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The goal of voice therapy is to encourage proper vocal used and decrease the tension of the laryngeal muscles. [15] Examples of voice therapy include voice exercises to help increase glottic closure, vocal hygiene, manual laryngeal therapy, respiratory exercises, nasal exercises and frequency modulation amongst other techniques. [15]
Spasmodic dysphonia, also known as laryngeal dystonia, is a disorder in which the muscles that generate a person's voice go into periods of spasm. [1] [2] This results in breaks or interruptions in the voice, often every few sentences, which can make a person difficult to understand. [1]
Estill Voice Training (often abbreviated EVT) is a program for developing vocal skills based on analysing the process of vocal production into control of specific structures in the vocal mechanism. [1] By acquiring the ability to consciously move each structure the potential for controlled change of voice quality is increased. [2]
Vocal cord dysfunction (VCD) is a condition affecting the vocal cords. [1] It is characterized by abnormal closure of the vocal folds, which can result in significant difficulties and distress during breathing, particularly during inhalation. [1] Due to the similarity in symptoms, VCD attacks are often mistaken for asthma attacks or laryngospasms.
Sensory testing can quantify and assess the swelling for better treatment. The strength of the air pulse given during sensory testing in acid-injured vocal cords due to acid reflux disease will necessarily be much greater in order to elicit an airway reflex than tissues that are not swollen. [18] [19] [20]
Voice disorders can be divided into two broad categories: organic and functional. [9] The distinction between these broad classes stems from their cause, whereby organic dysphonia results from some sort of physiological change in one of the subsystems of speech (for voice, usually respiration, laryngeal anatomy, and/or other parts of the vocal tract are affected).
Exercise-induced laryngeal obstruction (EILO) is a transient, reversible narrowing of the larynx that occurs during high intensity exercise. This acts to impair airflow and cause shortness of breath , stridor and often discomfort in the throat and upper chest.
The paralyzed vocal cord may rest close to or far from the midline. An extremely laterally positioned vocal cord can result in a large posterior glottal gap - an opening between the two vocal cords even when the functioning vocal cord is fully medialized. Vocal cord injection is ineffective for closing a large glottal gap. [6]