Holistic Approach and Vocal Filter Empowerment in Voice Alterations Abordaje Holístico y Potenciación del Filtro Vocal en Alteraciones de la Voz

Abstract

Summary The process of configuring a functional
dysphonia with or without a benign lesion in the vocal
cords - in this case due to misuse and / or vocal abuse
- evidences a decompensation or loss of the delicate
general musculoskeletal balance and, particularly,
of the functioning of the subsystems involved in
vocal production. As a consequence, compensatory
mechanisms are generated that the phonoaudiological
intervention has to “”adjust”” again. “” In this article we
propose the holistic approach of these voice alterations,
which must include the consideration of the body as a
skeletal muscle macro system. With this same holistic
vision, the convenience of approaching a physiological
approach within vocal therapy is considered, which does
not imply discarding any other, as long as it is adapted
to the vocal needs of each patient. In this context, this
article aims to present a complementary method to vocal
therapy, the Art of the word developed by Rudolf Steiner,
as well as its transfer to the phonoaudiological field. The
importance of carrying out specific articulatory training
as the last phase of the voice production process will be
highlighted, at the level of the vocal filter; This training
would facilitate a greater transfer of proprioceptivearticulatory
schemes to the daily communicative
context of the patient, according to the needs and vocal
requirements required.