ABSTRACT

A voice disorder is generally the result of a constellation of factors, so achieving change depends on a multi-factored and nuanced approach. While different clinicians will select different approaches to achieve change, intervention strategies usually have a common denominator. While specific approaches may emphasise a particular philosophy and view of therapeutic intervention, they also encompass many features of conventional therapy which form the foundation for the voice to be rehabilitated and disorders resolved. The aim of intervention is to reduce and avoid air intake into the oesophagus, and to facilitate relaxation of the vocal tract as in the previous disorders. While there are similarities in the intervention described in globus, chronic cough, paradoxic vocal fold dysfunction (PVFD) and aerophagia, the focus in each disorder is different. This will have the effect of a subtle change of emphasis in the intervention and general approach to treatment.