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Suffolk Center for Speech


What is Lessac-Madsen Resonant Voice Therapy?

There are a variety of different techniques that can be utilized to help individuals in regard to voice therapy. One specific type of therapy technique that can be utilized to treat individuals with a voice disorder is resonant voice therapy. Resonant voice therapy uses a continuum of oral sensations and easy phonation, building from basic speech gestures through conversational speech. Dr. Katherine Verdolini Abbott developed a specific type of resonant voice therapy which is Lessac-Madsen Resonant Voice Therapy (LMRVT). Lessac-Madsen resonant voice therapy is appropriate for individuals who have too little adduction of the vocal folds. Lessac-Madsen resonant voice therapy includes to common goals;

1. To have a strong, clear voice that can be heard over a distance and in background noise, as well as up-close.

2. To prevent future injury to the vocal folds, and reverse injury where it exists.

This specific type of therapy is beneficial for adults who have vocal fold nodules and polyps to improve a set of signs and symptoms associated with these conditions. LMRVT is unique in that it corrects both hypo- and hyperadducted vocal fold posturing by guiding vocal behavior toward barely-abducted or barely-adducted laryngeal posturing. If a patient can feel the forward vibrations and production feels easy, the patient is producing a resonant voice quality. This quality corresponds to the barely ab/adducted vocal fold posturing (Verdolini 2000). VF configuration should optimize loudness intensity VF impact stress and configuration involved barely touching or barely abducting VF. Resonant voice includes voicing that involves sensations of vibrations anteriorly in the front of the mouth. It is important to emphasize the physical sensations and sounds associated with voice.

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