination
True or false: Your patient does not need to be seen by a doctor before you treat them.
True
False! A doctor must visualize the larynx.
It depends on the treatment being provided.
Only if the patient insists on treatment.
