User:Kjbatch/sandbox

I'm thinking of adding a section about the different approaches to management. They are: physiologic voice therapy, symptomatic voice therapy, hygienic voice therapy, psychogenic voice therapy, and eclectic voice therapy. ASHA focuses on distinguishing between physiologic and symptomatic voice therapy, but the other two textbooks include all five approaches. I might focus on physiologic and symptomatic but describe that other approaches exist as well. I don't know exactly where it would fit in yet. If could be a new section, or potentially fit within "Applications" under the "Voice disorders" heading.

ASHA: http://www.asha.org/PRPSpecificTopic.aspx?folderid=8589942600&section=Treatment

Clinical Voice Pathology Textbook: http://mcgill.worldcat.org/oclc/861755345

Voice Therapy- Clinical Case Studies Textbook: https://ebookcentral.proquest.com/lib/mcgill/reader.action?ppg=1&docID=1887958&tm=1506808616890

- Kjbatch (talk) 21:57, 30 September 2017 (UTC)

Orientations
There are several orientations towards management in voice therapy. The approach taken to voice therapy varies between individuals, as there is no set treatment method that applies for all individuals. The specific method of treatment should consider the type and severity of the disorder, as well as individual qualities such as personal and cultural characteristics. Some common orientations are described below.

Symptomatic
Symptomatic voice therapy aims to directly or indirectly modify the symptoms that are caused by a voice disorder. Techniques are implemented to facilitate the production and maintenance of a voice that is most appropriate for the individual. Symptomatic voice therapy can modify respiration, phonation, resonance, voice, loudness, rate, laryngeal muscle tension and may assist in gender reassignment voice change.

Physiologic
Physiologic voice therapy may be adopted when the voice disorder is caused by a disturbance in the physiology of the vocal mechanism. Therapy directly modifies the abnormal physiologic activity affecting respiration, phonation, and resonance. Physiologic voice therapy aims to create a balance between the various subsystems.

Hygienic
Hygienic voice therapy involves modifying or eliminating inappropriate vocal behaviours that lead to voice dysfunction. Once behaviours are modified, the voice may improve towards a normal state. The voice is improved without directly targeting physiological mechanisms. Vocally traumatic behaviours (i.e. shouting, screaming) and dehydration are often targeted in hygienic voice therapy.

Psychogenic
Psychogenic voice therapy examines the psychological and emotional factors that cause and perpetuate disordered voice, and focuses on modifying those factors to improve voice functioning.

Eclectic
The various voice therapy orientations are not exclusive of each other. Any combination of orientations can be used in treatment. This is known as eclectic voice therapy.