S & H Science Chp. 7

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ccscott
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212920
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S & H Science Chp. 7
Updated:
2013-04-16 10:54:57
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UCO
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speech & hearing science
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  1. 4 major clinical applications of acoustic analyses such as jitter and shimmer?
    • 1. tool in screening  people at risk for laryngeal pathology. 
    • 2. assessment of patients visiting the family doctor with complaints of hoarseness. 
    • 3. supplementing diagnostic evaluation of vocal problems.
    • 4. monitoring voice changes over time. pg. 157
  2. T/F: Physiological health has no effect on the aging voice?
    False: physiological health is an extremely important variable in aging of the voice. pg. 157
  3. Jitter and shimmer measures have ben used to document vocal function in patients with what type of communication disorders?
    neurologicial, such as ALS and Parkinsons; mechanical, such as trach intubation damage; laryngeal cancer, funcational voice problems and stuttering  pg. 158
  4. In patients with _______, jitter and shimmer values indicate a degeneration in the speech muscles before the degeneration is actually heard as impaired speech .
    ALS  pg. 158
  5. A progressive neurological disease in which all motor functions of the body deteriorate due to damage to the motor nerves that supply all the voluntary muscles of the body.
    ALS
  6. The underlying pathophysiology of _______ is the reduction in the neurotransmitter dopamine.
    Parkinsons
  7. Acoustically, patients with Parkinsons show (higher/lower) Fo and a (higher/lower) jitter; (lower/higher) intensity; (increased/decreased) phonational range; and (increased/decreased) dynamic range
    higher, higher, lower, decreased, decreased. pg. 158
  8. Define: Fetal cell transplantion (FCT)
    A new tx for Parkinson's in which suitable fetal cells are transplanted in the appropriate sit in the patient's brain. The is an aim to replenish the missing dopamine.
  9. Define: endotracheal intubation
    Whenever a person has a general anesthetic, a breathing tube is inserted into their trachea through the larynx.  pg. 159
  10. Removal of the trach tube is called?
    extubation
  11. Severe damage from extubation can result in _____ ?
    aphonia   pg. 159
  12. Greater shimmer and jitter levels were evident in the patient's voice after short-term intubation which ranges from ___ to ____ hours.
    1.5 to 23.5 hours    pg. 159
  13. Jitter reductions are seen across chemotherapy cycles with an average from ____% before the first chemo tx to ____% measured before the last treatment.
    4.34  and 1.52
  14. Voice problems not caused by disease, growths, trauma, or other neurological or organic problems?
    Functional Voice Problems  pg: 160
  15. Researcher found the jitter values are _____ between those who stutter and those that do not? and shimmer values between each?
    • jitter: the same
    • shimmer: higher for children who just began to stutter than for the nonstuttering children
  16. Objective measures for voice quality can be used for 2 reasons?
    • 1. eval of problem can be more precise for more appropriate tx is used. 
    • 2. assess and quantify tx for patients and insurance companies
  17. Objective measures are used to sort out which aspects of voice quality are involved in a voice problem. T/F
    True
  18. High-pitched voice can be associated with nodules, tumors on the vocal folds, and vocal fold paralysis. T/F
    False, caused by low-pitched hoarse voice.
  19. Every individual has a certain range of pitches that is the most efficient, vocally speaking, for him or her to produce?
    Optimum Pitch
  20. Common treatment alleviate laryngospasms Adductor Spasmodic dysphonia?
    Botox injections
  21. Adductor spasmodic dysphonia
    Neurological voice disorder causing spasms of the vocal folds to adduct, making it difficult to set them in vibration.
  22. Voice quality of individuals with adductor spasmodic dysphonia is _______?
    strained-strangled
  23. Voice quality after Botox injections is ______ for the first week or two.
    breathy and weak
  24. The effects of the Botx injections are permanent. T/F
    False, clients are reinjected every 3-6 months depending on how long the effects last.
  25. Designed to increase the activity of the respiratory musculature to generate increase volumes and subglottal pressure for speech.
    Respiratory Treatment (RT) for Parkinson's Disease
  26. Target increased vocal intensity through improved vocal fold adduction, and increase respiratory effort?
    Lee Silverman vocal treatment (LSVT) for Parkinson's Disease.
  27. Effectiveness of fetal cell transplantation (FCT) of dopamine in patients with Parkinson's  has been examined by means of _____.
    EGG
  28. Laryngeal degeneration  in women starts earlier and more often than that of men. T/F
    False. Laryngeal degeneration in women starts later and less than that of men.
  29. Effects of norman aging on laryngeal behaviors could be mistaken for those of laryngeal pathology. T/F
    True
  30. Which measures demonstrate acoustically that laryngeal function changes with aging?
    EGG and HNR measures.

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