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A Physiologic Approach to Voice Therapy

presented by Joseph C. Stemple

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Disclosure Statement:

Financial: Joseph C. Stemple receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.


 Non-Financial: Joseph C. Stemple has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Accreditation Check:
Speech-language pathologists (SLPs) are presented with multiple types of voice disorders to evaluate and treat. These disorders arise from a variety of etiologies and numerous patient vocal compensations. Given the variety of potential treatment options, how does the SLP choose the most effective treatment? Speech-language pathology literature identifies several general voice therapy orientations, vocal hygiene, symptomatic voice therapy, psychogenic voice therapy and physiologic voice therapy. This course will introduce the participant to these orientations as well as the evidence supporting their use. Choosing the appropriate evidence-based therapy approach is essential to successful voice therapy.

Meet Your Instructor

Joseph C. Stemple, PhD, CCC-SLP, ASHAF

Joseph Stemple is a Professor of Communication Sciences and Disorders in the College of Health Sciences at the University of Kentucky. He joined the faculty in the UK Division of Communication Sciences and Disorders in 2005, following a 30-year clinical career as founder and director of the Blaine Block Institute for Voice Analysis and Rehabilitation,…

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Chapters & Learning Objectives

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1. Introduction of Voice Therapy Orientations

Speech-language pathology literature identifies several general voice therapy orientations, vocal hygiene, symptomatic voice therapy, psychogenic voice therapy and physiologic voice therapy. This chapter will introduce the participant to these orientations as well as the evidence supporting their use. Choosing the appropriate evidence-based therapy approach is essential to successful voice therapy.

2. Voice Therapy Orientations: A Case Study

The concepts behind physiologic voice therapy will be introduced. With the aid of brief case histories and video examples of three pathological vocal conditions (nodules, unilateral paralysis, presbylaryngeus), participants will learn that a physiologic approach to voice therapy applies to a wide range of pathologies and patient compensations for those pathologies. Whether the voice problem is one of hyperfunction or hypofunction, the physiologic approach will balance the three subsystems of voice production to improve overall vocal function.

3. Physiologic Voice Therapy: Case Examples

A case study will be discussed to demonstrate vocal function exercises in detail, including the four main exercises as well as goals and rationale. The importance of therapy documentation and post-therapy details will also be discussed

4. Theoretical Underpinnings of Physiologic Voice Therapy

This chapter will introduce the genesis of the physiologic approach to voice therapy including its development and the theory upon which it is based, including the understanding that SLPs do not treat the pathology, but rather the underlying physiology that causes the pathology.

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