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    GRBAS

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    Nitin Sharma
    The document discusses the GRBAS scale for evaluating hoarse voices. The GRBAS scale rates voices based on 5 factors - Grade (degree of hoarseness), Roughness, Breathiness, Asthenia (weakness), and Strain. Each factor is rated from 0 (normal) to 3 (severe). The total score out of 15 indicates the severity of hoarseness from normal to profound. The document also outlines various voice therapy strategies and healthy voice habits to avoid voice misuse and protect vocal health.

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    Download as PDF, TXT or read online from Scribd

    GRBAS

    Uploaded by

    Nitin Sharma
    5K views4 pages
    The document discusses the GRBAS scale for evaluating hoarse voices. The GRBAS scale rates voices based on 5 factors - Grade (degree of hoarseness), Roughness, Breathiness, Asthenia (weakness), and Strain. Each factor is rated from 0 (normal) to 3 (severe). The total score out of 15 indicates the severity of hoarseness from normal to profound. The document also outlines various voice therapy strategies and healthy voice habits to avoid voice misuse and protect vocal health.

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    GRBAS

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    The document discusses the GRBAS scale for evaluating hoarse voices. The GRBAS scale rates voices based on 5 factors - Grade (degree of hoarseness), Roughness, Breathiness, Asthenia (weakness), and Strain. Each factor is rated from 0 (normal) to 3 (severe). The total score out of 15 indicates the severity of hoarseness from normal to profound. The document also outlines various voice therapy strategies and healthy voice habits to avoid voice misuse and protect vocal health.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    5K views4 pages

    GRBAS

    Uploaded by

    Nitin Sharma
    The document discusses the GRBAS scale for evaluating hoarse voices. The GRBAS scale rates voices based on 5 factors - Grade (degree of hoarseness), Roughness, Breathiness, Asthenia (weakness), and Strain. Each factor is rated from 0 (normal) to 3 (severe). The total score out of 15 indicates the severity of hoarseness from normal to profound. The document also outlines various voice therapy strategies and healthy voice habits to avoid voice misuse and protect vocal health.

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    4.

    Voice cracks or sounds different


    93 REBECCA L. GOULD, CCC-SLP, BRS-S ScaleMSC, for evaluating the

    1 2 3 4 5
    March2012

    NCSHACONVENTION 2012

    hoarse voice (GRBAS)

    Grade The degree of hoarseness or voice abnormality Rough Irregularity of vocal fold vibration. Irregular fluctuations in the fundamental frequency and/or the amplitude of the glottal source sound. Breathy Extent of air leakage through the glottis, related to turbulence. Asthenic Weakness or lack of power in the voice, related to weak intensity of the glottal source sound and/ or a lack of higher harmonics Hyperfunctional state of phonation. It is related to an Strained abnormally high fundamental frequency, noise in the high frequency range, and/or richness in high frequency harmonics.

    94

    GRBAS (contd) Grade 0 non-hoarse or normal 3 extreme Rough 0 non-hoarse or normal 3 extreme Breathy 0 non-hoarse or normal 3 extreme Asthenic 0 non-hoarse or normal 3 extreme Strained 0 non-hoarse or normal 3 extreme G R B A

    1 slight

    2 moderate

    1 slight

    2 moderate

    1 slight

    2 moderate

    1 slight

    2 moderate

    1 slight

    2 moderate

    S Total /15 (G=grade, R=rough, B=breathy, A=asthenic, S=strain 0=normal, 1=slight, 2=moderate, 3=severe)

    Rating:

    Adopted from: Clinical Examination of Voice, M. Hirano, 1981 GRBAS (contd) 1 Normal DIFFERENTIAL DIAGNOSTIC EVALUATION 2-4 Mild AND TREATMENT OF DYSPHONIA DISORDERS 5-6 Mild-moderate 7-9 Moderate
    95

    13

    REBECCA L. GOULD, MSC, CCC-SLP, BRS-S NCSHACONVENTION 2012 95 GRBAS (contd)

    Adopted from: Clinical Examination of Voice, M. Hirano, 1981 1 2-4 5-6 7-9 10-12 13-14 15 Normal Mild Mild-moderate Moderate Moderate-severe Severe Profound/Aphonic

    March2012

    96

    Voice objective/Acoustic Measures !Voice lab (Visipitch, computerized speech lab, Videostroboscopy) !Acoustic measures establish base line levels !Pre/post comparative measurement Voice Management Strategies !Hygienic voice therapy !Psychogenic voice therapy !Resonant voice therapy (Modified RSVT) !Team management of specific laryngeal pathologies !Eclectic approach: establishing your own style THERAPY The human body is one of the greatest compensatory mechanisms.

    97

    98

    99

    Vocal hygiene This is the term used for the care and use of the human voice required to keep it healthy. It requires a daily regimen, which reduces environmental and behavioral factors that may damage your voice.
    1

    100

    Components of vocal hygiene !!Healthy diet and lifestyle !!Voice warm-ups before use !!Voice training on proper technique !!Voice exercises to improve endurance and power !!Proper voice use/ avoidance of misuse and overuse V value your voice
    14

    DIFFERENTIAL DIAGNOSTIC EVALUATION AND TREATMENT OF DYSPHONIA O optimize your voice DISORDERS

    invest in your voice

    !!Voice training on proper technique !!Voice exercises to improve endurance and power REBECCA L. GOULD, MSC, CCC-SLP, !!Proper voice use/ BRS-S avoidance of misuse and overuse NCSHACONVENTION 2012 2 V value your voice O optimize your voice I invest in your voice

    March2012

    C cherish your voice E exercise your voice


    101
    1

    Healthy Voice Habits AVOID !!Clearing your throat or coughing habitually Because vocal folds contact one another forcefully damage

    tissue

    Instead !!Swallow slowly, sip ice water and/or suck on ice chips

    102
    1

    Healthy Voice Habits AVOID !!Smoke, alcohol, & caffeine Because !!It causes irritation/ drying of tissue !!Causes reflux !!Smoking leading cause of cancer

    Instead !!Drink a lot decaffeinated fluids

    Healthy Voice Habits 1 AVOID !!Screaming, excessive loud voice use, and cheering DIFFERENTIAL DIAGNOSTIC EVALUATION !!Because vocal folds contact one another forcefully AND TREATMENT OF DYSPHONIA DISORDERS damage
    103

    tissue

    15

    Healthy Voice Habits REBECCA L.1GOULD, MSC, CCC-SLP, BRS-S AVOID NCSHACONVENTION 2012 !!Screaming, excessive loud voice use, and cheering !!Because vocal folds contact one another forcefully damage
    103

    March2012

    tissue

    Instead Use gestures, noise, or instruments to attract attention from a distance Healthy Voice Habits AVOID !!Speaking over loud noise for a long period of time Because its hard to monitor your loudness when theres background noise

    104
    1

    Instead !!Reduce background noise when possible !!Choose quiet restaurants !!Face the person !!Consider using an amplifier in noisy environments

    105
    1

    Healthy Voice Habits AVOID !!Talking when you feel pain or discomfort in your neck or throat Because it leads to further muscle tension and strain

    Instead !!Take a voice nap

    106
    1

    Healthy Voice Habits AVOID a cold Because thick mucous and sometimes swelling of the vocal folds makes it harder to produce voice
    16

    DIFFERENTIAL DIAGNOSTIC EVALUATION AND TREATMENT OF DYSPHONIA DISORDERS !!Talking a lot when you have

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