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Conducting a Comprehensive Voice Assessment in Parkinson’s Disease - page 19 / 22

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ASSESSING RESONANCE…Cont’d

Cul-De-Sac Resonance

         1) Phonate on /”ah”/  and observe if tongue is retracted posteriorly.

        2) If so, have patient read word lists with tongue-tip sounds to move

           tongue to

            forward position:

             e.g. “did”      “sip”       “tip”         “seed”

                     “pit”     “teeth”   “maid”       “sis”    “tizzy”  (White, 2001)

Excessive Anterior Tongue Carriage

     1)  Read words with a lot of back vowels and back consonants (k/g)

            e. g.   cook   kook     go    good      cog   

                          Note if improvement heard in vocal resonance.

Assessing Oral peripheral Structure & Oral Motor Functioning

      Oral Peripheral Exam – observe structure and function related to cranial

                                             nerve damage

          - Face    -     Cheeks      - Lips     -    Mandible  

          - Tongue – occasional resting tremor

              AMR’s (alternating motion rates) usually slow or may be fast and

                irregular

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