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What are indirect therapy methods?
Will not change voice quality dramatically - vocal hygiene.
What are direct therapy methods?
Methods improving laryngeal function - motor learning.
Examples of direct therapy methods:
Intensity: multiple repetitions, longer duration
Taks specificity
Practice
Feedback
Why do you do indirect/direct therapy methods?
For muscle endurance, strength, range of motion.
What are typical voice therapy protocols?
Vocal wellness
Relaxation training
Respiratory/phonatory training
Referrals
What is the ultimate goal of voice therapy?
Design a series of tasks or exercises that increase the efficiency of phonation.
What is circumlaryngeal massaging?
Direct manual intervention for reducing excessive tension in laryngeal muscles.
What is the goal of circumlaryngeal massaging?
Restore the natural resting position of the larynx and reduce overall muscle tension and vocal hyperfunction.
Who is circumlaryngeal massaging for?
Muscle Tension Dysphonia
Elevated laryngeal positioning (puberphonia)
Can allow for differential diagnosis of MTD versus SD.