ASC 823C
VOICE DISORDERS
Spring Semester, 2003
Lecture:
Time:
Room #:
T-TH
3:00-4:20 p.m.
161 COM BLDG.
Instructor:
Office:
Phone:
E-mail:
P.R.LaPine, Ph.D.
215 ASB
353-8780
lapine@msu.edu
WELCOME TO CLASS!!
Purpose:
The purpose of this course is to provide an intensive study of
the means to diagnose and ameliorate the voice disorders of
children and adults. The emphasis of the course will include
medical aspects of clinical diagnosis, instrumentation, clinical
evaluation and the rehabilitative aspects that contribute to the
"therapy" process.
Consequently, over the course of the semester it is anticipated
that each student will:
1- learn about the body of literature that is available on the
topics of voice disorders and laryngeal pathologies;
2- become familiar with the diagnostic and management
processes associated with traditional clinical practices;
3- be able to access and interpret contemporary research for
application to routine voice procedures;
4- have an opportunity to exchange ideas, methodologies, and
thoughts and experiences relative to the topic of normal and
impaired vocal processes.
Required Texts:
Stemple, J., Gerdeman, B.K., and Glaze, L., (2000). Clinical
Voice Pathology: Theory and Management. (3rd edition).
Singular Publishing.
Boone, D. and MacFarlane, S. (2000). The Voice and Voice Therapy.
(6th edition). Allyn & Bacon.
Additional readings will be assigned.
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All students enrolled in ASC 823C are encouraged to join the ASHA
SID 3 listserv. There is NO cost. Follow these directions
EXACTLY to sign on:
The American Speech-Language-Hearing Association’s Special
Interest Division sponsors SID3VOICE@LIST.MEDICINE.UIOWA.EDU for
Voice and Voice Disorders and the University of Iowa Department
of Otolaryngology-Head and Neck Surgery. Its purpose is to
promote discussion among health care professionals, scientists,
and professional voice users regarding clinical and scientific
issues relating to the normal and disordered human voice. To
subscribe to Sid3voice, you may access the sid3voice webpage and
click on the button "Join sid3voice" Alternatively, you may
subscribe by email as follows: send the following message to
lyris@list.medicine.uiowa.edu, subscribe sid3voice firstname
lastname. The list owner is Michael Karnell (michaelkarnell@uiowa.edu)
Good purchases but not required for the class:
Boone, D. (1997). Is Your Voice Telling On You?. (2nd edition).
Singular Press.
Colton, R. H., and Casper, J.K. (1996). Understanding Voice
Problems. (2nd edition). Williams and Wilkins.
Vogel, D., and Carter, J.E. (1994). Effects Of Drugs On
Communication Disorders. Singular Press.
Class format:
There are approximately 13 weeks available before the onset of
"academic dysphagia;" in other words, a complete overview of the
topic will require "forced feeding" of the content---at least at
times. Student initiative will be of premium value; the level of
that initiative will be reflected in the grading process. The
format, hopefully, will be that of a forum for joint sharing of
information through careful thought, critical analysis and
professional interaction.
Interesting experience:
On February 20, 2003 we will meet for one class period in the
Gross Anatomy Lab in Fee Hall. This is a voluntary opportunity;
it is not a class requirement. More information will follow.
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Grades:
FIRST EXAMINATION:
SECOND EXAMINATION:
POWERPOINT PROJECT:
WRITTEN COMPONENT :
FINAL EXAMINATION:
50
100
50
50
100
TOTAL
350 POINTS
3
points
points
points
points
points
Required Readings
The following list of readings establishes the course of study
for the upcoming term. As you may note, the readings are
assigned on a weekly basis; journal readings will be assigned
"periodically" (pun intended!). HTTPs are considered required
readings.
WEEK 1
TOPICS:
Introduction to Normal Voice; Anatomy and Physiology;
Normative Data, Endoscopy
http://www.asha.org/library/scope_slp.htm
http://www.waisman.wisc.edu/voicelab/lecture/anatomy/sld001.htm
http://www.medsch.wisc.edu/otoweb/courses/bruce/index.htm#strobos
copy
http://www.otoweb.org/voice.htm
Boone, Chapters 1 & 2
Hyperfunctional Voice Disorders; Vocal Misuse
Boone, Chapter 3
http://www.upmc.edu/upmcvoice/dos.htm
http://www.upmc.edu/upmcvoice/anatomy.htm
WEEK 2
TOPIC:
Voice Disorders
Stemple, Chapter 2
Boone, Chapter 4
WEEK 3
TOPIC:
Voice Disorders Related to Central Nervous System
Disorders
Stemple, Chapter 4
Boone,
Chapters 6
http://www.wfubmc.edu/voice/gallery.html
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WEEK 4
TOPIC:
Voice Evaluation
Stemple, Chapter 2
Boone,
Chapter 4 ("reviewed")
WEEK 5
TOPIC:
Vocal Rehabilitation; Therapy techniques
Stemple, Chapter 7
Boone, Chapter 5
WEEK 6
TOPIC:
Phonosurgery;
Spasmodic Dysphonia
http://www.bgsm.edu/voice/class_ld.html
http://www.bgsm.edu/voice/overview_sd.html
http://www.bgsm.edu/voice/sd_botox_faq.html
http://www.bgsm.edu/voice/book_sd.html
http://www.bgsm.edu/voice/helpful_hints.html
WEEK 7
TOPIC:
Special problems: Resonance
Medical Management and "meds":
http://www.voice-center.com/laryngeal_surgery.html
Boone, Chapter 7 and 9
WEEK 8
TOPIC:
Instrumentation
Stemple, Chapter 6
http://www.upmc.edu/upmcvoice/analysis.htm
WEEK 9
TOPIC:
Laryngectomy;
Stemple, Chapter 9
http://www.larynxlink.com/
http://www.voicestore.com
WEEK 10
5
TOPIC:
Boone, Chapter 8
http://www.voice-center.com/trachesoph.html
Week 11
TOPIC:
Tracheoesophageal Puncture
To be provided
Week 12
TOPIC:
Aging voice issues; to be provided
Boone and MacFarlane; Beasley and Davis; Titze
Week 13
TOPIC:
Psychogenic Voice Disorders; to be provided, Aronson
Week 14
TOPIC:
The Professional Voice
Stemple, Chapter 8
http://www.wfubmc.edu/voice/glossary.html
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There are other helpful texts that you may wish to review. The
following is a partial listing of some valuable references.
Andrews, M.L. (1986)
Longman.
Voice therapy for children.
Alderson, R. Complete handbook of voice training.
N.Y.: Parker Publishing Company.
New York:
West Nyack,
Aronson, A. (1979) Psychogenic voice disorders: an
interdisciplinary approach to detection, diagnosis, and
therapy. Philadelphia: W.B. Saunders.
Appelman, D.R. (1967) The science of vocal pedagogy. Bloomington,
Indiana: Indiana University Press.
Bless, D., and Abbs, J. (1983) Vocal fold physiology:
Contemporary research and clinical issues. San Diego:
College-Hill Press.
Brodnitz, F.S. (1961) Vocal Rehabilitation. Rochester, MN:
American Academy of Ophthalmology and Otolaryngology.
Case, J. (1984) Clinical management of voice disorders.
Rockville, MD.: Aspen Systems Corporation.
Cooper, M. (1973) Modern techniques of vocal rehabilitation.
Springfield, Illinois: C.C. Thomas.
Dedo, H., and Shipp, T. (1980) Spastic dysphonia: a surgical
and voiced therapy treatment program. Houston: CollegeHill Press.
Fawcus, M. (1986)
Croom Helm.
Voice disorders and their management.
London:
Filter, M. (1982) Phonatory voice disorders in children.
Springfield, ILL.: C.C. Thomas.
Greene, M. (1978) The voice and its disorders. Philadelphia:
J.B. Lippincott Co.
Johnson, L.S. (1985) Vocal abuse reduction program.
San
Diego: College-Hill Press.
Keith, R.L., and Darley, F.L. (1994) Laryngectomee
rehabilitation.
Boston: Little, Brown and Co.
Ludlow, C.L., and Hart, M. (1981) Proceedings of the conference
on the assessment of vocal pathology: ASHA REPORTS #11.
Rockville, MD: American Speech-Language Hearing
Association.
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Leith, W. and Johnson, R.G. (1986) Handbook of voice therapy
for the school clinician. San Diego: College-Hill Press.
Saunders, W. (1964) The larynx.
Pharmaceutical Company.
Summit, NJ:
CIBA
Sies, L.F. (1987) Voice and voice disorders: A handbook for
clinicians. Springfield: C.C. Thomas.
Titze, I. R. (1994) Principles of Voice Production.
Cliffs: Prentice-Hall.
Wilson, K.D. (1987) Voice problems of children.
Englewood Cliffs: Prentice-Hall.
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Englewood-
(3rd edition),
ASC 823C
Voice Disorders
Class Presentation
It is a given that you will present information as a professional in the field of speechlanguage pathology. Therefore, the class presentation is an attempt to help you
become familiar with some common instructional media and to provide an opportunity
in a fairly safe environment for practicing your oral presentation skills.
The necessary hardware and data projector will be provided. Your assignment is to
create a computer-generated slide presentation. “PowerPoint,” a component of MSOffice. You can prepare your presentation anywhere, but if you do not have personal
access to the hardware and software, it is probably available in local computer labs
Class Project:
Prepare a class presentation to be completed with Microsoft PowerPoint. The
presentation can be related to the assignment for abstracts, but such a relationship is
not required. The PowerPoint presentation must be at least 10 minutes in length but
cannot, under any circumstance, exceed 15 minutes in total time. There must be at
least 5 slides, not including a title slide. Slide transitions and effects are acceptable.
A list of possible topics is attached; however, you are not required to select a topic from
this list. The topic must be relevant to voice disorders.
The purposes of the project are:
a)
b)
c)
d)
to convey information orally to the class
to increase the class exposure to relevant topics
to gain exposure with contemporary technology
to provide practice with professional presentations.
Instrumentation:
Class meets in a “tech room” managed by the College of Communication Arts and
Sciences. A full multi-media cart (PC with zip disk, CD-R), VCR and data projection
system are available. Room 106 Oyer has all the necessary hardware and software
needed to complete the assignment.
Content:
Each presentation should contain at least 5 slides, approximately 1 slide in view for no
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more than 3 minutes. Slides may contain pertinent facts, definitions, data, graphs,
pictures, media clips, references, animations, etc.
Consider this requirement a “professional” presentation that is similar to a conference
“Technical Session.” Technical Sessions are focused on a particular topic; they
emphasize logical conclusions, and assume that the listener has a basic understanding
of common aspects of speech-language pathology. You might think of the focus as
toward listeners with at least a basic knowledge but expect some listeners with
moderate to considerable knowledge on the topic. Given those constraints a
presentation will require careful organization, completeness, clarity of thought and
speech, content accuracy and careful organization.
Some helpful suggestions:
1.
2.
3.
4.
5.
Rehearse your presentation.
Practice using the hardware and software.
Time the practice to be sure it is within the guidelines.
Use a set of notes or an outline to structure your presentation.
Remember: you’re not the only one who will be apprehensive, so will everyone
else; be a good listener.
Possible Topics
The following items are broad suggestions. Listed are general content areas but in most
cases the area can be reduced to a portion of the topic. For example, the topic of vocal
polyps might be addressed as treatment of vocal polyps in children or possibly as
incidence of polyps in deaf children.
Presbylayrngis
Aging voice
Shy-Drager Syndrome
Myasthenia Laryngis
Stroboscopy
Velophayrngeal closure
Nasalance
Jitter
Shimmer
Perturbation
Bronchodialators
TNM classification
Allergies
Vocal abuse/vocal misuse
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Aspirin/OTC medications
Beta-blockers & voice
Birth control pills and voice
Drugs
Fundamental frequency
Computer assisted therapy
Diagnostic therapy
Facilitating techniques
Electroglottography
Voice Registers
Falsetto voice
Ventricular phonation
Mutational falsetto
Puberphonia
Hughlings-Jackson syndrome
Gastroesophageal reflux
Vocal fold histology
Glottal fry
Huntington’s chorea
Spasmodic dysphonia
Phonosurgery techniques
Relaxation techniques
Laryngitis
Lee Silverman voice treatment program
Paradoxical vocal fold motion
Professional voice users
Guillain-Barre Syndrome
Smoking
Laryngectomy
Laryngectomee
Sulcus vocalis
Tape recording
Perceptual rating scales
Universal precautions
Vascular disorders
Transexual voice
Vocal tics
Vocal hygiene
Vocalis
Weak voice
Wallenberg’s syndrome
Acoustic characteristics of vowels
Environmental effects
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Workplace considerations
Hearing loss and voice
Cleft lip and palate
Loudness
Magnetic resonance imaging
Leukoplakia
Reinke’s edema
Laryngeal trauma
Embryologic development of the larynx
Respiratory function for voice
Diuretics
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