Abstract
Voice rehabilitation is the main treatment option in cases of behavioral dysphonia, and it has the purpose of enhancing the quality of vocal production and voice-related life aspects. Several efforts have been made to offer a clinical practice that is based on evidence, including the development of specific therapeutic protocols as an option for clinical and scientific improvement. It is necessary to define the focus/objective of the dysphonia treatment, type of approach, and duration in order to establish the intervention criteria. This paper describes the organization of a program of behavioral dysphonia treatment, based on an approach that has been used for over twenty years, named Comprehensive Vocal Rehabilitation Program, and also to present its concepts, theory, and practical fundamentals. The program has an eclectic approach and associates body work, glottal source, resonance, and breathing coordination in addition to knowledge about vocal hygiene and communicative behavior. The initial proposal suggests a minimum time of intervention of six therapeutic sessions that can be adapted according to the patient's learning curve and development. The goal is to offer a rational and structured therapeutic approach that can be reproduced in other scenarios.
Highlights
Vocal rehabilitation is considered the best treatment for behavioral dysphonia, as it is aimed at improving vocal production and reducing the negative impact of a given vocal disorder on the patient’s life quality
The model of care presented here was initially proposed at Instituto da Laringe (Larynx Institute) in the 1970s and expanded to be used in the Ambulatories of Larynx and Voice of Universidade Federal de São Paulo
The approach described below is named Comprehensive Voice Rehabilitation Program (CVRP), and it is a consolidation of the aforementioned experiences
Summary
Vocal rehabilitation is considered the best treatment for behavioral dysphonia, as it is aimed at improving vocal production and reducing the negative impact of a given vocal disorder on the patient’s life quality. Description of the six sessions of the Comprehensive Voice Rehabilitation Program Session 1 – Working with the glottal source Orientation: norms of vocal well-being and identification of controllable situations; Design of a graph to register the occurrence of the most altered aspects; Psychodynamics: analysis of the impact of the altered voice; quick training of perception of vocal deviations, and verification of the effects of voice-related problems within the VHI’s domains (Voice handicap Index)
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