What are the symptoms of dysphonia

Multilingual speech therapy practice
Cologne-Ehrenfeld
Lâle Aydın

definition

Voice disorders are mainly expressed by two symptoms:

  • on the one hand by disturbances of the vocal sound in the sense of hoarseness,
  • on the other hand, by restricting vocal performance

If one of these symptoms persists for a long time (more than 3 months), it is called dysphonia.

How a healthy voice works

The voice is generated by the movement of the vocal folds in the larynx.

When you breathe, the vocal folds open wide, and they close loosely to form your voice.

The inhaled air now presses against the completely closed vocal folds from below to generate the voice, causing them to vibrate.

This creates air vibrations that we hear as a human voice.

Photo credit:
Hegemann, A. / Ostendorf, U. (1998): Voice disorders in children - an information brochure from the German Society for Speech Therapy (dgs), p. 5

 

^Symptoms

Symptoms Hyphefunctional voice disorder

If the muscles responsible for the movements of the vocal folds work too tightly, the vocal folds no longer close loosely but are pressed against each other and the vibrations are uneven.

Affected people reach a certain volume with too much pressure.

As a result, the voice can sound rough and pressed. The vocal folds redden and thicken as a preliminary stage of so-called nodule formation.

Photo credit:
Hegemann, A. / Ostendorf, U. (1998): Voice disorders in children - an information brochure from the German Society for Speech Therapy (dgs), p. 6

Symptoms HypOfunctional voice disorder

On the other hand, the muscles can work with too little force (e.g. from a "relieving position"). Affected people talk with too little pressure.

This usually creates an oval gap between the vocal folds.

The voice sounds rather soft and breathy.

Photo credit:
Hegemann, A. / Ostendorf, U. (1998): Voice disorders in children - an information brochure from the German Society for Speech Therapy (dgs), p. 6

 

^causes

As a rule, a distinction is made between organic and functional causes.

 

^therapy

Depending on the cause and severity of the voice disorder, an individual concept is developed for the person affected. Most of the treatment is done via

  • general relaxation and posture exercises to build up balanced body tension,
  • Muscle exercises (shoulder, neck and articulation muscles)
  • Breathing exercises
  • and vocal exercises that aim to stimulate the vocal cords to vibrate in a healthy way.

Due to the various causes, it is important for the course of therapy to work together with doctors and therapists from other disciplines. In addition, it is important to include relatives, kindergartens, schools and other institutions.

 

^literature

Books:

  • Grohnfeldt, M. (2001): Textbook of Speech Therapy and Speech Therapy, Volume 2 - Appearances and Disorders
  • Siegmüller, J. and Bartels, H. (2006): Guide - Language, Speaking, Voice, Swallowing

brochures

  • Hegemann, A. / Ostendorf, U. (1998): Voice disorders in children - an information brochure from the German Society for Speech Therapy Pedagogy (dgs)
  • Hegemann, A. / Ostendorf, U. (2002): Voice disorders in adolescents and adults - an information brochure from the German Society for Speech Therapy Pedagogy (dgs)

 

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