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level: Voice Problems & the Nervous System

Questions and Answers List

level questions: Voice Problems & the Nervous System

QuestionAnswer
median, paramedian, lateralWhat are the VF paralysis positions?
close to midline or in the closed positionDefinition of Median
slightly open positionDefine paramedian
farthest from midline and in the open positionDefine lateral
Problem.. 1VF cannot adduct (close) Position... 1VF remains openUnilateral Adductor Palsy. What is the problem and what position is it in?
Problem... 1VF cannot abduct (open) Position... 1VF remains closedUnilateral Abductor Palsy. What is the problem and what position is it in?
breathy and reduced loudnessWhat does a patient with unilateral adductor palsy sound like?
hoarse, harsh and diplophoniawhat does someone with unilateral abductor palsy sound like?
Problem... VFs cannot adduct (close) Position.. VFs are openBilateral Adductor Palsy. What is the problem and position?
Problem... VFs cannot abduct (open) Position... VFs are closedBilateral Abductor Palsy. What is the problem and position?
aphonichow does a patient with bilateral adductor palsy sound?
dyspnea, stridor and respiratory distresshow does a patient with bilateral abductor palsy sound?
action induced or a task specific disorder the muscles and structures are normal at rest but move inappropriately with actionswhat is spastic dysarthria? how do the muscles and structures look/move?
psychogenicwhat is the old therapy of spastic dysarthria?
neurogenic, abnormal basal gangliawhat is the new theory of spastic dysarthria?
Problem... involuntary VF abduction Vocal quality... reduced loudness, pitch breaks, breathy, occasional aphoniaAbductor Spasmodic Dysphonia. Problem and how do they present?
Problem... tight and prolonged over adduction of the vocal folds Vocal quality... strain/struggle, chokedAdductor Spasmodic Dysphonia. Problem and how do they present?
Adductor spasmodic dysphonia (ADSD)what disorder is most commonly known to be treated with botox injections?
1. hysterical (conversation) aphonia 2. muscle tension dysphonia (MTD) 3. mutational falsettowhat are three psychogenic voice disorders (functional vice disorders)?
abnormal voice but normal laryngeal structures... relies on psychologists and behavioral therapywhat is a psychogenic voice disorders (functional voice disorders)?
loss is sudden or gradual after a traumatic/emotional event. significantly affects the person's quality of lifeWhat is hysterical aphonia?
over-activity of the head and neck muscles during phonation and incoordination of laryngeal muscles. The patient can sound very high pitched, with a strained/struggling vocal qualitywhat is muscle tension dysphonia?
similar to puberphonia BUT the larynx grows correctlywhat is mutational falsetto?
affect pitchDamage to the SLN would do what?
affects how the VFs move. May affect loudness, vibrations, hoarseness, breathinessdamage to the RLN would do what?
disruption of the integration/regulation of force, rate, speed and direction of movement, Harsh, hoarse and breathy vocal quality... reduced control of loudnessWhat are the main voice symptoms of ataxic dysarthria?
neuritis/infections trauma neoplasm (tumor) vascular degenerative diseaseswhat are the different causes of neurogenic voice disorders?
involuntary movements of the body and abrupt pitch and loudness changes and voice stoppages due to jerky VF movementswhat are key findings of huntington's disease?
reduced loudness, ROM or articulators and bradykinesiawhat are key findings of parkinson's disease?
myasthenia gravisWhat disorders has vocal fatigue that improves from rest?