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Conducting a Comprehensive Voice Assessment in Parkinson’s Disease - page 20 / 22

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ASSESSING RESONANCE  Cont’d ….

ROM – (range of motion) is restricted or reduced during AMR’s due to  

           rigidity  is most typical in PD with high  notes

  1)  Ability to produce rapid and accurate speech.

  2)  Deeply inhale & repeat:  [/p^/, t^, k^ ] and “Patticake”

  3)  Repeat syllables for 10 seconds for at least 3 trials;

  4)  Average the number of Reps

  5) Syllables should be equally spaced.

Assessing Hyper function  

       Observe sites of potential hyerfunction  /tension

         1) muscles of face and neck, mandibular restriction

         2) Listen for strained voice quality /  hard glottal attacks.

         3) Note complaints of laryngeal pain.

         4)Laryngeal excursion    

         5) Thyroid tipping forward – on high note causes stress

          6) Tongue placement    (Gentil, Pollak, 95’)

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