Stemstoornissen – behandeling 2021-2022 Britt Poelman
Stemstoornissen: behandeling
Inhoud
Inleiding ................................................................................................................................................... 3
Basisprincipes ...................................................................................................................................... 4
Indirecte VS directe therapie........................................................................................................... 4
Stemmethodes VS stemtechnieken ................................................................................................ 4
Stemtraining ........................................................................................................................................ 4
Stemtherapie ....................................................................................................................................... 4
Slaagkansen stemtherapie .................................................................................................................. 5
Stemstoornissen in de nomenclatuur ................................................................................................. 5
Aanpak van stemstoornissen .............................................................................................................. 5
Preventie stemproblemen................................................................................................................... 5
Medische behandeling van stemstoornissen .......................................................................................... 6
Medicatie............................................................................................................................................. 6
Kruiden ................................................................................................................................................ 6
BTX (Botulinum Toxine Injecties) ........................................................................................................ 6
Laryngofaryngale reflux (LPR) ............................................................................................................. 6
Fonochirurgie ...................................................................................................................................... 6
Logopedische behandeling van stemstoornissen ................................................................................... 7
Indirecte stemtherapie:....................................................................................................................... 8
Stemopvoeding: .............................................................................................................................. 9
Stembelasting en stembelastbaarheid .......................................................................................... 10
Directe stemtherapie ........................................................................................................................ 10
Houdingscorrectie ......................................................................................................................... 10
Relaxatie ........................................................................................................................................ 11
Respiratie....................................................................................................................................... 12
Fonatie ........................................................................................................................................... 13
Articulatie ...................................................................................................................................... 14
Resonantie ..................................................................................................................................... 14
Prosodie ......................................................................................................................................... 15
Specifieke logopedische behandelingsmethoden ................................................................................. 15
Vocal Function Excercises.................................................................................................................. 15
Accentmethode ................................................................................................................................. 16
Lee Silverman Voice Treatment ........................................................................................................ 16
1
,Stemstoornissen – behandeling 2021-2022 Britt Poelman
Laryngale manipulatie ....................................................................................................................... 16
Facilitatietechnieken ......................................................................................................................... 17
Nasaleren........................................................................................................................................... 18
SOVT .................................................................................................................................................. 19
Stemversterkers ................................................................................................................................ 21
Niet-organische stemstoornissen.......................................................................................................... 22
MTD ................................................................................................................................................... 22
Psychogene dysfonie ......................................................................................................................... 22
Organische stemstoornissen ................................................................................................................. 23
Stemplooinoduli ................................................................................................................................ 23
Stemplooipoliep ................................................................................................................................ 23
Stemplooioedeem ............................................................................................................................. 24
Stemplooiparalyse in abductie (adductoreparalyse) ........................................................................ 24
Specifieke populaties............................................................................................................................. 25
Beroepssprekers ................................................................................................................................ 25
Kinderdysfonie................................................................................................................................... 26
Genderdysfonie ................................................................................................................................. 26
Mutatiestoornis ................................................................................................................................. 26
2
, Stemstoornissen – behandeling 2021-2022 Britt Poelman
Ppt 1
Inleiding
Vanuit het ICF bekijken we de aandoening, ziekte. We bekijken de impact van een stemstoornis op
activiteiten en participaties. We baseren de invulling van het ICF op de anamnese, resultaten van
perceptueel/akoestisch stemonderzoek, impactschalen op het dagelijks functioneren en participeren.
Mogelijke invulling van ICF:
3
Stemstoornissen: behandeling
Inhoud
Inleiding ................................................................................................................................................... 3
Basisprincipes ...................................................................................................................................... 4
Indirecte VS directe therapie........................................................................................................... 4
Stemmethodes VS stemtechnieken ................................................................................................ 4
Stemtraining ........................................................................................................................................ 4
Stemtherapie ....................................................................................................................................... 4
Slaagkansen stemtherapie .................................................................................................................. 5
Stemstoornissen in de nomenclatuur ................................................................................................. 5
Aanpak van stemstoornissen .............................................................................................................. 5
Preventie stemproblemen................................................................................................................... 5
Medische behandeling van stemstoornissen .......................................................................................... 6
Medicatie............................................................................................................................................. 6
Kruiden ................................................................................................................................................ 6
BTX (Botulinum Toxine Injecties) ........................................................................................................ 6
Laryngofaryngale reflux (LPR) ............................................................................................................. 6
Fonochirurgie ...................................................................................................................................... 6
Logopedische behandeling van stemstoornissen ................................................................................... 7
Indirecte stemtherapie:....................................................................................................................... 8
Stemopvoeding: .............................................................................................................................. 9
Stembelasting en stembelastbaarheid .......................................................................................... 10
Directe stemtherapie ........................................................................................................................ 10
Houdingscorrectie ......................................................................................................................... 10
Relaxatie ........................................................................................................................................ 11
Respiratie....................................................................................................................................... 12
Fonatie ........................................................................................................................................... 13
Articulatie ...................................................................................................................................... 14
Resonantie ..................................................................................................................................... 14
Prosodie ......................................................................................................................................... 15
Specifieke logopedische behandelingsmethoden ................................................................................. 15
Vocal Function Excercises.................................................................................................................. 15
Accentmethode ................................................................................................................................. 16
Lee Silverman Voice Treatment ........................................................................................................ 16
1
,Stemstoornissen – behandeling 2021-2022 Britt Poelman
Laryngale manipulatie ....................................................................................................................... 16
Facilitatietechnieken ......................................................................................................................... 17
Nasaleren........................................................................................................................................... 18
SOVT .................................................................................................................................................. 19
Stemversterkers ................................................................................................................................ 21
Niet-organische stemstoornissen.......................................................................................................... 22
MTD ................................................................................................................................................... 22
Psychogene dysfonie ......................................................................................................................... 22
Organische stemstoornissen ................................................................................................................. 23
Stemplooinoduli ................................................................................................................................ 23
Stemplooipoliep ................................................................................................................................ 23
Stemplooioedeem ............................................................................................................................. 24
Stemplooiparalyse in abductie (adductoreparalyse) ........................................................................ 24
Specifieke populaties............................................................................................................................. 25
Beroepssprekers ................................................................................................................................ 25
Kinderdysfonie................................................................................................................................... 26
Genderdysfonie ................................................................................................................................. 26
Mutatiestoornis ................................................................................................................................. 26
2
, Stemstoornissen – behandeling 2021-2022 Britt Poelman
Ppt 1
Inleiding
Vanuit het ICF bekijken we de aandoening, ziekte. We bekijken de impact van een stemstoornis op
activiteiten en participaties. We baseren de invulling van het ICF op de anamnese, resultaten van
perceptueel/akoestisch stemonderzoek, impactschalen op het dagelijks functioneren en participeren.
Mogelijke invulling van ICF:
3
