Voice Therapy: Clinical Case Studies / Edition 3

Voice Therapy: Clinical Case Studies / Edition 3

by Joseph Stemple, Lisa Thomas Fry

Voice Therapy: Clinical Case Studies, now in its fourth edition, has been extensively revised and updated and is replete with new clinical case examples of voice therapy techniques from master clinicians in the field. Through concise patient histories, pre- and post-treatment evaluations, and tailored therapeutic approaches, this classic text addresses

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Voice Therapy: Clinical Case Studies, now in its fourth edition, has been extensively revised and updated and is replete with new clinical case examples of voice therapy techniques from master clinicians in the field. Through concise patient histories, pre- and post-treatment evaluations, and tailored therapeutic approaches, this classic text addresses assessment, management, as well as treatment and therapy approaches for a range of voice disorders-muscle tension dysphonia, glottal incompetence and neurogenic disorders, and professional voice care. This new edition is the ideal text for both students learning the basics of voice disorders and practicing clinicians providing voice care.

Product Details

Plural Publishing
Publication date:
Edition description:
Older Edition
Product dimensions:
7.00(w) x 10.00(h) x 1.00(d)

Table of Contents

Preface xiii

Contributors xvii

1 Principles of Voice Therapy Joseph C. Stemple 1

Introduction 1

Historical Perspective 2

Hygienic Voice Therapy 3

Symptomatic Voice Therapy 4

Psychogenic Voice Therapy 5

Physiologic Voice Therapy 5

Eclectic Voice Therapy 6

Case Study: Patient A 10

Voice Care Professionals 10

References 10

2 Comments on Voice Evaluation Joseph C. Stemple 13

Introduction 13

Management Team 14

Medical Examination 15

Voice Pathology Evaluation 15

Instrumental Voice Assessment 23

Hearing Screening 23

Impressions 23

Prognosis 24

Recommendations 24

Summary 24

References 24

3 Primary and Secondary Muscle Tension Dysphonia 27

Introduction: Muscle Tension Dysphonia: an Overview Nelson Roy 27

Case Study 1 Behavioral Shaping in Primary MTD Masquerading as Elective Mutism in a 10-Year-Old Boy R. E. Stone Jr Kimberly Coker 29

Case Study 2 Management of Primary MTD in a 13-Year-Old Using Falsetto Voice to Modify Phonation Joseph C. Stemple 38

Case Study 3 Use of Laryngeal Massage and Resonant Therapy in Primary MTD in an Adolescent Susan Baker Brehm 41

Case Study 4 Flow Phonation in a Teenager with Primary Muscle Tension Aphonia Jackie Gartner-Schmidt 45

Case Study 5 Manual Circumlaryngeal Techniques in the Assessment and Treatment of Primary MTD in a 55-Year-Old Woman Nelson Roy 53

Case Study 6 Management of Primary MTD Initially Masquerading as a Paralytic Dysphonia in a 39-Year-Old Woman Using an Enabling Approach Claudio Milstein 60

case Study 7 Use of Patient-Family Education and Behavior Modification to Treat MTD Secondary to Vocal Nodules Leslie Glaze 66

Case Study 8 Eclectic Voice Therapy for Secondary MTD in a 10-Year-Old With a Vocal Fold Cyst Carissa Portone-Maira 72

Case Study 9 Using a Psychosocial Management Approach in the Therapy of a Child With Midmembranous Lesions and Secondary MTD Moya Andrews 78

Case Study 10 Treatment of Secondary MTD in a Child With Early Bilateral Lesions: A Telehealth Approach Lisa N. Kelchner 85

Case Study 11 Treating a Child With MTD Secondary to Vocal Nodules Using Concepts From Adventures in Voice Rita Hersan 91

Case Study 12 Pediatric Vocal Fold Nodules and Secondary MTD Treated in Conjunction With a School-Based SLP Rebecca Hancock 100

Case Study 13 Use of Vocal Function Exercises in the Treatment of an Adult With Secondary MTD Joseph C. Stemple 106

Case Study 14 Accent Method in the Treatment of Secondary MTD Sara Harris 116

Case Study 15 Voice Therapy Boot Camp in the Treatment of Secondary MTD in an Adult Rita Patel 125

Case Study 16 Medical and Therapeutic Management of Laryngopharyngeal Reflux With Resulting Secondary MTD Sandra A. Schwartz 131

Case Study 17 Management of Secondary MTD Associated with Vocal Process Granulomas Heather Starmer 136

Case Study 18 Lessac-Madsen Resonant Voice Therapy in the Treatment of Secondary MTD Diana M. Orbelo Nicole Yee-Key Li Katherine Verdolini Abbott 142

Case Study 19 Use of Ambulatory Biofeedback to Supplement Traditional Voice Therapy for Treating Primary MTD in an Adult Female Tara Stadelman-Cohen Jarrad Van Stan Robert E. Hillman

Case Study 20 Use of Glottal Attack in the Treatment of Primary MTD in an Adult Female Presenting With Persistent Falsetto Joseph C. Stemple 164

Case Study 21 The Use of a Multi-Approach Therapy in a Female Professional Voice Speaker Presenting With a Primary MTD Marked With Habitual Falsetto Phonation Mara Behlau Glaucya Madazio 166

Case Study 22 Use of Hard Glottal Attack as Laryngeal Manipulation to Modify Mutational Voice in a 16-Year-Old Male Lisa Fry 174

References 179

4 Management of Glottal Incompetence

Introduction 189

Case Study 1 Treatment Strategies Used for Unlateral Vocal Fold Paralysis in a Case With a Complex Medical History Stephen C. McFarlane Shelley Von Berg 190

Case Study 2 Use of Physiologic Therapy Approaches to Treat Unilateral Vocal Fold Paralysis Following Complications From a Total Thyroidectomy Mara Behlau Gisele Oliveria Osiris do Brasil 198

Case Study 4 Use of Semi-Occluded Vocal Tract Methods and Resonant Voice Therapy to Treat Unilateral Vocal Fold Paralysis Julie Barkmeier-Kraemer 212

Case Study 5 Use of Expiratory Muscle Strengh Training in a Case of Unilateral Vocal Fold Paralysis 4 Years Post Chemotherapy/Radiation Bari Hoffman Ruddy Christine M. Sapienza Erin Silverman Henry Ho 222

Case Study 6 Brief Discussion and Case Presentation of Treatment for Superior Laryngeal Nerve Paralysis Using Medical, Surgical, and Behavioral Interventions Bruce J. Poburka 226

Case Study 7 Use of Phonation Resistance Training Exercises (PhoRTE) in a Part-Time Cooking Instructor With Presbyphonia Aaron Ziegler Edie R. Hapner 233

Case Study 8 Use of Vocal Function Exercises in an Elderly Man With Presbyphonia Stephen Gorman 240

Case Study 9 Treatment of Glottal Incompetence Caused by Sulcus Vocalis: Evidence of a Team Approach for Vocal Rehabilitaion Amanda I. Gillespie Clark A. Rosen 245

Case Study 10 Improvement of Vocal Fold Closure in a Patient With Voice Fatigue Joseph C. Stemple 250

Case Study 11 An Eclectic Approach in the Management of an Individual With Vocal Fatigue Chaya Nanjundeswaran 255

References 262

5 Dystonia, Essential Tremor, and Other Neurogenic Disorders 269

Spasmodic Dysphonia 269

Case Study 1 Functional Voice Therapy for Spasmodic Dyshonia Joseph C. Stemple 271

Case Study 2 Medical and Behavioral Management of Adductor Spasmodic Dysphonia Edie R. Hapner Michael M. Johns 273

Case study 3 Combined Laryngeal Injection of Botulinum Toxin and Voice Therapy for Treatment of Adductor Spasmodic Dysphonia Eileen M. Finnegan 281

Case Study 4 Use of Reduced Voicing Duration to Treat vocal Tremor Julie Barkmeier-Kraemer 287

Case Study 5 Use of LSVT LOUD (Lee Silverman Voice Treatment) in the Care of Patient With Parkinson Disease Lorraine Ramig Cynthia Fox 298

Case Study 6 Use of Telehealth Technology to Provide Voice Therapy Lyn Tindall Covert 303

References 307

6 Irritable Larynx Syndrome, Paradoxical Vocal Fold Dysfuntion, and Chronic COugh 311

Introduction to Irritable Larynx Syndrome Linda Rammage 311

Case Study 1 A case of ILS Managed by a Comprehensive Approach to Multiple Central Sensitivity Syndrome Triggers Linda Rammage 313

Case Study 2 Multimodality Behavioral Treatment of Long-Standing Chronic Cough in an Adult Marc Haxer 324

Case Study 3 Failed Voice Therapy With Successful Use of Central Nervous System Inhibitors in Chronic Cough Madeleine Pethan Laureano Giraldez-Rodriguez 328

Paradoxical Vocal Fold Motion: an Introduction Mary J. Sandage 335

Case Study 4 Treatment of PVCD in a Collegiate Swimmer Mary J. Sandage 338

Case Study 5 Management of PVCD: an Adolescent Athlete With Exercise-Induced Dyspnea Michael D. Trudeau Jennifer Thompson Christin Ray 345

Case Study 6 Treatment of Paradoxical Vocal Fold Motion Disorder in a 9-Year-Old Athlete Maria Braden 348

Case Study 7 Paradoxical Vocal Fold Movement (PVFM): A case of the Young Athlete With Associated Psychosocial Contributions Mary V. Andrianopoulos 355

References 368

7 Management of the Professional, Avocational, and Occupational Voice 375

Introduction Marina Gilman 376

Case Study 1 Management of Vocal Fold Nodules in a Female Prepubescent Singer Patricia Doyle Starr Cookman 379

Case Study 2 The Developing Performer Barbara Jacobson 389

Case Study 3 .19-Year-Old Talented Male Singer, Presenting With Soft Bilateral Vocal Fold Lesions Marina Gilman 394

Case Study 4 Therapeutic Modalities for the Touring Musical Theater Vocal Athlete Wendy D. LeBorgne 400

Case Study 5 Voice Intervention for a Touring Broadway Singer Shirley Gherson 405

Case Study 6 The High-Risk Vocal Performer Bari Hoffman Ruddy Jeffrey Lehman Christine M. Sapienza 412

Case Study 7 Semi-Occluded Vocal Tract Exercises and Resonant VOice Therapy in the Perioperative Management of a Professional Actor and Singer With a Vocal Fold Cyst Sarah L. Schneider Mark S. Courey 422

Case Study 8 Treating Vocal Injury in a Physically and Vocally Demanding Performer Wendy D. LeBorgne 435

Case Study 9 Voice Recalibration With the Cup Bubble Technique for a Country Singer Jennifer C. Muckala Brienne Ruel 442

Case Study 10 Praise and Worship Leader Preremoval and Postremoval of Bilateral Vocal Fold Lesions Marina Gilman 452

Case Study 11 .Use of Voice Therapy in Conjunction With Minimal Injection Medialization in the Longitudinal Treatment of Dysphonia in an Elite Operatic Singer Brian E. Petty Miriam van Mersbergen 458

Case Study 12 Voice Therapy in a 28-Year-Old Theater Actor Kate DeVore 463

Case Study 13 Conversational Voice Therapy: A Case Describing Application of Public Speaking Techniques to Voice Disorders Alison Behrman 469

References 474

8 Successful Voice Therapy 479

Introduction Joseph C. Stemple 479

Interview and Counseling Skills 480

Clinical Understanding of the Problem 481

Misapplied Management Techniques 482

Lack of Patient Education or Understanding of the Problem 482

Recognition of One Philosophical Orientation or One Etiologic Factor 483

Premature Discontinuation of Therapy 483

The Clinical Ear 484

Patient Realities 484

Can All Voices be Improved? 488

Case Study 1 The Role of Self-Efficacy on Voice Therapy Adherence Amanda I. Gillespie 488

Case study 2 Using iPod Apps to Improve Voice Therapy Adherence Between Sessions: A social-Cognitive Approach Eva van Leer 493

Case Study 3 There's an App for That: Use of Portable Electronic Software Applications to Facilitate Home Practice of Voice Exercises in a Lawyer With Vocal Fold Nodules Bryn Olson Carissa Portone-Maira 497

Case Study 4 Threat of Being Fired From Therapy Improved a Vocal Overdoer's Adherence Carissa Portone-Maira 503

References 510

Appendix 8-A Selected Applications Useful in Voice Therapy 513

Index 521

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