The Voice and Voice Therapy http://www.fishpond.com.au/Books/Voice-and-Voice-Therapy-Daniel-R-Boone-Stephen-C-McFarlane/9780205699902

By Daniel R. Boone, Stephen C. McFarlane, Shelley L. Von Berg, Richard I. Zraick

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About the Author

Daniel R. Boone celebrates his 55th year as a speech-language pathologist with the publishing of this eighth edition of The Voice and Voice Therapy. Dr. Boone has held professorships over the years at Case Western Reserve University, University of Kansas Medical Center, University of Denver, and the University of Arizona (where he is now a professor emeritus). Dr. Boone is a former president of the American Speech-Language-Hearing As-sociation and holds both a fellowship and the honors of that organization. He is the author of over 100 publications and is well known nationally and interna-tionally for his many lecture and workshop presentations. Perhaps Dr. Boone is best known for his love of his students and turning them on to the excitement of clinical voice practice. Stephen C. McFarlane is a professor emeritus at the School of Medicine at the University of Nevada, Reno. He received ASHA honors in 1999. He received both his B.S. and M.S. from Portland State University and his Ph.D. from the University of Washington. Dr. McFarlane has a long history of research interests in the area of voice disorders. Study of the outcomes from voice therapy and the development of new treatment techniques is of particular interest. He has been published in dozens of books and journals, among them Seminars in Speech and Language; American Journal of Speech Language Pathology, Phonoscope, and Current Opinion in Otolaryngology & Head and Neck Surgery. Shelley L. Von Berg teaches, practices, and researches in the areas of voice, dysphagia, and motor speech disorders in adults and children at the Department of Communication Sciences and Disorders at California State University, Chico. She earned her M.S. and Ph.D. from the School of Medicine at the University of Nevada, Reno. She has presented on the assessment and intervention of neurogenic speech-language disorders nationally and abroad. Dr. Von Berg has been published in the ASHA Leader Series; Unmasking Voice Disorders; Language, Speech, and Hearing Services in Schools; Current Opinion in Otolaryngology & Head and Neck Surgery; and Cleft Palate-Craniofacial Journal. Richard I. Zraick is an associate professor in the Department of Audiology and Speech Pathology at the University of Arkansas for Medical Sciences and the University of Arkansas at Little Rock. His research interests include voice disorders, neurologically-based communication disorders, adult speech disorders, and clinical skills training for speech-language pathology students.

Table of Contents

Contents to the DVD xi Preface xii 1 The Voice and Voice Therapy 1 The Biological Function of the Larynx 2 The Emotional Function of the Larynx 3 The Linguistic Function of the Voice 4 Voice Disorders in the Normal Population 5 Kinds of Voice Disorders 6 2 The Normal Voice 14 Normal Aspects of Voice 15 Normal Processes of Voice Production 15 Respiration 16 Anatomy of Phonation 25 Principles of Phonation 41 Resonance 48 Structures of Resonance 48 Mechanism of Resonance 49 Summary 53 Thought Questions 53 Organic Voice Disorders 8 Neurogenic Voice Disorders 8 Psychogenic Voice Disorders 9 Muscle Tension Dysphonia 9 Management and Therapy for Voice Disorders 10 Summary 13 Thought Questions 13 3 Organic Voice Disorders 54 Cancer 56 Congenital Abnormalities 56 Laryngomalacia 56 Subglottal Stenosis 57 Tracheoesophageal Fistulas and Esophageal Atresia 57 Contact Ulcers (Granulomas) 58 Cysts 61 Endocrine Changes 61 Hemangioma 63 Hyperkeratosis 63 Infectious Laryngitis 64 Laryngectomy 64 Leukoplakia 65 Papilloma 66 Pubertal Changes 68 Reflux 69 Sulcus Vocalis 71 Webbing 73 Summary 74 Thought Questions 74 4 Neurogenic Voice Disorders 76 A Working View of the Nervous System 77 The Central Nervous System (CNS), the Cortex, and Its Projections 77 Pyramidal and Extrapyramidal Tracts 78 The Peripheral Nervous System (PNS) 82 Flaccid Dysarthria 87 Vocal Fold Paralysis 87 Myasthenia Gravis 92 Guillain-Barre 93 Unilateral Upper Motor Neuron Dysarthria (UUMND) 93 Spastic Dysarthria 94 Hypokinetic Dysarthria 95 Parkinson's Disease 95 Hyperkinetic Dysarthria 97 Spasmodic Dysphonia 98 Essential Tremor 104 Differences among Spasmodic Dysphonia, Essential Tremor, and Vocal Hyperfunction 105 Huntington's Disease 106 Ataxic Dysarthria 107 Mixed Dysarthria 108 Amyotrophic Lateral Sclerosis (ALS) 108 Multiple Sclerosis (MS) 109 Traumatic Brain Injury 110 Summary 111 Thought Questions 112 5 Functional Voice Disorders 113 Psychogenic Voice Disorders 114 Falsetto 114 Functional Aphonia 116 Functional Dysphonia 118 Somatization Dysphonia (Briquet's Dysphonia) 120 Excessive Muscle Tension Disorders 120 Muscle Tension Dysphonia 120 Reinke's Edema 122 Vocal Fold Nodules 123 Vocal Fold Polyps 125 Traumatic Laryngitis 126 Ventricular Dysphonia 127 Diplophonia 130 Phonation Breaks 130 Pitch Breaks 131 Summary 132 Thought Questions 132 6 Voice Evaluation 133 Screening for Voice Disorders 134 Medical Evaluation for Voice Disorders 135 Assessment, Evaluation, and Diagnosis of Voice Disorders by the Clinician 138 Review of Auditory and Visual Status 142 Case History 142 Noninstrumental Assessment 146 Instrumental Assessment 150 The Clinical Voice Laboratory 161 Clinical Instrumentation for Acoustic Analysis 162 Clinical Instrumentation for Aerodynamic Analysis 168 Three Case Studies Comparing Noninstrumental and Instrumental Assessment Approaches 171 Summary 178 Thought Questions 179 7 Voice Therapy 180 Voice Management and Therapy for Children 181 Voice Therapy for Adolescents and Adults 184 Voice Therapy Facilitating Techniques 185 1. Auditory Feedback 186 2. Change of Loudness 189 3. Chant-Talk 192 4. Chewing 194 5. Confidential Voice 196 6. Counseling (Explanation of Problem) 198 7. Digital Manipulation 200 8. Elimination of Abuses 203 9. Establishing a New Pitch 205 10. Focus 207 11. Glottal Fry 211 12. Head Positioning 213 13. Hierarchy Analysis 215 14. Inhalation Phonation 218 15. Laryngeal Massage 220 16. Masking 222 17. Nasal/Glide Stimulation 224 18. Open-Mouth Approach 226 19. Pitch Inflections 228 20. Redirected Phonation 230 21. Relaxation 233 22. Respiration Training 236 23. Tongue Protrusion /i/ 239 24. Visual Feedback 241 25. Yawn-Sigh 243 Summary 246 Thought Questions 246 8 Management and Therapy for Special Problems 247 Management-Voice Therapy for Particular Populations 248 The Aging Voice 248 Deaf and Hard of Hearing 252 Pediatric Voice Problems 255 Professional Voice Users 256 Transgender (Transsexual) 259 Management-Voice Therapy for Respiratory-Based Voice Problems 261 Airway Obstructions 261 Asthma 262 Emphysema 263 Faulty Breath Control 264 Paradoxical Vocal Fold Movement 265 Tracheostomy 266 Management-Voice Therapy Following Laryngeal Cancer 266 Facilitating Techniques 270 Laryngectomy 270 Counseling and Communication Options 270 The Electrolarynx 272 Traditional Esophageal Speech 272 Tracheoesophageal Puncture Shunt (TEP) 273 Summary 275 Thought Questions 275 9 Therapy for Resonance Disorders 276 Nasal Resonance Problems 277 Hypernasality 277 Hyponasality 278 Assimilative Nasality 278 Evaluation of Nasal Resonance Disorders 279 The Oral Examination 283 Laboratory Instrumentation 284 Treatment of Nasal Resonance Disorders 290 Therapy for Oral-Pharyngeal Resonance Problems 301 Summary 306 Thought Questions 306 References 307 Index 335