Development of a speech treatment program for a client with essential vocal tremor

Julie Barkmeier-Kraemer, Andrea Lato, Kay Wiley

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Vocal tremor is characterized by involuntary rhythmic modulations of pitch and loudness and is best perceived during sustained phonation of vowels. It is most often present in individuals affected by neurogenic disorders such as Parkinson's disease, amyotrophic lateral sclerosis, spinal muscular dystrophy, spasmodic dysphonia, and essential tremor. Vocal tremor does not appear to be responsive to systemic pharmaceutical management but may benefit from injection of botulinum toxin (i.e., Botox) into affected musculature. However, many individuals do not tolerate the potential side effects of severe breathiness and difficulty swallowing associated with Botox injections. In this article, we summarize the speech evaluation and treatment methods successfully used with an individual with essential vocal tremor. Methods used for characterizing the individual's vocal tremor patterns and the ensuing rationale for behavioral intervention is provided. The outcomes of this case example motivated consideration of speech treatment as a beneficial strategy for some individuals with vocal tremor.

Original languageEnglish (US)
Pages (from-to)43-57
Number of pages15
JournalSeminars in Speech and Language
Volume32
Issue number1
DOIs
StatePublished - 2011
Externally publishedYes

Fingerprint

Essential Tremor
Tremor
Dysphonia
Phonation
Injections
Botulinum Toxins
Muscular Dystrophies
Amyotrophic Lateral Sclerosis
Therapeutics
Deglutition
Parkinson Disease
Pharmaceutical Preparations

Keywords

  • essential tremor
  • Vocal tremor
  • voice disorder
  • voice evaluation
  • voice treatment

ASJC Scopus subject areas

  • Speech and Hearing
  • LPN and LVN

Cite this

Development of a speech treatment program for a client with essential vocal tremor. / Barkmeier-Kraemer, Julie; Lato, Andrea; Wiley, Kay.

In: Seminars in Speech and Language, Vol. 32, No. 1, 2011, p. 43-57.

Research output: Contribution to journalArticle

Barkmeier-Kraemer, Julie ; Lato, Andrea ; Wiley, Kay. / Development of a speech treatment program for a client with essential vocal tremor. In: Seminars in Speech and Language. 2011 ; Vol. 32, No. 1. pp. 43-57.
@article{37123714fa644cf6871104e427dfda4d,
title = "Development of a speech treatment program for a client with essential vocal tremor",
abstract = "Vocal tremor is characterized by involuntary rhythmic modulations of pitch and loudness and is best perceived during sustained phonation of vowels. It is most often present in individuals affected by neurogenic disorders such as Parkinson's disease, amyotrophic lateral sclerosis, spinal muscular dystrophy, spasmodic dysphonia, and essential tremor. Vocal tremor does not appear to be responsive to systemic pharmaceutical management but may benefit from injection of botulinum toxin (i.e., Botox) into affected musculature. However, many individuals do not tolerate the potential side effects of severe breathiness and difficulty swallowing associated with Botox injections. In this article, we summarize the speech evaluation and treatment methods successfully used with an individual with essential vocal tremor. Methods used for characterizing the individual's vocal tremor patterns and the ensuing rationale for behavioral intervention is provided. The outcomes of this case example motivated consideration of speech treatment as a beneficial strategy for some individuals with vocal tremor.",
keywords = "essential tremor, Vocal tremor, voice disorder, voice evaluation, voice treatment",
author = "Julie Barkmeier-Kraemer and Andrea Lato and Kay Wiley",
year = "2011",
doi = "10.1055/s-0031-1271974",
language = "English (US)",
volume = "32",
pages = "43--57",
journal = "Seminars in Speech and Language",
issn = "0734-0478",
publisher = "Thieme Medical Publishers",
number = "1",

}

TY - JOUR

T1 - Development of a speech treatment program for a client with essential vocal tremor

AU - Barkmeier-Kraemer, Julie

AU - Lato, Andrea

AU - Wiley, Kay

PY - 2011

Y1 - 2011

N2 - Vocal tremor is characterized by involuntary rhythmic modulations of pitch and loudness and is best perceived during sustained phonation of vowels. It is most often present in individuals affected by neurogenic disorders such as Parkinson's disease, amyotrophic lateral sclerosis, spinal muscular dystrophy, spasmodic dysphonia, and essential tremor. Vocal tremor does not appear to be responsive to systemic pharmaceutical management but may benefit from injection of botulinum toxin (i.e., Botox) into affected musculature. However, many individuals do not tolerate the potential side effects of severe breathiness and difficulty swallowing associated with Botox injections. In this article, we summarize the speech evaluation and treatment methods successfully used with an individual with essential vocal tremor. Methods used for characterizing the individual's vocal tremor patterns and the ensuing rationale for behavioral intervention is provided. The outcomes of this case example motivated consideration of speech treatment as a beneficial strategy for some individuals with vocal tremor.

AB - Vocal tremor is characterized by involuntary rhythmic modulations of pitch and loudness and is best perceived during sustained phonation of vowels. It is most often present in individuals affected by neurogenic disorders such as Parkinson's disease, amyotrophic lateral sclerosis, spinal muscular dystrophy, spasmodic dysphonia, and essential tremor. Vocal tremor does not appear to be responsive to systemic pharmaceutical management but may benefit from injection of botulinum toxin (i.e., Botox) into affected musculature. However, many individuals do not tolerate the potential side effects of severe breathiness and difficulty swallowing associated with Botox injections. In this article, we summarize the speech evaluation and treatment methods successfully used with an individual with essential vocal tremor. Methods used for characterizing the individual's vocal tremor patterns and the ensuing rationale for behavioral intervention is provided. The outcomes of this case example motivated consideration of speech treatment as a beneficial strategy for some individuals with vocal tremor.

KW - essential tremor

KW - Vocal tremor

KW - voice disorder

KW - voice evaluation

KW - voice treatment

UR - http://www.scopus.com/inward/record.url?scp=79954521376&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79954521376&partnerID=8YFLogxK

U2 - 10.1055/s-0031-1271974

DO - 10.1055/s-0031-1271974

M3 - Article

VL - 32

SP - 43

EP - 57

JO - Seminars in Speech and Language

JF - Seminars in Speech and Language

SN - 0734-0478

IS - 1

ER -