Summary
This Paul Moore Lecture honors the contributions made by authors to the Journal of Voice during a period of 30 years, from 1987. Fifty articles were selected and included
under the following five topics: (1) normalcy of the larynx and voice; (2) the clinical
speech-language pathologist's evaluation; (3) the patient’s perspective; (4) the core
of vocal rehabilitation; and (5) behavioral versus organic dysphonias. The analysis reflects a vivid landscape of the specific area
and significant advances in knowledge. It also shows the valuable interdependence
between science and clinical practice. The topics highlight the following information:
(1) The physical appearance of a healthy larynx varies across individuals with normal
voices. (2) The voice is not a binary descriptor (normal versus abnormal) but a variable measure, with many cultural influences on the perceptual
auditory analysis of a voice. (3) The clinical speech-language pathologist assessment
is multidimensional and multiparametric, with both subjective and objective analyses.
The patients' opinion about the impact of a voice problem on his or her quality of
life is significant when proposing a treatment. Therefore, it is also included in
the initial assessment. (4) Vocal rehabilitation is a nonlinear process that combines
direct and indirect approaches. Evidence of the positive effect of voice therapy is
now well established. (5) Behavioral dysphonias may be linked to self-regulation of
the use of voice and this needs to be taken into consideration. Although organic dysphonias
are not necessarily the result of harmful vocal behaviors, they too can benefit from
vocal rehabilitation.
Key Words
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Article info
Publication history
Published online: March 19, 2018
Accepted:
February 22,
2018
Identification
Copyright
© 2018 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
