Vocal Rehabilitation: Clinical Practice and the Future
Mara Behlau, PhD
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Scientific development has completely changed the clinical scenario in the area of voice rehabilitation. An evident transformation from an intuitive and abstract approach has occurred in the last decades. The international presence is evident in the voice specialty particularly since many approaches can be used worldwide, regardless of the spoken language. There are many cultural particularities in the expression of dysphonia and in the type of service delivery, however, there is a clear common ground that expresses the recent evolution in this area. Vocal rehabilitation is a non-linear process that combines direct and indirect approaches. There is good evidence of the effect of this intervention, regardless of the method used. A voice disorder may be the result of a behavioral and/or an organic cause. Behavioral cases are usually a real challenge for rehabilitation and may be linked to self-regulation, coping and adherence aspects; on the other hand, organic cases are not related to the vocal behavior and there may be some anatomic limitations to the outcome. The most important point is to deal with expectations and to help to achieve a voice that represents the patient as a complete human being.
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