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Test Bank For Voice Disorders 2nd Edition Ferrand
Test Bank For Voice Disorders 2nd Edition Ferrand
Test Bank For Voice Disorders 2nd Edition Ferrand
Edition Ferrand
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Chapter 3: Diagnosis and Evaluation of Voice Disorders
Chapter Overview
The primary aims of the voice evaluation are to determine the existence of a problem;
discover the cause of the problem; describe the symptoms of the problem; assess the severity of
the problem; investigate the effects of the problem on the patient’s life; and determine the most
effective ways to treat the problem. The ideal approach to treatment is multidisciplinary in which
a team of professionals contribute their expertise to the diagnosis, evaluation, and clinical
management of individuals with voice disorders.
Dysphonia may result from structural problems within or outside of the larynx,
neurological problems, lifestyle habits and choices, medications, psychological problems,
systemic diseases of the body, physical injury to the larynx, digestive disorders, respiratory
disorders, and unknown causes.
The voice evaluation is typically divided into several components including the patient
interview and case history, laryngeal examination, perceptual and instrumental assessment of
voice, interpretation of test results, prognosis, and recommendations for treatment. The interview
process provides an excellent opportunity for the clinician to informally evaluate the patient’s
voice in a conversational setting. Aspects to be noted include the overall level of severity of
dysphonia, the presence of specific voice qualities such as hoarseness, roughness, breathiness,
strain, tension, weakness, hyper- or hyponasality, stridor, hard glottal attacks, and so on. The
individual’s perception of the impact of the voice disorder on his or her life is obtained using an
appropriate quality of life measure.
Auditory-perceptual measures require the clinician to make a subjective judgment of
aspects of the person’s voice, such as the overall level of severity, the appropriateness of the pitch
and loudness levels, and the quality of the voice. The patient is asked to perform various vocal
activities designed to assess aspects of vocal production such as respiratory/phonatory efficiency,
vocal endurance, reflexive laryngeal function, and presence of musculoskeletal tension. The
patient’s performance is charted on a scale such as the GRBAS or CAPE-V.
The end result of the assessment process is a report that combines data from all team
members to form evidence that provides the basis for the recommendations for the patient. The
diagnostic report typically includes the individuals’ demographic information, a statement of the
problem, background information, observations and assessment results, summary of findings,
prognosis, and recommendations.
Objectives
1. The student will learn the structure and importance of the team approach in vocal care.
2. The student will learn the dimensions of the normal voice.
3. The student will learn the importance of taking a good case history.
4. The student will learn how the voice impacts the quality of a person’s life and the
importance of knowing this in the evaluation process.
5. The student will study and learn the direct and indirect methods of perceptual
evaluation.
6. The student will master the terms critical to endoscopy and videostroboscopy.
5. The student will learn how to define, describe, and measure the acoustic parameters of
the voice.
7. The student will learn to explain electroglottography and how it fits into the evaluation
process.
8. The student will learn how to define, measure, and use the aerodynamic parameters of
the voice in the evaluation process.
9. The student will learn how electromyography measures identify mobility disorders in
the larynx.
Key Terms
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