Voice therapy may also serve to teach preventive measures such as vocal hygiene and other safe speaking or singing practices.
[3] 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.
[5][6] Therapy directly modifies the abnormal physiologic activity affecting respiration, phonation, and resonance.
A vocal hygiene program also may include a component about learning about how the voice works (e.g. anatomy and physiology).
[5][6] While hormone replacement therapy and gender reassignment surgery can cause a more feminine physical appearance, they do little to alter the pitch or sound of the voice.
The accented rhythm is then generalized to longer phonation at three speeds (largo, andante, and allegro), while maintaining proper breathing techniques.
More specifically, it elevates the pitch of the voice during phonation, prolongs the vowels, de-stresses syllables, and lessens word-initial glottal attacks.
Patients are asked to reduce chanting to a minimal, while maintaining vowel prolongations and softened glottal word onsets.
However, they all have similar hierarchical structures and share the goal of producing a strong, clear voice with minimal effort.
[14] In the aforementioned programs, the client begins by trying to produce resonance during nasal consonants and vowels, then progresses to using this technique in words, sentences, and conversations.
[8] Resonant voice is described as vibrating higher and further forward, and being felt at the alveolar ridge and in the maxillary bones.
The third is called an "endurance" exercise, the client is instructed to hold a note as long as they can by controlling their exhale (this should be done with 3-4 comfortable pitches).
This is why most who haven't gone through male puberty begin hormone replacement therapy have a higher chance of retaining this quality.
[18] Following a total laryngectomy, air will no longer pass through the vocal folds, significantly altering the person's ability to communicate orally.
[18] With the help of voice therapy as well as possible adjustments to ventilator settings, the goal is to become accustomed to using the device functionally and to learn the techniques and skills needed to participate in daily communication.
[3] In children, the voice disorders and dysphonia are quite common, although the reported prevalence varies significantly depending on the type of data collection and the location from which it was drawn.
[19][20][21] Moreover, pediatric voice disorders may progress into adulthood and consequently negatively affect personal and professional ambitions.
[21] Despite this, the criteria for school based services is up to interpretation, and children with voice disorders have inconsistent access to treatment.
Pediatric voice therapy involves the collaborative work of often multidisciplinary healthcare practitioners forming the voice-care teams.
[20] Additionally, other members of the voice-care team can include general practitioners, surgeons, social workers, occupational therapists, dieticians, gastroenterologists and pharmacists.
[20] Voice services can be provided in a number of settings, including hospitals, clinics, schools and personal homes.
[20] Diagnosis of a voice disorder must be followed by a physician referral in order for a child to have access to therapy services.