Hyperfunctional voice: The misuse and abuse syndrome

  • Margaret Fawcus

Abstract

The term vocal hyperfunction appears to have been first used by Froeschels (1943) and is characterized by a tense over-adduction of the vocal folds. It is generally regarded as the most common cause of voice disorder. Boone (1977) says, ‘it is at the anatomical site of the glottal opening where the vast majority of hyperfunctional voice problems begin, because of inappropriate (inadequate or excessive) vocal fold approximation.’ The resulting voice may be described as harsh or strident. Whether this type of voice use becomes a problem or not will depend on the relationship between the vulnerability of the vocal folds and the degree of hyperfunction involved in voice use. Not all strident voice users experience vocal problems, but where excessive tension results in vocal fatigue, discomfort, weakness or loss of voice and actual tissue changes in the epithelium of the larynx, there is clearly a situation which demands some form of therapeutic intervention.

Keywords

Vocal Rehabilitation Voice Disorder Vowel Sound Voice Therapy Voice Production 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Aikin, W.A. (1951) The Voice -An Introduction to Practical Phonology. Longmans, Green, London.Google Scholar
  2. Alexander, F.M. (1932) The Use of Self. Methuen, London.Google Scholar
  3. Andrews, S., Warner, J. and Stewart, R. (1986) EMG biofeedback and relaxation in the treatment of hyperfunctional dysphonia. Br. J. Disord. Commun., 21, 353–369.PubMedCrossRefGoogle Scholar
  4. Aronson, A.E. (1980) Clinical Voice Disorders: An Interdisciplinary Approach. Thieme-Stratton, New York.Google Scholar
  5. Barlow, W. (1952) Postural homeostasis. Ann. Phys. Med., 1, 3.Google Scholar
  6. Bastian, R.W. (1987) Laryngeal image biofeedback for voice disorder patients. J. Voice, 1 (3), 279–282.CrossRefGoogle Scholar
  7. Berry, R.J., Epstein, R., Fourcin, A.J. et al. (1982) An objective analysis of voice disorder: J. Br. J. Disord. Commun., 17 (1), 67–76.CrossRefGoogle Scholar
  8. Bloch, CS and Gould, W.J. (1974) Vocal therapy in lieu of surgery for contact granuloma: A case report. J. Speech Hearing Disord., 39, 4.Google Scholar
  9. Boone, D.R. (1977) The Voice and Voice Therapy. Prentice Hall, Englewood Cliffs, New Jersey.Google Scholar
  10. Boone, D.R. (1988) Respiratory training in voice therapy. J. Voice, 2 (1), 20–25.CrossRefGoogle Scholar
  11. Brodnitz, F.S. (1959) Vocal Rehabilitation, 4th edn. American Academy of Ophthalmology and Otolaryngology, Rochester, Minnesota.Google Scholar
  12. Bunch, M.A. (1982) Dynamics of the Singing Voice. Springer-Verlag, New York.Google Scholar
  13. Cooper, M. (1973) Modern Techniques of Vocal Rehabilitation. Charles C. Thomas, Springfield, Illinois.Google Scholar
  14. Drudge, M.K.M. and Philips, B.J. (1976) Shaping behaviour in voice therapy. J. Speech Hearing Disord., 41, 3.Google Scholar
  15. Dunlap, K. (1932) The technique of negative practice. Am. J. Psychol., 55, 270.CrossRefGoogle Scholar
  16. Filter, M.D. (1980) Proprioceptive-tactile-kinaesthetic approach to voice disorders. Proceedings of the 18th Congress of the International Association of Logopaedics and Phoniatrics, Washington.Google Scholar
  17. Fishman, B.V., McGlone, R.E. and Shipp, T. (1971) The effect of certain drugs on phonation. J. Speech Hearing Res., 14, 2.Google Scholar
  18. Fairbanks, G. (1960) Voice and Articulation Handbook. Harper, New York.Google Scholar
  19. Froeschels, E. (1943) Hyperfunction and hypofunction — Hygiene of the voice. Arch. Otolaryngol., 38.Google Scholar
  20. Gould, W.J. (1971) Effect of respiratory and postural mechanism upon action of the vocal cords. Folia Phoniatr. (Basel), 23.Google Scholar
  21. Greene, M.C.L. (1980) The Voice and its Disorders. Pitman Medical, Tunbridge Wells.Google Scholar
  22. Heinberg, P. (1973) A systems approach to vocal behaviour modification, in Cooper, M. (ed.) Modern Techniques of Vocal Rehabilitation. Charles C. Thomas, Springfield, Illinois.Google Scholar
  23. Herrington-Hall, B.L., Stemple, J.C., Niemi, K.R. and McHone, M.M. (1988) Description of laryngeal pathologies by age, sex, and occupation in a treatment-seeking sample. J. Speech Hearing Disord., 53, 57–64.PubMedGoogle Scholar
  24. Hillman, R.E., Holmberg, E.B., Perkell, J.S. et al. (1989) Objective assessment of vocal hyperfunction: An experimental framework and initial results. J. Speech Hearing Res., 32, 373–389.PubMedGoogle Scholar
  25. Hixon, T.J., Watson, P.J. and Mäher, M.Z. (1987) Respiratory kinematics in classical (Shakespearean) actors, in Hixon, T.J. (ed.) Respiratory Function in Speakers and Singers. Boston, College-Hill.Google Scholar
  26. Hollien, H. (1987) ‘Old voices’: What do we really know about them. J. Voice, 1 (1), 2–17.CrossRefGoogle Scholar
  27. Hollien, H. and Shipp, T. (1972) Speaking fundamental frequency and chronologic age in males. J. Speech Hearing Res., 15.Google Scholar
  28. Honjo, I. and Isshiki, N. (1979) Laryngoscopic and Vocal Characteristics of Aged Persons. Kansai Medical University, Osaka, Japan.Google Scholar
  29. Hufnagle, J. and Hufnagle, K. (1984) An investigation of the relationship between speaking fundamental frequency and vocal quality improvement. J. Commun. Disord. 17.Google Scholar
  30. Jackson, C. and Jackson, C.L. (1945) Diseases of the Nose, Throat tnd Ear. Saunders, London.Google Scholar
  31. Jacobsen, E. (1929) Progressive Relaxation. University of Chicago Press, Chicago.Google Scholar
  32. Laver, J.D., Wirz, S.L., MacKenzie, J. and Miller, S. (1981) A perceptual protocol for the analysis of vocal profiles, University of Edinburgh Work in Progress. Linguistics Department, Vol. 14. University of Edinburgh, Edinburgh.Google Scholar
  33. Luchsinger, R. and Arnold, G.E. (1965) Voice, Speech and Language. Constable, London.Google Scholar
  34. Moore, G.P. (1971) Voice disorders organically based, in Trevis, L.E. (ed.) Handbook of Speech Pathology and Audiology. Appleton-Century-Crofts, New York.Google Scholar
  35. Mueller, P.B. (1975) Comment on spectographic analysis of fundamental frequency and hoarseness before and after vocal rehabilitation. J. Speech Hearing Disord., 40, 2.Google Scholar
  36. Murphy, A.T. (1964) Functional Voice Disorders. Prentice Hall, Englewood Cliffs, New Jersey.Google Scholar
  37. Murry, T. (1978) Speaking fundamental frequency characteristics associated with voice pathologies. J. Speech Hearing Disord. 43, 3.Google Scholar
  38. Mysak, E. (1959) Pitch and duration characteristics of older males. J. Speech Hearing Res., 2, 1.Google Scholar
  39. Nicholls, A.C. (1973) Motivations and manipulations in voice therapy, in Cooper, M. (ed.) Modern Techniques in Vocal Rehabilitation. Charles C. Thomas, Springfield, Illinois.Google Scholar
  40. Pershall, K. and Boone, D.R. (1987) Supraglottic contribution to voice quality. J. Voice, 1 (2), 186–190.CrossRefGoogle Scholar
  41. Piaget, J. (1952) Play, Dreams and Imitation in Childhood. Heinemann, London.Google Scholar
  42. Prosek, A., Montgomery, A.A., Waiden, B.E. and Schwartz, D.M. (1978) EMG Biofeedback in the treatment of hyperfunctional voice disorders. J. Speech Hearing Disord., 43, 3.Google Scholar
  43. Reed, C.G. (1980) Voice therapy: A need for research. J. Speech Hearing Disord., 45, 2.Google Scholar
  44. Rogers, C. (1981) Client-centred Therapy. Constable, London.Google Scholar
  45. Saniga, R.D. and Carlin, M.F. (1985) Selective attention in a vocal abuse population. J. Commun. Disord., 18, 131–138.PubMedCrossRefGoogle Scholar
  46. Sundberg, J. (1987) The Science of the Singing Voice. Northern Illinois University Press, Dekalt, Illinois.Google Scholar
  47. Thurman, W.L. (1973) Restructuring voice concepts and production, in Cooper, M. (ed.) Modern Techniques in Vocal Rehabilitation. Charles C. Thomas, Springfield, Illinois.Google Scholar
  48. van Lawrence, M. (1987) Sugggested criteria for fibreoptic diagnosis of vocal hyperfunction. A film presented at the Voice Research Society Conference, City University, London.Google Scholar
  49. van Riper, C. and Irwin, J.V. (1958) Voice and Articulation. Prentice Hall, Englewood Cliffs, New Jersey.Google Scholar
  50. van Thal, J.H. (1961) Dysphonia. Speech Pathol. Ther., 4, 1.Google Scholar
  51. von Leden, N. and Moore, P. (1961) The mechanics of the cricoarytenoid joint. Arch. Otolaryngol, 73, 541.CrossRefGoogle Scholar
  52. Watson, P.J. and Hixon, T.J. (1985) Respiratory kinematics in classical (opera) singers. J. Speech Hearing Res., 28, 104–122.PubMedGoogle Scholar
  53. Willmore, L. (1959) The role of speech therapy in voice cases. J. Laryngol., 73.Google Scholar
  54. Wyatt, G.L. (1977) The chewing method and the treatment of the speaking voice, in Cooper, M. and Cooper, M.H. (ed.). Approaches to Vocal Rehabilitation. Charles C. Thomas, Springfield, Illinois.Google Scholar
  55. Zaliouk, A. (1963) The tactile approach to voice placement. Folia Phoniatr. (Basel), 15, 147.CrossRefGoogle Scholar

Copyright information

© Margaret Fawcus 1991

Authors and Affiliations

  • Margaret Fawcus

There are no affiliations available

Personalised recommendations