Voice Therapy and Rehabilitation

Taguchi Aki

doi:10.2468/jbes.62.440

In association with voice therapy and rehabilitation for dysphonia, here we primarily describe indications, treatment methods, and voice therapy methods. Voice therapy is generally carried out in a prescribed order, beginning with a medical interview followed by larynx observation, then medical examination, and finally treatment via therapy. The medical interview is extremely important for understanding the patient's issues and needs regarding his or her voice, and physicians should also inquire about the patient's occupation and occasions of experiencing voice overuse. Larynx observation should be conducted via larynx stroboscopy to observe vocal cord vibration precisely. In addition to aerodynamic inspection and acoustical analyses, subjective evaluations such as Voice Handicap Index may also aid in diagnosis. Prior to vocal therapy, patients should receive instruction on proper vocal hygiene, and any actions which the patient does not undertake should be stressed in particular. Methods of voice therapy fall into one of two categories : treatment dealing with symptoms, and comprehensive treatment. Symptom treatment methods include direction on changing vocal cord tension, pitch, and voice strength. Comprehensive vocal treatment methods include vocal function exercises, resonant voice therapy, and accent methods. These methods are intended to be implemented in patients'daily lives, and rehabilitation typically combines several of these treatment options. In performing vocal treatment, the doctor and speech therapist should share information and work together to promote treatment.

Voice Therapy and Rehabilitation

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