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Laryngeal Massage & Establishing A New Pitch
Transcript of Laryngeal Massage & Establishing A New Pitch
Establishing A New Pitch Cysts
Vocal Nodules Types of treatments/techniques for addressing pitch Biofeedback Therapy
Voice Therapy TIP #1 Throughout the massage, move your thumb and forefinger in a circular motion, applying a comfortable amount of pressure in a downward motion. TIP #2 GIVE THE MOST ATTENTION TO AREAS THAT ARE TENDER OR TENSE Laryngeal Massage WE LOVE VOICE! Problems, Disorders & Situations Where Pitch Therapy is Useful Establishing
A New Pitch The focus of this technique is to decrease excessive contraction of the muscles of the larynx. This is achieved through pressing on selected areas of the neck (focal palpation), circumlaryngeal massage, and manually repositioning the larynx. Using the thumb and forefinger, moderate pressure is applied in small circles, from front to back, targeting selected areas of the larynx and neck. Often, excessive muscle contraction causes the larynx to be positioned too high in the neck, pulled up towards the base of tongue. Speaking in this position for extended periods of time can cause neck discomfort and even focal pain or tenderness. Laryngeal massage will therefore often focus initially upon the contracted thyrohyoid space (the area between the larynx and the hyoid bone) to release the excessive contraction and allow the larynx to descend. Gentle manual repositioning of the larynx during phonation can sometimes prevent habituated patterns of excessive contraction. Vocal exercises are incorporated during the massage to facilitate clear and easy voice production without excessive muscle contraction. The patient is then encouraged to focus upon auditory and vibrotactile feedback to encourage maintenance of easy voice production in the absence of manual manipulation. Problems & Disorders That Can Be Helped By Laryngeal Massage Muscle Tension Dysphonia (MTD)
Abductor Spasmodic Dysphonia
Functional Voice Disorders
Hyperadduction of the VFs
Bowing of the VFs Procedure 1. Encircle the hyoid bone with the thumb and index finger, starting in the front-middle, and working your way back. Once you've reached the back part of the hyoid bone, apply pressure in a circular motion. Now repeat while humming.
2. Now Repeat this procedure in the thyrohyoid space; just above the thyroid notch (Adam's Apple), and work your way back. Now repeat while humming.
3. Now, with the thumb and index finger, move the thyroid cartilage side to side.
*Do not be alarmed if you hear or feel popping. Pitch: the quality of a sound, governed by the rate of the vibrations producing it. TIP #3 Assume a relaxed body position throughout the massage (unhinged jaw and relaxed shoulders) Thank You!