Need help with my writing homework on Accent Method for Voice Therapy. Write a 2000 word paper answering; AM involves the dynamic integration of abdominal-diaphragmatic breathing, accentuated rhythmic vowel play (phonation), articulation, as well as body and arm movements (Kotby, 1995).&nbsp. Since the method emphasizes timing, the rhythmic body movements may help the assembly and execution of new motor programs in the brain in a coordinated manner (Berry et al., 1995). In addition, the vocal fold posture (vocal folds that are barely touching or barely apart) that is trained in the method, maximizes voice output, while protecting the vocal folds from injury (Berry et al., 1995).

Indications for AM include: a) Organic voice disorders- paralytic dysphonia, paralysis of vocal cords, phonatory hyperfunction, sulcus glottideus, dysphonia due to iatrogenic effect of hormonal therapy, acute vocal trauma, acute laryngitis in professional voice users. b) Nonorganic (functional) voice disorders-all subtypes of habitual nonorganic voice disorders, childhood hyperfunctional dysphonia, ventricular dysphonia, after voice return in cases of habitual aphonia, psychogenic voice disorders with bizarre vocal behavior. c) Minimal associated pathological lesions (MAPLs)-small soft vocal nodules in adults, contact granuloma, early Reinke’s edema.d) Vocal problems of professional voice users. e) Supplemental therapy-after phono surgery, acute voice problems after radiotherapy, etc. f)other indications-dysarthria, stuttering, prosody disorders (Kotby, 1995).

The voice exercises are performed with the clinician and subject standing side-by-side, holding each other’s hands. The back of each other’s one hand rests on the stomach near the navel. Both breath in the same rhythm and follow the trunk movements of each other (forwards during inspiration and backward during phonation). thus, the movements are controlled kinaesthetically (Thyme-Frøkjaer & Frøkjaer-Jensen, 2001). Initially, the exercises are performed at a low pitch, breathy voice quality, gentle voice effort and with a close vowel articulation.