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General Tx principles, approaches (2) (Performance Ax (Good voice, poor…
General Tx principles, approaches (2)
Tx approaches
Hygienic-modification of lifestyle, env
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Physiological-activity using exercise, manipulation, shaping vocal tract
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Holistic, eclectic-draws on all approaches
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Performance Ax
Good voice, poor voice rating using numerical rating scale. 1 to 10.
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Aha moments-receptionist thinks you sound so much better. Clients call ppl on the phone "you sound good"
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Reduction in freq of specific behaviour during, outside of Tx through keeping a tally
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Be consciously aware of cough coming on, what cough feels like
Indv referenced measures
Repeated ratings using instruments such as vocal abuse scales, vocal handicap index etc
Repeated readings of same material recorded, perceptually rated by clinician
Visual real-time feedback, provided by computerised instrumentation
Acoustic analysis, document change in target areas (eg. increased MDSP duration)
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Norm-referenced measures
Comparison of performance to norm-referenced measures through objective Ax (F0, pitch range, perturbation, intensity)
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Working w children
Provide education
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Characteristics of own vocal behaviour-unaware that their voice is different. Unable to analyse complex voice signal, need to unds that meaning, feelings are conveyed thru voice, words
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Make it relevant!
Link rationale, expected outcome of Tx to child's current needs, everyday life
Impt for motivation: "Don't you wanna be able to use a big loud voice that doesn't hurt you?" "Don't you wanna be able to run around the playground with a good voice?"
Need to be convinced that voice Tx is necessary, beneficial
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Family, significant others need to be included
Tx planning, charting of progress
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Observe child in various play settings to determine vocal abuses. Video record child at playground to see what they are doing
Specific, concrete examples of steps
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If they are 4;0-5;0 make everything into a game, then we can colour this in, add another puzzle piece
Techniques appropriate for child's dev age. Must be relevant to child's world, tied to specific concrete events and situations
Forward resonance: use articulation cards, turn lights off, shine torch on word and they have to say it
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Preventative measures
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Use team approach eg. work w music, PE teachers using a whistle
Screen vocal health, hygiene+ give lesson on vocal hygiene during music lessons. Education info sessions, normal childhood dev, what are the signs and symptoms that you should be looking out for?