Revised and updated, this edition has expanded discussion of the principles of successful voice therapy, including issues of self-efficacy and patients' responsibilities for their own care; an introduction to the concept of meta-therapy; cases detailing new evidence-based therapies like conversation training therapy and Lax Vox therapy; new cases describing treatment for chronic cough, superior nerve paralysis, and vocal tremor
in a singer; and a new chapter of cases on a nontraditional therapy delivery model, telepractice, treatments for enhancing the transgender voice, pervasive vocal fry, and muscle tension dysphagia.
These include some cases of severe hoarseness, diplophonia, voice breaks, vocal tremor
, and other problems.
A laryngeal or vocal tremor
occurs when the larynx spasms during speech, creating a breathy voice featuring a constantly shifting pitch.
This gives tailor-made reign to Blethyn's hallmark ability to crescendo from a comical and quizzical undulating vocal tremor
of sincerity, to decibel-bashing tirade.
(She blames herself for the death of the couple's twins years ago, an event that allows Hilda to be the resident child, "for a night.") "The emptiness is dreadful," remarks Aline, the actress's vocal tremor
tolling its own mournful cry that, in Page's staging, resounds well after her vainglorious husband has come crashing down.
This article describes the clinical uses of botulinum toxin to manage spasmodic dysphonia, singer's dystonia, essential vocal tremor, unilateral and bilateral laryngeal synkinesis, paradoxical vocal fold motion, and occupational oromandibular dystonia.
The disorder must be differentiated from hyperfunctional and psychogenic dysphonias, as well as essential vocal tremor (EVT), or other vocal tremor, which can be present in up to 25% of patients with AdSD.
Singer's dystonia is probably underdiagnosed as a result of attributing the symptoms to improper technique, aging, or due to misdiagnosis as essential vocal tremor. Halstead et al.
and vibrato in the same person: acoustic and electromyographic differences.
(22) It has been shown to accurately quantify the vocal signal modulation in pathological vocal tremor as well as vibrato.
Studies using electromyography have revealed details of measurable electrical activity in the laryngeal muscles during vocal tremor and vibrato.
Its value in treating a variety of medical conditions has since been proven, among them excessive sweating, spasticity and vocal tremors