VOICE EVALUATION HISTORY OF VOICE PROBLEM: The patient, a 13 year-old female, was referred to speech-language pathology for a voice evaluation by Dr. Smith. She was diagnosed with Vocal Cord Dysfunction (VCD) and laryngopharyngeal reflux (LPR) approximately 1 month ago by Dr. Smith, Otolaryngologist and Dr. Jones, Pulmonologist. Today the patient stated that she was diagnosed with asthma 5 years ago, and had been using inhalers since that time. Two months ago the patient moved to West Lafayette from Florida and began playing soccer. Her breathing difficulties became more apparent once she began the sport and inhibit her from fully participating, even with the use of her inhalers. The patient stated that her breathing difficulties are exacerbated by exercise and emotional stress and described breathing episodes as feeling as if she cannot get enough air, accompanied by wheezing and coughing. She stated that she frequently has to sit down and rest during practice and games when she experiences breathing difficulties. The patient stated that extreme temperatures and other environmental factors such as dust, fragrances, and chemicals do not …show more content…
The patient described above presented with typical symptoms, complaints, and measureable data. The recommended treatment goals are supported by the current literature and combine proven behavioral, psychological, and pharmacological strategies and well as strength training regimens. Resources Chaing, T., Marcinow, A.M., deSilva, B.W, Ence, N., Lindsey, S.E., & Forrest, A. (2012). Exercise-induced paradoxical vocal fold motion disorder: Diagnosis and management. The Laryngoscope, 123, 727-731. Mathers-Schmidt, B.A., & Brilla, L.R. (2005). Inspiratory muscle strength training in exercise-induced paradoxical vocal fold motion. Journal of Voice, 19,
What risk factors and symptoms did Jessica present with prior to the physical examination that suggested a pulmonary disorder?
Secondly, severe asthma can be life-threatening. Suffering from asthma can be frightening to experience and people often feel scared and anxious. The fear and scare can also lead to breathlessness and so mak...
For Ventolin to work optimally, situations that may trigger an asthma attack must be avoided. These situations include exercising in cold, dry air; smoking; breathing in dust; and exposure to allergens such as pet fur or pollens. Relating to the case study, a few of these may apply to the patient, such as exercising in the cold morning air and perhaps breathing in dust and allergens such as pollens or maybe from the eucalyptus in the Blue Mountains might have had an effect on his condition.
This report will explore the structure and function of skeletal muscle within the human body. There are three muscle classifications: smooth (looks smooth), cardiac (looks striated) and skeletal (looks striated). Smooth muscle is found within blood vessels, the gut and the intestines; it assists the movement of substances by contracting and relaxing, this is an involuntary effort. The heart is composed of cardiac muscle, which contracts rhythmically nonstop for the entire duration of a person’s life and again is an involuntary movement of the body. The main focus of this report is on skeletal muscle and the movement produced which is inflicted by conscious thought unless there is a potentially harmful stimulus and then reaction is due to reflex, as the body naturally wants to protect itself. Skeletal muscle is found attached to bones and when they contract and relax they produce movement, there is a specific process that the muscle fibers go through to allow this to occur.
Seikel, J. A., King, D. W., & Drumright, D. G. (2010). 12. Anatomy & physiology for speech,
The symptoms of dysarthria may be slurred speech, nasality of sound, or quiet and slow speech (3).. These different impairments reflect the sub-sections in the 'motor symphony' that produces speech: The lips, tongue, teeth and jaw shape specific sounds; the soft palate channels air into either the nasal or oral cavity, producing different sound qualities; the larynx (voice box) makes the air vibrate through the vocal folds to create voice; and finally, the respiratory system powers this process (3).
Imagine a young child competing with his or her fellow classmates during recess and immediately losing the ability to breathe normally. He or she stops in the middle of the competition and falls to the ground while holding his or her chest trying to find air. When you are young, being able to keep up with your peers during recess and sporting events is very important, however, having asthma restricts this. Asthma has a significant impact on childhood development and the diagnosis of asthma for children 18 years and younger has dramatically increased over the years. Asthma is known as a “chronic inflammation of the small and large airways” with “evident bronchial hyper-responsiveness, airflow obstruction, and in some patients, sub-basement fibrosis and over-secretion of mucus” (Toole, 2013). The constant recreation of the lung walls can even occur in young children and “lead to permanent lung damages and reduced lung function” (Toole, 2013). While one of the factors is genetics, many of the following can be prevented or managed. Obesity, exposure to secondhand smoke, and hospitalization with pneumonia in the early years of life have all been suggested to increase children’s risk of developing asthma.
Human voice is an expressive musical instrument as people use their own voices to perform pieces or songs with or without any other instruments. If the voice is damaged to a serious stage, it can be lost forever. Therefore, vocal health is important to singers to take care their voices. In the following discussion we will discuss what the vocal health is, why it is relevant to contemporary singing from vocal anatomy, physiology and voice function.
Exercise-induced asthma is an acute transient airway narrowing that occurs during and most often after exercise. It is objectively defined as a 10% fall in forced expiratory volume in the first second from baseline that may be measured up to thirty minutes following exercise (M&M). Exercise-induced asthma occurs not only in elite athletes and asthmatics, but it can also be found in non-asthmatics. The stimulation of exercise-induced asthma can range anywhere from inhaling allergens to hyperventilation or intense exercise. The management and prevention of exercise-induced asthma is a series of trials to reduce the effects of prolonged bronchoconstriction.
Mixed Spasmodic Dysphonia is an extremely rare form of SD occurring when different muscles have spasms causing the vocal folds too close and open. Like the name recommends both abductor and adductor symptoms are apparent in mixed spasmodic
A hiccup is a spasm of your diaphragm. When this happens, your vocal cords, otherwise
The various cartilages, muscles, ligaments, and the hyoid bone in the laryngeal skeleton each have their own specific structure and critical role in the performance of the entire phonation system. The collection of parts that comprises the phonation system interacts to form a common purpose. However, similar to how various parts within this system work together to support itself, these parts also interact with another system of the body for the purpose of receiving and giving necessary support for functioning. The respiration system has a supportive relationship with that of the phonation system, where if certain structures were not working correctly within either system, function of not only that system but the other as well would be critically
The voice is our primary mean of communication and expression. We rarely last more than a few minutes without its use whether it is talking to someone else or humming quietly to ourselves. We can use the voice artistically in many ways. For example, singing carries the rhythm and melody of speech. It creates patterns of pitch, loudness, and duration that tie together syllables, phrases and sentences. We use the voice for survival, emotion, expression, and to reflect our personality. The loss of the voice is a severe curtailment to many professions. It is affected by general body condition which is why we need to consider the location of the larynx and how that organ produces voice. Surprisingly, this complex biological design is mechanical in function. It is mechanical to the point that when it has been excised from a cadaver and mounted on a laboratory bench, the larynx produces sounds resembling normal phonation. (Titze, Principles)
This learning period I focused on my voice and my LP goal to learn new musical songs that I can sing well. I have completed my goal and really enjoyed this learning period. The concepts I practiced this learning period was to push your tongue against your bottom row of teeth to really project your voice for a better singing note. By pushing your tongue against your bottom set of teeth, this allows a larger passage way to let your voice come out by moving your tongue. Another concept was to do breathing and stretching exercises to allow your vocal cords to be at the most limber and relaxed they can be. Standing or sitting up straight is the best position to sing in due to your diaphragm being the most expanded. When you slouch you crush your