🎤 Voice Therapy Application — Concise Dialogue Q&A

🔹 1. LSVT LOUD (PD)

Patient: “Why do I feel like I’m yelling?”
Clinician: “Your brain underestimates loudness — we’re retraining perception.”
Q: Why sensory recalibration?

A: To normalize loudness perception

🔹 2. SPEAK OUT! (PD)

Patient: “Why ‘speak like a CEO’?”
Clinician: “To use intentional speech and activate motor pathways.”
Q: Purpose of “Speak with INTENT”?

A: Activates direct (pyramidal) pathway

🔹 3. VFEs (Presbylaryngis)

Patient: “My voice fades fast.”
Clinician: “We’ll strengthen your folds with vocal exercises.”
Q: Why sustain /i/?

A: Warm-up and improve control

🔹 4. VFEs (PD)

Patient: “Why glide pitches?”
Clinician: “It stretches and contracts your folds for flexibility.”
Q: Which steps address pitch?

A: Stretching and contracting

🔹 5. RVT (MTD)

Patient: “My throat feels tight.”
Clinician: “Focus the sound forward; feel the buzz in your face.”
Q: What should they feel?

A: Facial mask vibration

🔹 6. LMRVT (Singer)

Patient: “It’s easier when I hum.”
Clinician: “Good — that vibration helps self-monitor resonance.”
Q: Why hum in LMRVT?

A: Builds vibration awareness

🔹 7. Circumlaryngeal Massage (MTD)

Patient: “My voice feels strained.”
Clinician: “We’ll loosen your neck muscles to release tension.”
Q: Main goal?

A: Reduce tension, reposition larynx

🔹 8. Carryover (PD)

Patient: “I forget to talk loud at home.”
Clinician: “Practice daily and use family cues.”
Q: Goal?

A: Promote generalization

🔹 9. Diagnosis Check (MTD)

Clinician: “No change after massage.”
Q: What does this suggest?

A: Likely spasmodic dysphonia

🔹 10. Rapid Review
Goal
Loudness
Intentional speech
Strengthen weak folds
Forward focus
Sensory feedback
Tension relief

Best Treatment - LSVT LOUD, SPEAK OUT!, VFEs, RVT, LMRVT, Circumlaryngeal Massage