voice therapy clinical case studies

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What Is a Case Study?

When you’re performing research as part of your job or for a school assignment, you’ll probably come across case studies that help you to learn more about the topic at hand. But what is a case study and why are they helpful? Read on to learn all about case studies.

Deep Dive into a Topic

At face value, a case study is a deep dive into a topic. Case studies can be found in many fields, particularly across the social sciences and medicine. When you conduct a case study, you create a body of research based on an inquiry and related data from analysis of a group, individual or controlled research environment.

As a researcher, you can benefit from the analysis of case studies similar to inquiries you’re currently studying. Researchers often rely on case studies to answer questions that basic information and standard diagnostics cannot address.

Study a Pattern

One of the main objectives of a case study is to find a pattern that answers whatever the initial inquiry seeks to find. This might be a question about why college students are prone to certain eating habits or what mental health problems afflict house fire survivors. The researcher then collects data, either through observation or data research, and starts connecting the dots to find underlying behaviors or impacts of the sample group’s behavior.

Gather Evidence

During the study period, the researcher gathers evidence to back the observed patterns and future claims that’ll be derived from the data. Since case studies are usually presented in the professional environment, it’s not enough to simply have a theory and observational notes to back up a claim. Instead, the researcher must provide evidence to support the body of study and the resulting conclusions.

Present Findings

As the study progresses, the researcher develops a solid case to present to peers or a governing body. Case study presentation is important because it legitimizes the body of research and opens the findings to a broader analysis that may end up drawing a conclusion that’s more true to the data than what one or two researchers might establish. The presentation might be formal or casual, depending on the case study itself.

Draw Conclusions

Once the body of research is established, it’s time to draw conclusions from the case study. As with all social sciences studies, conclusions from one researcher shouldn’t necessarily be taken as gospel, but they’re helpful for advancing the body of knowledge in a given field. For that purpose, they’re an invaluable way of gathering new material and presenting ideas that others in the field can learn from and expand upon.

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Voice Therapy: Clinical Case Studies

Fifth Edition

Joseph C. Stemple, Edie R. Hapner

Details: 508 pages, B&W, Softcover, 7" x 10"

ISBN13: 978-1-63550-035-6

© 2019 | Available

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Voice Therapy: Clinical Case Studies, Fifth Edition  provides both the student and the working clinician with a broad sampling of management strategies as presented through clinical case studies by master voice clinicians, laryngologists, and other voice care professionals. Through concise patient histories, pre- and post-treatment evaluations, and tailored therapeutic approaches, this classic text addresses assessment, management, as well as treatment and therapy approaches for a range of voice disorders; muscle tension dysphonia, glottal incompetence and neurogenic disorders, and professional voice care.

New to the Fifth Edition

• An expanded discussion of the principles of successful voice therapy including issues of self-efficacy and patient responsibilities for their own care. (Chapter 1)
• An introduction to the concept of 'Meta-Therapy;' those clinical and personal characteristics that go beyond the therapy technique to make patients more flexible and competent users of their own vocal instruments. (Chapter 1)
• Cases describing new evidence-based therapies such as 'Conversation Training Therapy' and 'Lax Vox' therapy. (Chapters 3 and 4)
• New cases describing treatments for chronic cough, superior nerve paralysis, and vocal tremor in a singer. (Chapters 5 and 6)
• A NEW chapter on a non-traditional therapy delivery model, telepractice and therapeutic challenges not previously discussed, treatments for enhancing the transgender voice, pervasive vocal fry, and muscle tension dysphagia. (Chapter 8)

The fifth edition of this text has been extensively revised and updated and includes 54 case studies and 7 case vignettes sampling a wide variety of voice disorders with various pathologies, etiologies, and therapy techniques. Through a systematic case study format, 64 voice experts and master clinicians have provided detailed descriptions of voice assessment and management approaches and techniques. It is the ideal text for both students learning the basics of evaluation and treatment of voice disorders and practicing clinicians providing voice care.

"The book covers a range of common and not so common voice disorders, their pathology, etiology, assessment, and treatment. It covers the most common voice disorder, muscle tension dysphonia, as well as other disorders, such as presbyphonia, neurological voice disorders, irritable larynx syndrome, and voice issues that affect professional voice users. The area of voice disorders has changed since the previous edition, and the authors have also included information on topics such as telepractice, transgender voice therapy, and addressing the cultural phenomenon of glottal fry. The book is well organized and written in a clear fashion that both students and professionals will appreciate."

— Matthew H Rouse, MS, SLPD,  Biola University, in  Doody's Reviews (2019)

Preface Contributors

Chapter 1. Principles of Successful Voice Therapy Chapter 2. Comments on the Voice Evaluation Chapter 3. Primary and Secondary Muscle Tension Dysphonia Chapter 4. Management of Glottal Incompetence Chapter 5. Dystonia, Essential Tremor, and Parkinson's Disease Chapter 6. Disorders of the Upper Airway: Irritable Larynx Syndrome, Chronic Cough, Paradoxical Vocal Fold Dysfunction, and Upper Airway Challenges Chapter 7. Management of the Professional, Avocational, and Occupational Voice Chapter 8. Non-traditional Therapy Delivery Models and Therapeutic Challenges

Joseph C. Stemple

Joseph C. Stemple, PhD, CCC-SLP, ASHAF, is professor of Communication Sciences and Disorders, College of Health Sciences, University of Kentucky where he specializes in the study of voice production and disorders. Current research interests include the biology of laryngeal muscles during exercise; the aging voice; and identifying the active ingredients of evidence-based voice therapy programs. Dr. Stemple is an active national and international speaker and lecturer. He is a Fellow and Honors recipient of the American Speech-Language-Hearing Association.

Edie R. Hapner

Edie R. Hapner, PhD, CCC-SLP, is a Professor in the Caruso Department of Otolaryngology Head and Neck Surgery and Director of Speech Language Pathology at the University of Southern California, Los Angeles, CA. She is a fellow of the American Speech Language and Hearing Association, and Associate Fellow of the American Laryngological Association and a Distinguished Fellow of the National Academy of Practice. She has presented hundreds of lectures, workshops, and seminars on voice and voice disorders. She has over 50 published articles in the area of voice and voice disorders, multiple book chapters, and is co-editor of the book Voice Therapy, Clinical Case Studies, Fourth Edition. Dr. Hapner developed and implemented the voice curriculum for Medbridge Inc, an online learning systems for speech language pathologists where multiple leaders in voice present accessible and easily understandable lectures on voice and voice disorders.

Dr. Hapner has served on the Board of Directors for the American Speech Language and Hearing Association as the Vice President of Planning, Coordinator of the SIG 3 Voice and Voice Disorders, member of the Voice Committee for the American Academy of Otolaryngology and served on the AAOHNS Guidelines Committee for Dysphonia. She will chair the ASHA Annual Convention in 2020.

Dr. Hapner's research interests include aging voice, dystonia and adherence to voice therapy. She is co-author of Phonation Resistance Training Exercises (PhoRTE), an evidence based treatment for aging voice.

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Richard K. Adler, Sandy Hirsch, Jack Pickering

Details: 412 pages, B&W, Softcover, 7" x 10"

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Details: DVD

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ISBN13: 978-1-59756-144-0

© 2011 | Available

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Transforming Voice and Communication with Transgender and Gender-Diverse People: An Evidence-Based Process

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The Communication Disorders Casebook: Learning by Example

Shelly S. Chabon, Ellen R. Cohn, Dorian Lee-Wilkerson

Details: 563 pages, B&W, Softcover, 8.5" x 11"

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• ISBN-10 9781597565585
• ISBN-13 978-1597565585
• Edition Fourth
• Publisher Plural Publishing, Inc.
• Publication date May 16, 2014
• Language English
• Dimensions 6.75 x 1.15 x 9.75 inches
• Print length 560 pages
• See all details

Editorial Reviews

About the author.

Edie Hapner, PhD, CCC-SLP , is the Director of Speech-Language Pathology at the Emory Voice Center and a faculty member in the Department of Otolaryngology, Emory University School of Medicine in Atlanta, Georgia. She has served as the Director of Education for the Department of Rehabilitation at Emory University with special emphasis in FEES training. She served as the Coordinator of the Division 3 Steering Committee of the American Speech-Language-Hearing Association (ASHA) from 2010 to 2011, was a member of the Communication Sciences and Disorders Research Group and a Scientific Fellow for the American Academy of Otolaryngology (AAO-HNS). Dr. Hapner was awarded the Clinical Scholars designation from the AAO-HNS Foundation in 2006. She served as ASHA's liaison to the Hoarseness Guidelines Development Committee for the American Academy of Otolaryngology in 2009.

Product details

• ASIN ‏ : ‎ 159756558X
• Publisher ‏ : ‎ Plural Publishing, Inc.; Fourth edition (May 16, 2014)
• Language ‏ : ‎ English
• Paperback ‏ : ‎ 560 pages
• ISBN-10 ‏ : ‎ 9781597565585
• ISBN-13 ‏ : ‎ 978-1597565585
• Item Weight ‏ : ‎ 1.75 pounds
• Dimensions ‏ : ‎ 6.75 x 1.15 x 9.75 inches
• #432 in Audiology & Speech Pathology (Books)
• #529 in Occupational Therapy (Books)

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Common terms and phrases, about the author  (2019).

Joseph C. Stemple, PhD, CCC-SLP, ASHAF, is professor of Communication Sciences and Disorders, College of Health Sciences, University of Kentucky where he specializes in the study of voice production and disorders. Current research interests include the biology of laryngeal muscles during exercise; the aging voice; and identifying the active ingredients of evidence-based voice therapy programs. Dr. Stemple is an active national and international speaker and lecturer. He is a Fellow and Honors recipient of the American Speech-Language-Hearing Association.

Edie R. Hapner, PhD, CCC-SLP, is a Professor in the Caruso Department of Otolaryngology Head and Neck Surgery and Director of Speech Language Pathology at the University of Southern California, Los Angeles, CA. She is a fellow of the American Speech Language and Hearing Association, and Associate Fellow of the American Laryngological Association and a Distinguished Fellow of the National Academy of Practice. She has presented hundreds of lectures, workshops, and seminars on voice and voice disorders. She has over 50 published articles in the area of voice and voice disorders, multiple book chapters, and is co-editor of the book Voice Therapy, Clinical Case Studies, Fourth Edition. Dr. Hapner developed and implemented the voice curriculum for Medbridge Inc, an online learning systems for speech language pathologists where multiple leaders in voice present accessible and easily understandable lectures on voice and voice disorders.

Dr. Hapner has served on the Board of Directors for the American Speech Language and Hearing Association as the Vice President of Planning, Coordinator of the SIG 3 Voice and Voice Disorders, member of the Voice Committee for the American Academy of Otolaryngology and served on the AAOHNS Guidelines Committee for Dysphonia. She will chair the ASHA Annual Convention in 2020.

Dr. Hapner's research interests include aging voice, dystonia and adherence to voice therapy. She is co-author of Phonation Resistance Training Exercises (PhoRTE), an evidence based treatment for aging voice. 

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Voice therapy: clinical studies (2nd edition).

Joseph C Stemple Singular Publishing, 2001

Review by: Katherine Behenna

This revised edition of Joseph Stemple's well known text (1st edition 1993) has been extensively rewritten and expanded to reflect the advances in the field of clinical voice disorders. The scope of the book has been broadened to cover additional disorders such as paradoxical vocal fold movement and transsexual voice change, as well as advances such as Douglas Hicks' fascinating chapter on the as yet unique laryngeal transplant carried out by Marshall Strome. Alongside some of the more useful case studies from the first edition are seventeen new cases by a number of international voice experts. As with the first edition, this format of actual case studies provides a useful way of teaching direct intervention techniques for a wide range of voice disorders as well as considering other aspects of overall management. Each case moves from diagnostic assessment and case history through the selected intervention programme to post-treatment evaluation. In his foreword, the author notes that this text is aimed as a practical adjunct to more theoretical voice texts. The result is a focused and practical manual of proven and well-referenced voice therapy techniques and management approaches presented by 'master voice clinicians', that nevertheless also manages to address important physiological aspects of voice production. In many cases, since the case clinicians are also the individuals who have developed the voice therapy techniques, the result is an excellent way of learning at first hand the nuances of the technique under consideration.

A broad overview of the different philosophies of treatment (hygienic, symptomatic, psychogenic, physiological and eclectic) are first presented and illustrated with a representative case study in Chapter 1 and examples of various voice evaluation techniques (formal questionnaire; patient interview; perceptual voice analysis; instrumental assessment) then discussed in Chapter 2. The theory and practice of well-known techniques that holistically address all 3 aspects of voice production (respiration, phonation and resonance) are then considered in the following chapter. Case studies by experienced practitioners include the Accent Method - Sara Harris; Vocal Function Exercises - Joseph Stemple; Resonant Voice Therapy - Katherine Verdolini; and Lee Silverman Voice Therapy - Lorraine Olsen Ramig, with each case incorporating overall management plan and outcome. It is perhaps debat-able whether purely written instructions can take the place of an auditory and/or visual model to learn a particular technique but most clinicians with even a little experience will find this chapter an invaluable 'master-class' to revise details of selected therapy approaches. The clinical management of vocal hyperfunction in adults and children is well addressed in chapter 4. Direct exercises such as 'confidential voice'; 'soft whisper technique'; 'yelling safely' and refocusing of laryngeal tone are presented, along with detailed hygiene programmes and consideration of psychosocial issues. Chapter 5 describes the management of vocal hypofunction with case studies illustrating direct therapies and surgical intervention in cases of voice fatigue, vocal fold bowing, senile layngis and vocal fold paralyis. Facilitation techniques are excellently presented in step-by-step format in the appendix to this chapter, along with the underlying rationale for each. Cases of functional and organic resonance disorders are also well detailed by different members of the voice care team.

Management strategies for functional voice disorders are presented in Chapter 6. New contributions in this edition include a section on manual therapy in the treatment of muscle tension dysphonia, and a case study demonstrating strategies used to modify the voice and speech characteristics of a male-to-female transsexual. Other case studies include functional disorder caused by environ-mental stress, and functional falsetto and functional dysphonia.

Chapter 7 is entirely new and recognises the increasing role of the voice therapist as the major caregiver for certain clients with respiratory and laryngeal disorders such as paradoxical vocal fold dysfunction (PVFD), severe asthma or chronic cough syndrome. Several case studies illustrate successful management of such disorders, highlighting the unique combination of knowledge of upper respiratory physiology and experience of behavioural techniques that voice therapists can bring to such cases. This chapter seems to lack a discussion of the professional boundaries and safe practice of respiratory therapy with certain disorders but the clinical presentation of PFVD in several different cases is usefully reviewed and goals of treatment as well as detailed behavioural modification programmes and outcomes presented.

The Management of the Professional Voice covered by Chapter 8 has been hugely expanded to consider particular the problems of a full range of performers and other professional voice users. Cases include a 'high risk performer', a Broadway actor, a university voice major, and a helpful review of strategies used with an actor with hyperfunctional voice disorder. As with many chapters, ideas covered in the main text have been summarised into a valuable set of therapy resources in a separate appendix. Chapter 9 covers the clinical management of both types of spasmodic dysphonia with direct voice therapy, surgical intervention, Botox™ injections, and combination management approaches considered. Chapter 10 is considered by the author to be 'special' in that it contains a fascinating single case study of the only human laryngeal transplant so far. The final chapter considers what makes voice therapy successful or unsuccessful. This section with its own case studies comes as something of a relief to readers after the resoundingly successful and challenging case studies of the preceding 10 chapters! The fact that the author and contributors acknowledge that voice therapy cannot always fulfil 100% of treatment goals is certainly a valuable teaching point, and one that thus far has not been made in this particular text. The consideration of the reasons for this, including discussion of clinician as well as client expectations/reponses is well put forward.

Overall, this is a very valuable clinical manual that the whole multidisciplinary voice care team will appreciate. Numerous highly experienced clinicians bring to it their expertise in managing both straightforward and challenging cases and the accessible case study format allows the reader to follow all stages of the assessment and intervention process in detail. Although primarily focusing on the 'how' of voice therapy, the 'why' is not overlooked with well-referenced sections on the proven theory behind each approach. Overall, this is a book for clinicians familiar with these techniques to dip into for a refresher or for inspiration and for less experienced therapists to have as an invaluable model to follow.

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Voice Therapy: Clinical Case Studies

ISBN 9781635500356 作者/出版社 Stemple / Plural 出版年代/版次 2019/5

Paperback: 508 pages

Voice Therapy: Clinical Case Studies, Fifth Edition provides both the student and the working clinician with a broad sampling of management strategies as presented through clinical case studies by master voice clinicians, laryngologists, and other voice care professionals. Through concise patient histories, pre- and post-treatment evaluations, and tailored therapeutic approaches, this classic text addresses assessment, management, as well as treatment and therapy approaches for a range of voice disorders; muscle tension dysphonia, glottal incompetence and neurogenic disorders, and professional voice care.

New to the Fifth Edition:

• An expanded discussion of the principles of successful voice therapy including issues of self-efficacy and patient responsibilities for their own care. (Chapter 1)
• An introduction to the concept of 'Meta-Therapy;' those clinical and personal characteristics that go beyond the therapy technique to make patients more flexible and competent users of their own vocal instruments. (Chapter 1)
• Cases describing new evidence-based therapies such as 'Conversation Training Therapy' and 'Lax Vox' therapy. (Chapters 3 and 4)
• New cases describing treatments for chronic cough, superior nerve paralysis, and vocal tremor in a singer. (Chapters 5 and 6)
• A NEW chapter on a non-traditional therapy delivery model, telepractice and therapeutic challenges not previously discussed, treatments for enhancing the transgender voice, pervasive vocal fry, and muscle tension dysphagia. (Chapter 8)

The fifth edition of this text has been extensively revised and updated and includes 54 case studies and 7 case vignettes sampling a wide variety of voice disorders with various pathologies, etiologies, and therapy techniques. Through a systematic case study format, 64 voice experts and master clinicians have provided detailed descriptions of voice assessment and management approaches and techniques. It is the ideal text for both students learning the basics of evaluation and treatment of voice disorders and practicing clinicians providing voice care.