Department of aPsychiatry, and bLogopedics and Phoniatrics, University Hospital ,. Innsbruck, Austria. Abstract. Aphonia is the extreme form of a functional voice. Aphonia is defined as the inability to produce voiced sound. A primary cause of aphonia is bilateral disruption of the recurrent laryngeal nerve, which supplies. Otolaryngol Pol. ;60(2) [Management and therapy in functional aphonia: analysis of cases]. [Article in Polish]. Maniecka-Aleksandrowicz B(1 ).
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Functional aphonia, conversional aphonia, psychogenic aphonia, acute sudden voice loss, hysterical aphonia They all are names for the same disorder. In school, I learned that functional aphonia was when a person lost his or her voice and couldn’t functinal out how to speak again despite trying. In clinical experience, I have found that many factors can contribute to functional aphonia, not all clients are “malingerers” and it takes skill, patience and experience functjonal separate these malingerers from those truly in need of voice therapy.
With this diagnosis, many insurance companies deny at the hint of anything functional. It doesn’t help that some patients receive secondary gain from this disorder and “milk it for all gunctional is worth. It usually occurs following an illness such as an upper respiratory infection or following a traumatic or emotional occurrence.
It may even develop as a result of fear. Before speech therapy was seen as an appropriate intervention aphonoa, psychogenic aphonia was treated in very odd ways. One way was essentially “suffocating” the patient to evoke a vocal cry of alarm. Other treatments included using electricity, grabbing the tongue, water torture or cocaine applied to the laryngeal mucosa.
None of my therapy techniques include any of these thankfully.
Functional Aphonia in a Child, aged 6
The first functional aphonic patient I ever saw was by observation only. She was a young woman who had a child at home.
Being a single mom, she worked at a very demanding job where she had to use her voice all day. She was receiving voice therapy fully paid for by her insurance company, and her job was giving her time off for short term disability. Each time she would come for a session, we made progress and she was able to find a wonderful and resonant target voice. The next time she would come in, the voice would be whispery and diminished again.
It made me wonder if she was just using the time off for whatever personal reason, but the struggle in each session to achieve a normal sounding voice was all too real. A memorable functional aphonia patient I saw was in a hospital where I worked. He had not been intubated, and I spend most of the evaluation trying to figure out if he was faking or not.
Malingerers are out there The more I found out about his family and the emotional trauma of what gunctional him to the hospital, the more I realized that the trauma itself had changed how this man functioned in every way, including how he spoke. It took 3 sessions before he even made aphonla noise, but through semi-occluded vocal tract exercises with a straw in a cup of water, we were able to bring him into a complete and normal speaking voice in no time.
Ahonia population can be difficult to treat because, like most voice cases, no “one” treatment will work all the time. Aphonis have compiled a list of tricks and tips to help any SLP treating a functional aphonic achieve that “light bulb” moment. Make sure you are utilizing negative practice in your sessions because the quicker the patient regains the ability to reorganize his or her own kinesthetic framework for phonation, the quicker the patient can get back to a normal life. No fixation even after a lengthy period of aphonia.
Swiss Med Weekly, ,; Theory and Management, Fourth Edition. She rehabilitates voice and functionl at her private practice, a tempo Voice Center, and lectures on vocal health to area choirs and students. I can’t wait for you to download your subscriber only freebie and to begin receiving up-to-date information on blogs, products and discounts! Get in the habit of drinking half of your body weight in ounces of water each day. I label my water bottles with times I must drink a certain amount by.
Get a nifty looking reusable bottle to help keep you motivated. Try Breezers by Halls. They do not contain menthol or eucalyptus. Those ingredients can contribute to chronic cough. Instead of yelling from room to room at home, bring the communication partner closer to you when communicating.
Making Functional Aphonia Treatment Functional. Bubbles in a cup.
Have the patient place the straw in the water and blow air until bubbles are functiional. This gives the patient visual feedback that air is indeed flowing. Next, have the patient begin to hum this way. Sometimes the distraction of the cup, the vibration of the bubbles and the noise made is all that is necessary to get phonation to occur again.
If the patient is appropriate and not an aspiration risk i.
Raspberries or tongue trills. Get out your joke book here. Sometimes all that is needed is good old-fashioned joking around. Some YouTube videos can be used as well. I like this old superbowl commercial about herding cats. Act out some lines from a play in ridiculous accents funcional at different tempos.
Making Functional Aphonia Treatment Functional
If you have headphones with some white noise you want to use, great! If you are interested in a more budget friendly and quick trick, crinkle paper towels or plastic next to both ears while having the patient attempt functionaal phonate.
Use your phone or a small ffunctional device to record the patient making these noises. Sometimes patients will not even believe it is really them in the recording, so videos are the next step here.
We functionql your privacy. I will never sell your email address. I bought this planner a few weeks ago because I have functionwl goals for for growth of myself, my business, and the things that I want to see become tangible. I really like how it allows me to schedule my month, finctional then in a different section schedule my blog posts and online collaborations. I used the Big Happy Planner last year, but it was too bulky and just sat on my desk like a desk calendar.
What planners have you had luck with? Those vocal folds though! Medbridge saves my life every year!!! And you get this awesome song again! That means unlimited CEUs. Seeing the world from a different perspective is one of the many reasons that I practice yoga. Have you been upside down lately? Have you thought about your intent for living today?
Where have the last four months gone? What have you accomplished in the last four months? I have hired a second patient care coordinator, seen patients each week, and set my goals high for next year regarding growth. I have the most awesome neighbors!!! What do you guys like to do on your Friday night to decompress? Are you at the gym lifting like me? Ha ha if all was well in a perfect world.
And really fun things about ourselves. Winner gets laryngeal anatomy drawings, vocal health handouts, voice themed pins for your work badge, larynx water bottle, a 3-D printed the larynx, Vocal Athlete book set, and fnuctional straw phonation reminder cup.
Must complete the full loop to enter. This giveaway is not associated with Instagram. How often should you be hydrating? Vocal Abuse Tip Instead of yelling from room to room at home, bring the communication partner closer to you when communicating.