VOXX Kliniek en Coaching

Patient Perception of Mental Effort in Voice Therapy_

🖋️Amanda I. Gillespie e.a., 2024 Journal Of Voice

➰OBJECTIVE

One challenge in voice therapy is that mastering new vocal techniques is inherently cognitively effortful. While effort is critical for learning, it can also lead to frustration and reduced patient engagement. The purpose of this study was to investigate the relationship between patient-perception of voice handicap and mental effort in voice therapy, and to determine if different therapy approaches and stimuli elicit different perceptions of mental effort.

➰ DISCUSSION

Voice therapy imposes a cognitive load on the patient, and is particularly challenging for individuals with more severely perceived voice disorders. Further, patients think voice treatment approaches that utilize connected speech stimuli are more effortful than those that use simple stimuli, regardless of treatment target (eg, resonance, flow).

➰ CONCLUSION

Voice therapy demands significant mental effort, especially for those with more severe perceptions of voice disorders, and connected speech stimuli present greater cognitive challenges than simpler vocal exercises, highlighting the need for tailored therapeutic approaches to individual patient needs and capacities.

VOXX VoiceLAB_
Stem?! What’s in a name?
7 nov 2024 VOLZET!

NASAL RESISTANCE_Technique (NRT)

N. Radhakrishnan for PAVA Symposium 2024.

➰ BACKGROUND

NRT is a new approach that enhances glottal adduction. Glottal closure is necessary for clear voice production. Adequate closure can result in a breathy voice, often seen in muscle tension dysphonia, vocal fold atrophy and neurological causality.

Pan American Vocology Association

FIN DE SAISON_

Crewlife summer 2024.
With love. Sempre.

Manon, Emma, Merel, Marietje, Delphine, Nele and Inge

VOXX NWS_

Met veel plezier kondigen we Merel, ons splinternieuw VOXX Crew Member, aan.

Merel studeerde Logopedische Wetenschappen aan de UGent Faculteit Geneeskunde en Gezondheidswetenschappen. Haar expertise en postgraduaatsopleiding focussen zich op dysfagie en neurogene inhoud.

Merel zet met veel goesting haar tanden in slik-, orofaciaal myofunctionele, neurogene, neurobiologische en neurodegeneratieve klachten.

Voilà!
Welkom Merel!

Groetjes
Emma, Manon, Delphine, Leen, Nele, Marietje en MEREL!

WELKOM MEREL!_

Met veel plezier kondigen we Merel, ons splinternieuw VOXX Crew Member, aan.

Merel studeerde Logopedische Wetenschappen aan de UGent Faculteit Geneeskunde en Gezondheidswetenschappen. Haar expertise en postgraduaatsopleiding focussen zich op dysfagie en neurogene inhoud.

Merel zet met veel goesting haar tanden in slik-, orofaciaal myofunctionele, spraak, neurogene, neurobiologische en neurodegeneratieve klachten.

Voilà!
Welkom Merel!

Groetjes

Emma, Manon, Delphine, Leen, Nele, Marietje en MEREL!

Welkom Merel Met veel plezier kondigen we Merel, onze splinternieuwe VOXX Crew Member, aan. Merel studeerde Logopedische Wetenschappen aan de UGent Faculteit Geneeskunde en Gezondheidswetenschappen. Haar expertise en postgraduaatsopleiding focussen zich op dysfagie en neurogene inhoud. Merel zet met veel goestin...

TOETERS EN BELLEN!

DE VOXX POPULATIE WORDT GROTER WAARDOOR TEAM MEMBER IN DIENSTVERBAND (regio Brugge) GEZOCHT!

Je bent logopedist(e) en je hebt goesting in de strafste job in van ‘t land?

Wel dan, meer dan welkom!

Interesse? Check de vacature op de website van VDAB 👉 https://www.vdab.be/vindeenjob/vacatures/69248328/logopedist-e-in-dienstverband-regio-brugge?source=vindeenjob&medium=vacaturedashboard

See you!

WORLD VOICE DAY_

April 16 2024! It’s World Voice Day!

In fact we celebrate each day of the year the Human Voice in all its aspects. It doesn’t matter of you are a singer or a speaker. Neither if t’s about prevention, coaching, diagnostics or treatment. Or about young or older voices. We celebrate ALL voices!

This years motto is RESONATE, EDUCATE and CELEBRATE!

To all colleague’s, voice users, voice professionals and other interested parties: let us first of all be aware of our impressive vocal instruments! Don’t take this gift for granted. The impact of vocal health problems or vocal limitations can affect our social lives, careers, relationships and overall quality of life. Just be aware today. That’s it folks!!

Celebrate your voice!

Big kisses
The VOXX’ers

START WARMSTE VOXX-WEEK_

De Warmste VOXX-Week start vandaag en eindigt op vrijdag 22 dec.

Wat is de bedoeling en wat kan jij betekenen?

➰ Wie worden er gesteund door VOXX?

we steunen Poverello Brugge, die voedsel en maaltijden bedeelt aan kansarmen uit het Brugse alsook zorgen zij voor opvang. We zijn er ons van bewust dat het centrale thema 2023 'opgroeien in armoede' is en zich dus hoofdzakelijk richt op kinderen, maar Poverello vangt ook jongvolwassenen op (al dan niet kinderloos). We geloven dat ook zij nog groeiende zijn en al zeker hun kinderen;

➰ Wat kan jij doen?

• Poverello zoekt naar verpakte, bewaarbare voeding zoals conserven, brik, deegwaren, chipjes, koekjes e.a. maar ook naar noodzakelijke levensmiddelen zoals tandpasta, tandenborstels e.a.
vanaf vandaag kun je die voedings- en/of levensmiddelen bij ons in de praktijk brengen;

• we bakken tevens verse kerstkoekjes voor de jongvolwassenen van Poverello om ook hen van lekkers te voorzien tijdens de kerstperiode. Mocht je liever zelfgebakken koekjes brengen zou dat een grote hulp zijn (want we hebben er een 90-tal nodig om elk van 1 koekje te kunnen voorzien). Laat je gerust gaan in je creatieve vibe! 🎄🍪🧑‍🎄

• we stapelen de collecte hier in een praktijkruimte totdat we alles brengen naar Poverello op de dag van kerstavond;

DOE JE MET ONS MEE? Natuurlijk, toch!

Met de warme gedachte dat we samen het verschil zullen maken, groeten we u lieve mens!

Warme groeten van ons

LIGHTS AND LOVE_

Vocalization for general health?

Question_

Would a person stranded on an island without any human company have reason to continue to vocalise?

Assumption: self-induced vibration with vocalization

➰ stimulates cell activity for growth and healing of tissues
➰ assists in mixing and transportation of fluids to and from organs
➰ helps to dislodge plaques and other deposits in fluid circulation
➰ reduces viscosity in body tissues
➰ stimulates neural transmission at synapses
➰ stimulates hormone production in glands
➰ regulates heartbeat with musical rhythm and melody
➰ improves immune system response

Well, let’s be grateful for the 14 volunteer research groups who work together on this!

Ingo Titze

JAW ALIGNMENT_ health issue

Jaw alignment is not only an aesthetic issue. It’s an overall health issue.

OVERALL HEALTH AND QUALITY OF LIFE_

➰ Breathing

When improperly positioned, your jaw reduces the size of your airway. This can lead to mouth breathing. As known, mouth breathing attacks your overal health condition in a negative way. Children with untreated mouth breathing for example can experience lifelong respiratory problems.

Misalignment of the jaw can cause a dysfunctional tongrestposition which can block the airways. Experts believe there is strong correlation with sleep apnea.

➰ Facial development

Misalignment can also affect facial development, a condition known as long-faced syndrome.

➰ Chewing and swallowing

A proper jaw alignment will able you to chew properly. Optimal chewing function will make it easier to swallow your drinks and food.

➰ Migraine and other pain

Misalignment of the jaw can cause migraine, headache, jaw pain, pain in orofacial muscles and neck and shoulder pain.

ORAL HEALTH_

Alignment supports oral health by helping to avoid jaw pain, muscle spasms, uneven tooth wear, tooth sensitivity and other dental issues.

SPEECH_

Jaw alignment affects speech and pronunciation. Negative impact on communication because of misalignment can secondarily influence your self-confidence.

APPEARANCE_

Jaw alignment can affect facial appearance and harmony.

UPCOMING_ teaser

VOXX NWS!

We’re in the middle of the realisation of our new vocal workspaces: The VOICELAB and The Vocal training/rehab Space.
Oh, we’re so excited.

Soon more!

We hope you’re enjoying the summertime. In fact, we do!

VOXX’ JAW SERGEANT _

Lien, vocal ped. and jaw-sergeant.
Don’t you even think about clenching.
You’ll burn alive.

Oh, enjoy your weekend.



All our love
The VOXX Crew

EFFECTS OF SMOKING ON THE VOICE_

🎙️Dear professional singers and speakers! Please can we have a second of your attention?

As vocologists (specialist in voice) we worry for the vocal health of the population and specific for voice athletes and vocal artists, especially with the impact on their work. To be honest we foresee shorter careers, changing vocal ability, and irreversible injury.

➰ meta analysis (a pool of several qualified studies) published in the Nature (Byron, 2020) confirmed that smoking impacts the voice with following determination:

🔛 smoking lowers the pitch of the voice

🔛 smoking lowers the length of time you can make sound before needing to breathe again

🔛 smoking may cause voice disorders, such as cancer, although functional disorders (i.e., injury) were not clearly proven

🔛 smoking can dry the vocal cord mucosa and irritate the vocal cords

🔛 smoking causes vocal cord inflammation

🔛 breath supply and vocal power is weakened

➰ Of note, it is not the to***co that is the responsible. It is the act of smoking, demonstrated in studies evaluating the effect of smoking, including ma*****na as well (Sataloff, 2020). So, even if we don’t have longetudinal studies on va**ng (new smoking modality) it is likely there is some degree of the same effects.

Just for the record.

STEROIDS_vocal problems

What about steroids as medical treatment of vocal problem in vocal athletes (vocal pro’s)?

We are talking about corticosteroids such as prednisone, cortisone or hydrocortisone (oral use or by injection).

➰ First things first: steroids are NEVER the best treatment of vocal problems.

If the vocal problem is caused by misuse, abuse or overuse of the voice we have to focus on these aspects in treatment.

BUT! What if f.e. vocal rest to recover the (surrounding) tissues from a acute-onset vocal fold oedema associated with voice overuse, illness or allergies is not an option? Are steroids a miracle cure in these cases? NO! Are they helpful: probably!

➰ Even when there’s very little evidence about this topic we see practice based treatment with steroids of vocal problems in vocal athletes.

What are the risks and benefits?

🔛 general side effects

➰ increased appetite
➰ mood changes
➰ changes in sleep habits
➰ water retention
➰ acne
➰ osteoporosis
➰ cardiac complications
➰ high blood pressure
➰ diabetes
➰ adrenal insufficiency.

🔛 vocal risks

➰ repeated use
➰ masking underlying pathology
➰ avoiding/delaying treatment
➰ more appropriate treatment needed (reflux treatment, vocal therapy, allergy treatment, medical treatment, surgery, voice rest)

🔛 benefits

➰better mucosal wave
➰decreases oedema severity
➰ better audio-perceptual outcome
➰ better objective functional outcome
…. so the SHOW CAN GO ON

Enjoy this beautiful Monday morning!

Thanks to Pan American Vocology Association

TRANSVOICE_headposture

Headposture absolutely defines the acoustics of the vocal sound. The resonance space becomes narrow in case of a forward headposture what makes the vocal sound lighter; more feminine.

BUT! Don’t even think about using this knowledge for daily, habitual speech!

Why? Well, because:

➰25% of our daily practice is based on rehabilitation of health problems because of habitual forward headposition. Your body will always rebalance. So in case of headposture forward we see a lot of musculoskeletal compensations and fascial restriction. This new disbalanced posture and adapted physiology can cause pain, dysfunction, limited range of motion in the whole body and YESS, even vocal problems.

➰the worst thing is that this feminine, light vocal effect can be created in other ways. So, you don’t need this posture anyway!

🔛 Remember, the main goal is achieving a stable, feminine sound without impact of any posture!

Enjoy this last winter-day!