Exercises for Voice Therapy

Alison Behrman, Ph.D., CCC-SLP, is Assistant Professor in Speech Communication Studies at Iona College, where she teaches courses in presentation skills, speech science, anatomy, and clinically focused topics in communication disorders. She received her M.A. in Speech-Language Pathology from New York University, and her PhD in speech physiology from Columbia University. She was Principal Investigator of an NIH grant exploring outcomes of voice therapy for patients with benign vocal fold lesions, and has ongoing research projects in voice disorders and accent management, with publications in peer-reviewed speech pathology, linguistics, and otolaryngology journals. Dr. Behrman maintains a private practice in corporate presentation skills, voice therapy, and accent modification. John Haskell, Ed.D. has maintained a private practice in speech-language pathology in New York City for over thirty years. He has specialized in the treatment of voice disorders and stuttering, and is a Board Recognized Specialist in Fluency Disorders. He has published a number of articles on voice therapy, and has been a frequent presenter at the Annual Symposia on the Care of the Professional Voice and other conferences. Dr. Haskell has held faculty positions at Pace University, Rutgers University, and William Paterson College of New Jersey and is co-founder and co-director of the New York City Voice Study Group.

Glen Nowell, MSc, S-LP (C), CASLPO, Canadian Journal of Speech-Language Pathology and Audiology, (2009): "...A varied and interdisciplinary cross-section, which... appropriately represents an eclectic approach to the artistic science of voice therapy... Well conceived and the editors' comments are on the mark. [Review refers to the First Edition.]" 'Exercises for Voice Therapy' aims to expand our offering of treatment options by providing practical exercises to inspire Speech and Language Therapists (SLTs) working with a wide range of voice patients (clients) - encouraging creativity through evidence-based practice. Content includes material suitable for novice to highly experienced voice practitioners and is useful in assisting the development of treatment plans and session materials. In this second edition, fresh perspective has been brought to the therapeutic process with the inclusion of 24 new exercises. - An accompanying CD is included to provide an aural model for those exercises that may be difficult to interpret from the written text alone. - Content includes material suitable for treatment of a wide variety of voice disorders such as muscle tension dysphonia, nodules and vocal fold palsy, through to working with paediatric voices, transgender clients, aphonics, clients with vocal tremor, puberphonia and those with paradoxical vocal fold dysfunction. ================================================================ Janet Munro, Communicating Voice, The British Voice Association, (2014): "'Exercises for Voice Therapy' offers genuine insight into the range of methods currently used in voice therapy from a variety of viewpoints. - to be used most effectively in clinical practice, SLTs seeking to apply its techniques will have good theoretical and a basic practical knowledge of the application of therapy techniques already currently in use to treat specific voice disorders. Non-SLT voice practitioners (singing teachers/voice tutors) may also find much of this resource useful as an insight into up-to-date, effective methods of working with the voice to achieve specific outcomes for the non-disordered voice. It includes exercises which focus upon improving parameters of voice production such as volume, pitch range and resonance, plus it offers original ideas for the delivery of topics such as maintenance of the voice, speaking to larger audiences and developing vocal expression. Due to client individuality, we all know the more tools SLTs have in their toolkit to deliver effective therapy, the increased potential for positive therapy outcomes. This publication encourages sharing of effective practice to improve the discipline overall, so we may all become better voice practitioners."

• Contents Preface to Second Edition Preface to First Edition A Word About the Accompanying CD Contributors Chapter 1: The Practice of Voice Therapy Chapter 2: Before and After Vocal Plasticity Philipe Dejonckere Ruler Exercise Edie R. Hapner Gentle Vocal Stretch and Contraction (Vocal Warm-Up) Wendy D. LeBorgne Throat Openers Shirley Tennyson Laryngeal Self-Massage Shirley Tennyson Light and Easy Talking Alison Behrman Vocal Cool-Down Linda M. Carroll Vocal Cool-Down Bari Hoffman Ruddy, Vicki Lewis, and Adam Lloyd Chapter 3: Teaching Speech Breathing Support Why Don't You? Alison Behrman Breath Pacing Linda M. Carroll Breathing Awareness Ellen Love Dungan and John Haskell Flow Phonation Jackie Gartner-Schmidt Relaxed Heart-Mind Breathing Susan Miller Chapter 4: Using a Semi-Occluded Vocal Tract Combined Rigid and Flexible Straw Phonation Sequence Mara Behlau and Glaucya Madazio Hand-Over-Mouth Mara Behlau and Gisele Oliveira Wave in a Cave Marci Daniels Rosenberg Lip Buzzes Alison Behrman Balancing Breath and Tone Through Advanced Trill/Flutter Tasks Mary McDonald Klimek Trilled Carryover Shirley Gherson Tongue Bubble Glides Brian E. Petty Chapter 5: Resonant Voice NG Sniff Linda M. Carroll Hong Kong Humming Edwin Yiu Hum-Sigh with Chewing Sarah L. Schneider Chant Talk Joan Lader Chant to Speech Sarah L. Schneider How to Improve Your Vocal Resonance Dominique Morsomme Good Vibrations Debra Phyland Spaghetti Silvia Pinho Hyperfunctional Dysphonia Marc Haxer Chapter 6: Integrating Voice Production with Body Movement Arm Swing Warm-Up Michelle Horman Messa-Di-Voce Arm Swings Shirley Gherson Breath Sensitivity Training Martin L. Spencer I Like to Move It! Move It! Kinesthetically Speaking Ashley Paseman Alexander-Based Vocal Therapy: With a Little Help from Carl Stough Joan Lader and Jessica Wolf Chapter 7: Articulatory Freedom Articulatory Awareness John Haskell The Chewing Method John Haskell Chewing Technique: Speak with an "Open Mouth" Estella Ma Tongue-Out Phonation Sarah L. Schneider Tongue Teaser Gaetano Fava & Gisele Oliveira Chapter 8: Teaching Loud Voice Production Calling the Text Alison Behrman "Cooee" (The Aussie Bushman's Call) Debbie Phyland The Power of the Amplifier Karen M.K. Chan Vocal Intensity Play Rosemary Ostrowski Using Twang Mary McDonald Klimek Chapter 9: Facilitating Efficient Vocal Fold Closure Vocal Function Exercises Joseph C. Stemple Vocal Fry to Modal Linda M. Carroll Vocal Fry Associated with High-Pitched Blow Sound Reny Medrado Hypofunctional Dysphonia Marc Haxer Sharp Onset Vowel Sentences Susan Miller Up and Down Staccato Susan Miller Phonation Resistance Training (PhoRTE) Therapy Aaron Ziegler and Edie R. Hapner Retention of Spaghetti Sylvia Pinho Chapter 10: Pediatric Voice Therapy Quiet Breath In - Easy Voice Out Ellen Love Dungan Rewriting the "Script" Leah Ross-Kugler Camp Voice Leah Ross-Kugler Voice Drawing Leah Ross-Kugler Blowing Bubbles Leah Ross-Kugler The Owl Judith M. Wingate Birds Talking! Rita Hersan Chapter 11: Special Cases Modification of Pitch in Male-to-Female Transgendered Clients Reinhardt Heuer Modifying Frequency and Resonance for Individuals Who Are Transgender Jack Pickering and Daniel Kayajian Chant Your Pitch (Voice Feminization) Christie Block Count Big (Voice Masculinization) Christie Block Relaxed Throat Breathing Florence B. Blager Low Resistance Rhythmic Breathing for Paradoxical Vocal Fold Motion Thomas Murry PVFM Rescue Strategies Shirley Gherson Training Open Otolaryngeal Postures Juliana Litts and Jackie Gartner-Schmidt Hands Off Treatment for Functional Aphonia Martin L. Spencer Cough or Throat-Clear Phonation for Puberphonia Edwin Yiu Hiding Vocal Tremor Julie Barkmeier-Kraemer Conversational Voice Therapy Alison Behrman Glossary References Index CONTENTS