1. umbrella term for pathologies as a result of voice use with essentially normal cover and
intact neurologic function: functional dysphonia
2. true or false: functional dysphonia is explained by an organic cause: false (not by
anatomical/physiological condition or medical cause)
3. terms used (functional dysphonia): muscle tension dysphonia, vocal fatigue,
puperphonia/mutational falsetto, conversion voice disorders
4. muscle tension dysphonia with a variety of signs/symptoms, without ob- vious
psychogenic/neurologic etiology, and with excessive atypical and/or abnormal laryngeal
behaviors: primary muscle tension dysphonia
5. muscle tension dysphonia in the presence of current organic vocal fold pathology,
psychogenic/neurologic etiology: secondary muscle tension dyspho- nia
6. etiology of muscle tension dysphonia - assumed to be muscle : mis-
use (extra muscle activity within/outside glottal/laryngeal area)
7. increased muscle tension results in...
shearing forces imposed on the vocal folds ( stiffness)
contact between the folds
impact stress
affects voice (quality, endurance) impact on
pressure: greater, increased longer
, Voice Disorders Exam 4 Questions and Answers
greater
production
subglottal
8. types of supralaryngeal tension/anatomy: ventricular compression, anteri- or-posterior
squeezing, sphincteric glottis, posterior glottal gap or "chink"
9. structural changes muscle tension dysphonia: cover? body?: normal or near normal
10. muscle tension dysphonia posture/other characteristics:
posture
shoulders and neck held
alignment
head , jaw juts
tongue edges
jaw excursion
strap and superficial muscles
laryngeal position
thyrohyoid space
jugular vein
, Voice Disorders Exam 4 Questions and Answers
respiratory effort during : rigid
tightly
asymmetries
extended, forward
scalloped
limited
prominent
high
reduced
distention
speech
11.muscle tension dysphonia = etiology, therefore, stroboscopic/en- doscopic
evaluations will reveal characteristics that reflect a range of
etiologies: multifactorial
wide
(results will vary, supraglottic activity will be present)
12. psychological characteristics auditory-perceptual muscle tension dyspho- nia
overall pitch? pitch
variation? overall
loudness?