Skip to main content
SpringerLink
Log in

Breathing and Voice: Speaking Again

  • Chapter
  • First Online:
Facial-Oral Tract Therapy (F.O.T.T.)

  • 619 Accesses

Abstract

Speaking appears simple. It is only when it is impaired or absent that we are conscious of its importance. The rehabilitation of breathing and voice and thus speech is one of the four topic areas in the F.O.T.T. approach. F.O.T.T. is not limited to the face, mouth or the swallowing process. The functions of breathing, swallowing and voice are interconnected and influence each other. They are reliant on posture, movement and sensation. For each system to work efficiently they need to coordinate with each other. When working therapeutically, the complex interaction and coordination required between the sensorimotor system, respiration and swallowing to produce voice and articulate words intelligibly is apparent. The F.O.T.T. approach considers how posture, muscle tone, sensation and movement of the whole body influence facial and oral movement, breathing, voice and speech. This chapter focuses on typical issues faced by severely affected patients and their treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Bassoe Gjelsvik BE (2012) Die Bobath Therapie in der Erwachsenenneurologie, 2. Aufl. Thieme, Stuttgart

    Google Scholar 

  • Biesalski P, Frank F (1994) Phoniatrie-Pädaudiologie. Bd 1 Phoniatrie. Thieme, Stuttgart New York

    Google Scholar 

  • Broich I (1992) Sprache, Mundraum, Seele. Medizin und ganzheitliche Zahnheilkunde. Hütting, Heidelberg

    Google Scholar 

  • Coblenzer H, Muhar F (2006) Atem und Stimme. Anleitung zum guten Sprechen, 20. Aufl. öbvhpt, Wien

    Google Scholar 

  • Coombes K (1991) Voice in people with cerebral palsy. In: Fawcus M (ed) Voice disorders and their management. Chapman & Hall, London

    Google Scholar 

  • Coombes K (2001a) F.O.T.T. Instructor training course notes. Malvern, England

    Google Scholar 

  • Coombes K (2001b) F.O.T.T. Refresher course notes. Vortrag im Therapiezentrum Burgau, Dr. Friedl Str. 1, 89331 Burgau

    Google Scholar 

  • Davies PM (2013) Right in the middle. Selective trunk activity in the treatment of adult hemiplegia. Springer, Berlin

    Google Scholar 

  • Dayme MA (2009) Dynamics of the singing voice, 5th edn. Springer, Wien

    Book  Google Scholar 

  • Edwards S (2002) Neurological physiotherapy, 2nd edn. Churchill Livingstone, London

    Google Scholar 

  • Ehrenberg H (1997) Atemtherapie in der Physiotherapie/Krankengymnastik: Anatomische, pathologische Grundlagen, Atemwegs- und Lungenerkrankungen, Atmung und Psyche, Atem- und Bewegungstechniken, 2. Aufl. Pflaum, München

    Google Scholar 

  • Falkenbach A (2001) Mobility and lung function in elderly patients with a rigid thorax suffering from spondyloarthropathy: implications for therapy. Euro J Ger 3(3):192–195

    Google Scholar 

  • Fiukowski H (2010) Sprecherzieherisches Elementarbuch, 8. Aufl. De Gruyter, Berlin

    Google Scholar 

  • Hadjikoutis S, Pichersgill TP, DawsonK WCM (2000) Abnormal patterns of breathing during swallowing in neurological disorders. Brain 123(Pt 9):1863–1873

    Article  PubMed  Google Scholar 

  • Herzka HS (1979) Gesicht und Sprache des Säuglings. Schwabe, Basel

    Google Scholar 

  • Hiss SG, Treole K, Stuart A (2001) Effects of age, gender, bolus volume, and trial on swallowing apnea duration and swallow/respiratory phase relationships of normal adults. Dysphagia 16(2):128–135

    Article  CAS  PubMed  Google Scholar 

  • Horak F (1991) Assumptions underlaying motor control for neurologic rehabilitation. In: Lister M (ed) Contemporary management of motor control problems: proceedings of the II STEP conference. Foundation for Physical Therapy, Alexandria, pp 11–27

    Google Scholar 

  • Kasper M, Kraut D (2000) Atmung und Atemtherapie. Ein Praxishandbuch für Pflegende. Huber, Bern Göttingen Toronto Seattle

    Google Scholar 

  • Klahn MS, Perlman AL (1999) Temporal and durational patterns associating respiration and swallowing. Dysphagia 14(3):131–138

    Article  CAS  PubMed  Google Scholar 

  • Lange R, Heinen F, Rüdebusch S (1999) 30 Grad-Bauchlage (während Beatmung). In: Meyer G, Friesacher H, Lange R (Hrsg) Handbuch der Intensivpflege. Ecomed – Loseblattsammlung (fortgeführt bis 2008). C. H. Beck, München

    Google Scholar 

  • Lipp B, Schlaegel W, Nielsen K, Streubelt M (Hrsg) (2000) Gefangen im eigenen Körper – Lösungswege – Neurorehabilitation. Neckar, Villingen-Schwenningen

    Google Scholar 

  • Logemann JA (1999) Evaluation and treatment of swallowing disorders, 2nd edn. College Hill Press, San Diego

    Google Scholar 

  • Martin BJW, Logemann JA, Shaker R, Dodds WJ (1994) Coordination between respiration and swallowing: respiratory phase relationships and temporal intergration. J Appl Physiol (1985) 76(2):714–723

    Article  CAS  Google Scholar 

  • Nawka T, Wirth G (2007) Stimmstörungen. Lehrbuch für Ärzte, Logopäden, Sprachheilpädagogen und Sprecherzieher, 5. Aufl. Deutscher Ärzte-Verlag, Köln

    Google Scholar 

  • Paeth Rohlfs B (1999) Erfahrungen mit dem Bobath- Konzept, Grundlagen, Behandlung, Fallbeispiele. Thieme, Stuttgart

    Google Scholar 

  • Paeth Rohlfs B (2010) Erfahrungen mit dem Bobath-Konzept: Grundlagen – Behandlung – Fallbeispiele, 3. Aufl. Thieme, Stuttgart

    Google Scholar 

  • Panturin E (2001) The importance of the trunk and neck: Therapeutic implications. In: Therapiezentrum Burgau (Hrsg) Jubiläumsschrift 10 Jahre Schulungszentrum am Therapiezentrum Burgau. Therapiezentrum Burgau, Dr. Friedl Str. 1, 89331 Burgau

    Google Scholar 

  • Perkins WH, Kent RD (1986) Textbook of functional anatomy of speech, language, and hearing. Taylor & Francis, London/Philadelphia

    Google Scholar 

  • Pickenbrock H (2002) Lagerung. Workshop notes. Therapiezentrum Burgau, Dr. Friedl Str. 1, 89331 Burgau

    Google Scholar 

  • Preiksaitis HG, Mayrand S, Robins K, Diamant NE (1992) Coordination of respiration and swallowing effect of bolus volume in normal adults. Am J Phys 263(3 Pt 2):R624–R630

    CAS  Google Scholar 

  • Saatweber M (2007) Einführung in die Arbeitsweise Schlaffhorst-Anderson, 5. Aufl. Schulz-Kirchner, Idstein

    Google Scholar 

  • Schenker MA (2000) Analytische Atemphysiotherapie: Untersuchung, Analyse und Behandlung in der Atemphysiotherapie. Edition Phi, Bern

    Google Scholar 

  • Schultz-Coulon HJ (2000) Ventilatorische und phonatorische Atmungsfunktion. Sprache Stimme Gehör 24(1):1–17

    Article  Google Scholar 

  • Selley WG, Flack FC, Ellis RE, Brooks WA (1989) Respiratory patterns associated with swallowing: Part 1. The normal adult pattern and changes with age. Part 2. Neurologically impaired dysphagic patients. Age Ageing 18(3):168–176

    Article  CAS  PubMed  Google Scholar 

  • Siemon G, Ehrenberg H (1996) Leichter atmen – besser bewegen. Ärztlich verordnete Atemtherapie zur Selbsthilfe für erwachsene und jugendliche Patienten mit obstruktiven Erkrankungen der Lunge und des Thorax, 4. Aufl. PERIMED-Spitta, Würzburg

    Google Scholar 

  • Smith R (2000) F.O.T.T. Instructor training course notes. Malvern, England

    Google Scholar 

  • Smith J, Wolkove N, Colacone A, Kreisman H (1989) Coordination of eating, drinking and breathing in adults. Chest 96(3):578–582

    Article  CAS  PubMed  Google Scholar 

  • Spiecker-Henke M (2014) Leitlinien der Stimmtherapie, 2. Aufl. Thieme, Stuttgart/New York

    Google Scholar 

  • Sticher, H, Gampp Lehmann K. (2017): Das Schlucken fördern. physiopraxis 3/17: 38–41 and ergopraxis 7–8/17: 28–31 Thieme Stuttgart

    Google Scholar 

  • Wendler J, Seidner W (1987) Lehrbuch der Phoniatrie. Thieme, Leipzig

    Google Scholar 

  • Wilson SL, Thach BT, Brouillette RT, Abu-Osba YK (1981) Coordination of breathing and swallowing in human infants. J Appl Physiol Respir Environ Exerc Physiol 50(4):851–858

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. ARCOS, Great Malvern, UK

    Margaret Walker

Authors
  1. Margaret Walker
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Instructor for Facial-Oral Tract Therapy, Berlin, Germany

    Ricki Nusser-Müller-Busch

  2. Physiotherapy Bahnhofplatz Belp, Belp, Switzerland

    Karin Gampp Lehmann

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Walker, M. (2021). Breathing and Voice: Speaking Again. In: Nusser-Müller-Busch, R., Gampp Lehmann, K. (eds) Facial-Oral Tract Therapy (F.O.T.T.) . Springer, Cham. https://doi.org/10.1007/978-3-030-51637-6_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-51637-6_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-51636-9

  • Online ISBN: 978-3-030-51637-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation