Abourt The Book

NOW IN FULL COLOR! More than any previous edition, this new book includes major changes to benefit both the student and the instructor!

A classic work, now in its sixth editionClinical Voice Pathology: Theory and Management is a compilation of the authors’ vast clinical and research experiences and addresses a considerable range of voice disorders in various populations and from various etiologies including medical, environmental, social, psychological, occupational, and idiopathic threats to vocal health. The text continues to be organized for the graduate speech-language pathology student and instructor, building the foundational knowledge necessary to evaluate and treat voice disorders including history and common causes of voice disorders, anatomy and physiology of voice production, pathologies of the vocal mechanism, and an extensive array of evaluation and management approaches. In addition, the text continues to provide background in caring for the professional voice and those patients presenting with head and neck cancers.

New to the Sixth Edition

  • A new chapter introducing the SLP’s responsibilities with trach and vent patients
  • Updated references throughout the text to reflect the current state of clinical research in evaluation and treatment of voice disorders
  • Expanded voice therapy chapter including new evidence-based management approaches
  • Use of ‘Call Out’ boxes throughout the text to highlight cases, encourage additional thought, and suggest additional readings
  • Full color throughout the text including new figures and artwork to enhance learning and understanding of the material
  • A PluralPlus companion website with additional content including PowerPoint lecture slides, an image bank, and numerous audio and video files.

Whether a typical voice user, occupational voice user, elite vocal performer, head and neck cancer patient, or an individual who has lost the ability to communicate competently and confidently due to a detrimental voice change, each patient presents a unique diagnostic dilemma: how best to return the voice to its optimal condition? This text thoroughly prepares the speech-language pathology student to answer this question through a systematic development of the knowledge base necessary to evaluate and manage voice disorders.

With numerous full-color images, multiple case examples, and a companion website of additional instructional material, Clinical Voice Pathology: Theory and Management, Sixth Edition, not only maintains but significantly improves on the standards set by its previous editions as the primary text for a graduate level course in clinical voice disorders.

About The Authors

Joseph C. Stemple, PhD, CCC-SLP, ASHAF, is professor of Communication Sciences and Disorders, College of Health Sciences, University of Kentucky where he specializes in the study of voice production and disorders. Current research interests include the biology of laryngeal muscles during exercise; the aging voice; and identifying the active ingredients of evidence-based voice therapy programs. Dr. Stemple is an active national and international speaker and lecturer. He is a Fellow and Honors recipient of the American Speech-Language-Hearing Association.

Nelson Roy, PhD, CCC-SLP, ASHAF, is a professor of speech-language pathology in the Department of Communication Sciences and Disorders at The University of Utah, where he specializes in the study of the voice and its disorders. Dr. Roy has published extensively on the topic of voice disorders including epidemiology, psychological/personality factors, treatment outcomes, differential diagnosis, acoustics, and the direct and indirect economic costs of disordered voice. Dr. Roy is a Fellow of the American Speech-Language-Hearing Association.

Bernice K. Klaben, PhD, CCC-SLP, BCS-S, is an associate professor in the Department of Otolaryngology-Head and Neck Surgery at the University of Cincinnati Medical Center (UCMC) / UC Voice and Swallowing Center. She is an Adjunct Instructor in the College of Allied Health Sciences in the Communication Science Department at the University of Cincinnati. Her specialty is in the areas of voice, dysphagia, and head and neck cancer at the University of Cincinnati Voice and Swallowing Center providing full assessments and rehabilitation. Dr. Klaben is board certified in swallowing and swallowing disorders. She was awarded a Senior Representative Fulbright Scholarship to Bulgari and has given numerous presentations and seminars in the areas of voice and swallowing and served as mentor to many students in the field of medical speech pathology.

Table Of Contents


Chapter 1. Voice: A Historical Perspective
Ancient History
The Renaissance
The 17th to 19th Centuries
The Laryngeal Mirror
Further Advancements
Voice Therapy
Clinical Voice Pathology
Summary and Concluding Remarks

Chapter 2. Anatomy and Physiology
Vocal Tract Resonance
Structural Support for the Larynx
True Folds, Ventricular (False) Folds, and Ventricle
Vocal Fold Microstructure
Blood Supply and Secretions
Neurologic Supply
Laryngeal Reflexes
Developmental Changes
Geriatric Vocal Folds
DNA Microarray Gene Expression Analysis
Physiology of Phonation

Chapter 3. Etiologies of Voice Disorders
Etiologies of Phonotrauma
Medically Related Etiologies
Primary Disorder Etiologies
Personality-Related Etiologies

Chapter 4. Pathologies of the Laryngeal Mechanism
Prevalence of Voice Disorders
Pathology Classifications

Chapter 5. The Diagnostic Voice Evaluation
The Management Team
Patient Profile
Referral Sources
Medical Evaluation
Voice Pathology Evaluation
Diagnostic Voice Evaluation
Appendix 5-A. Sample Report
Appendix 5-B. Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V)
Appendix 5-C. The Rainbow Passage
Appendix 5-D. Vocal Component Checklist
Appendix 5-E. Voice Handicap Index (VHI)

Chapter 6. Instrumental Measurement of Voice
Clinical Utility
Basics of Technical Instruments
Microphones and Recording Environment
Digital Signal Processing
Acoustic Measures
Aerodynamic Measures
Laryngeal Imaging
Electroglottography (EGG)
Laryngeal Electromyography (LEMG)
Normative Information
Electrical Safety
Hygienic Safety
The Clinical Voice Laboratory
Caveats and Additional Considerations
Appendix 6-A. Joint Statement: ASHA and AAO-HNS
Appendix 6-B. Vocal Tract Visualization and Imaging: Position Statement

Chapter 7. Survey of Voice Management
Voice Therapy Orientations
Hygienic Voice Therapy
Symptomatic Voice Therapy
Psychogenic Voice Therapy
Physiologic Voice Therapy
Team Management of Specific Laryngeal Pathologies
Successful Voice Therapy
Appendix 7-A. Phrases and Sentences Graduated in Length

Chapter 8. The Professional Voice
The Professional Voice User
The “At-Risk” Status
Professional Roles
Clinical Pathways
Categories of Singers
Vocal Registers
Common Etiology Factor
Common Pathologies
Clinical Assessment of the Vocal Performer
Supportive Training and Techniques
Glossary of Terms Used in Singing

Chapter 9. Rehabilitation of the Laryngectomized Patient
Incidence of Laryngeal Cancer
Symptoms of Laryngeal Cancer
Medical Evaluation
Staging and Tumor-Node-Metastasis Classifications
Lymph Node Distribution
Treatment Options
Methods of Reconstruction
Need for Follow-up Treatment
Multidisciplinary Rehabilitation Team
Special Concerns of the Laryngectomized Patient
Speech Rehabilitation
Role of the Speech-Language Pathologist and Surgical Prosthetics
Helpful Websites on Head and Neck Cancers

Chapter 10. Artificial Airway and Mechanical Ventilation
Artificial Airway
Mechanical Ventilation



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