The accent method of voice therapy: Effect of accentuations on FO, SPL, and airflow

Kotby, M. Nasser; Shiromoto, Osamu; Hirano, Minoru

doi:10.1016/s0892-1997(05)80120-1

Cited by 37 publications

(10 citation statements)

References 2 publications

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“…7 Common speech treatment approaches Common SLP behavioral treatment approaches include techniques that optimize respiratory-phonatory coordination techniques for improved pitch and loudness control, phrasing, and consistency of sound production. 7,24,[90][91][92] In addition, facilitative speaking strategies may be The Center for Digital Research and Scholarship Columbia University Libraries/Information Services used to improve comprehensibility by modifying speaking tempo, phrase length, and incorporate purposeful pauses during speaking. 7,11,17,91,93 Augmentative and alternative communication strategies may be required to facilitate improved intelligibility and comprehensibility in more severely affected individuals.…”

Section: Communication Participation Item Bank (Cpib)mentioning

confidence: 99%

“…25,98 Finally, those with impaired voice function, such as occurs with spasmodic dysphonia and essential vocal tremor, may benefit from respiratory-phonatory coordination approaches and other voice therapy treatment approaches listed, typically supplementary to medical management approaches. 66,92,95,99 Common dysphagia treatment approaches…”

Section: Communication Participation Item Bank (Cpib)mentioning

confidence: 99%

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Speech–Language Pathology Evaluation and Management of Hyperkinetic Disorders Affecting Speech and Swallowing Function

Barkmeier-Kraemer

Clark

2017

Tremor and Other Hyperkinetic Movements

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Background: Hyperkinetic dysarthria is characterized by abnormal involuntary movements affecting respiratory, phonatory, and articulatory structures impacting speech and deglutition. Speech-language pathologists (SLPs) play an important role in the evaluation and management of dysarthria and dysphagia. This review describes the standard clinical evaluation and treatment approaches by SLPs for addressing impaired speech and deglutition in specific hyperkinetic dysarthria populations. Methods: A literature review was conducted using the data sources of PubMed, Cochrane Library, and Google Scholar. Search terms included 1) hyperkinetic

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Section: Communication Participation Item Bank (Cpib)mentioning

confidence: 99%

Section: Communication Participation Item Bank (Cpib)mentioning

confidence: 99%

Speech–Language Pathology Evaluation and Management of Hyperkinetic Disorders Affecting Speech and Swallowing Function

Barkmeier-Kraemer

Clark

2017

Tremor and Other Hyperkinetic Movements

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“…The reduction of irritants through the practice of good upper airway hygiene and awareness/management of triggers can reduce sensitivity and hyper-responsiveness (26,58), whilst acute symptoms can be controlled by activities that promote and maintain vocal cord abduction such as sniffs and vocal fricatives (59). Longer term retraining of glottic and supraglottic activity can be achieved through laryngeal aperture control (with or without the addition of therapeutic laryngoscopy) and use of the Accent method (60,61). Therapy can also be optimized by effective management of co-morbidities such as using voice therapy techniques and relaxation.…”

Section: Therapeuticmentioning

confidence: 99%

Pediatric Dysfunctional Breathing: Proposed Components, Mechanisms, Diagnosis, and Management

et al. 2020

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Dysfunctional breathing (DB) is an overarching term describing deviations in the normal biomechanical patterns of breathing which have a significant impact on quality of life, performance and functioning. Whilst it occurs in both children and adults, this article focuses specifically on children. DB can be viewed as having two components; breathing pattern disorder (BPD) and inducible laryngeal obstruction (ILO). They can be considered in isolation, however, are intricately related and often co-exist. When both are suspected, we propose both BPD and ILO be investigated within an all-encompassing multidisciplinary dysfunctional breathing clinic. The MDT clinic can diagnose DB through expert history taking and a choice of appropriate tests/examinations which may include spirometry, breathing pattern analysis, exercise testing and laryngoscopic examination. Use of the proposed algorithm presented in this article will aid decision making regarding choosing the most appropriate tests and understanding the diagnostic implications of these tests. The most common symptoms of DB are shortness of breath and chest discomfort, often during exercise. Patients with DB typically present with normal spirometry and an altered breathing pattern at rest which is amplified during exercise. In pediatric ILO, abnormalities of the upper airway such as cobblestoning are commonly seen followed by abnormal activity of the upper airway structures provoked by exercise. This may be associated with a varying degree of stridor. The symptoms, however, are often misdiagnosed as asthma and the picture can be further complicated by the common co-presentation of DB and asthma. Associated conditions such as asthma, extra-esophageal reflux, rhinitis, and allergy must be treated appropriately and well controlled before any directed therapy for DB can be started if therapy is to be successful. DB in pediatrics is commonly treated with a course of non-pharmaceutical therapy. The therapy is provided by an experienced physiotherapist, speech and language therapist or psychologist depending on the dominant features of the DB presentation (i.e., BPD or ILO in combination or in isolation) and some patients will benefit from input from more than one of these disciplines. An individualized treatment program based on expert assessment and personalized goals will result in a return to normal function with reoccurrence being rare.

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“… 7 , 24 , 90 – 92 In addition, facilitative speaking strategies may be used to improve comprehensibility by modifying speaking tempo, phrase length, and incorporate purposeful pauses during speaking. 7 , 11 , 17 , 91 , 93 Augmentative and alternative communication strategies may be required to facilitate improved intelligibility and comprehensibility in more severely affected individuals. 17 , 25 , 90 Potential speech–language pathology treatment approaches for addressing impaired function and coordination of the respiratory, voice or articulatory components of speech production are summarized in Table 4 .…”

Section: Slp Treatment Of Hyperkinetic Dysarthriamentioning

confidence: 99%

“…Thus, treatment approaches known to effectively address impaired/weakened respiratory drive and its coordination with speech production are listed as possible treatment approaches for addressing signs and symptoms associated with impaired respiratory drive, or coordination for speech production. 24 , 66 , 90 , 93 , 94 , 96 Alternatively, speaking patterns can be directly modified using speech rhythm techniques, slowing speaking rate, delayed auditory feedback, or direct magnitude production. 17 , 21 , 90 , 91 , 97 Further, in those with severely impaired speech, alternative and augmentative approaches can be used.…”

Section: Slp Treatment Of Hyperkinetic Dysarthriamentioning

confidence: 99%

Speech–Language Pathology Evaluation and Management of Hyperkinetic Disorders Affecting Speech and Swallowing Function

Barkmeier-Kraemer

Clark

2017

Tremor and Other Hyperkinetic Movements

View full text Add to dashboard Cite

The accent method of voice therapy: Effect of accentuations on FO, SPL, and airflow

Cited by 37 publications

References 2 publications

Speech–Language Pathology Evaluation and Management of Hyperkinetic Disorders Affecting Speech and Swallowing Function

Speech–Language Pathology Evaluation and Management of Hyperkinetic Disorders Affecting Speech and Swallowing Function

Pediatric Dysfunctional Breathing: Proposed Components, Mechanisms, Diagnosis, and Management

Speech–Language Pathology Evaluation and Management of Hyperkinetic Disorders Affecting Speech and Swallowing Function

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