most superior of the folds; fun from epiglottis to the apex of each arytenoid cartilage; these folds close the larynx during swallowing
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false vocal folds
inferior to aryepiglottic folds; superior to true vocal folds; have limited movement but they do close during swallowing and with effortful activity and with some disorders
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true vocal folds
primary function is to sustain life; protect the airway; secondary function is communication; also have a role in phonation
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the glottis is closed, subglottal air pressure is increased, forces the vocal folds apart, vocal folds adduct due to elasticity and the bernoulli principle
how do we phonate?
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the bernoulli principle
happens when air passes through a channel; increases velocity and decreases pressure, with a decrease in pressure, objects want to move toward the area of low pressure
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tense vocal quality
hyperadducted vocal folds
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breathy and noisy vocal quality
hypoadducted vocal folds
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hyper/hyponasal
too much/too little velopharyngeal closure
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clear quality, appropriate pitch and loudness, voice is produced without strain, effort, pain, or fatigue and is satisfactory to the speaker in terms of their occupational, social, and emotional needs
what are the broad characteristics of the normal voice?
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maximum frequency range, speaking fundamental frequency, maximum phonation time, minimum-maximum intensity, average amplitude level, amplitude variabilty, dynamic range, voice range, jitter, shimmer, noise measures
what are acoustic measures of the normal voice?
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Maximum Frequency Range
adults: 2-3 octaves; 150-600Hz
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Maximum phonation time
adults: 20-25 seconds; children: 10 seconds
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minimum-maximum intensity
should differ by 20-30dB
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Jitter
.2-1% variation is considered normal
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shimmer
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provides a starting point and means for assessing progress strengthens clinician accountability can be used for feedback during therapy determines the effectiveness of techniques can detect early changes that cannot be heard perceptually can help validate perceptual judgements
what are advantages to using acoustic measures of phonatory function?
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ALS
increase in jitter, reduced phonational frequency range, abnormal fundamental frequency, reduced loudness, some changes are detected before they can be heard perceptually
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Parkinson's Disease
higher fundamental frequency, increase in jitter, a low intensity level, poor frequency variability, and decreased dynamic range
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Unilateral Vocal Fold paralysis/paresis
increase in jitter, noise to harmonic ratios that we look at to measure noise in the voice will be impacted, we will see more noise in the voice