The vocal folds are composed of layers of tissues, easily bruised and strained due to tissue fragility and weakness.Ã‚Â The lungs are also affected in some with EDS, leaving some with a limited capacity to produce the appropriate intensity for speech.
Due to problems with speech and hearing, some individuals with EDS may seek speech therapy. Since each type causes different symptoms, therapy should be planned around each client.Ã‚Â
Goals for therapy could include:
: increase oral-motor strength of weak articulators, increase breath support for better airflow, speak at a slower pace with shorter utterances to increase intelligibilityÃ‚Â
: take smaller bites of food and better prepare the bolus for one clean swallow, practice a double swallow if needed, maintain good neck posture
: perform vocal warm-up exercises before periods of prolonged speaking, practice good vocal hygiene behaviors to maintain the health of the vocal folds, breath from the diaphragm instead of pulling the lungs in
: slow speech rate, use gentle voice onsets and soft articulatory contacts during speech
: receive a complete audiological exam, obtain an assistive device such as a hearing aid, and attend visits to an Audiologist for maintenance of the aids
Hypermobility of the joints of the bones in the middle ear (malleus, incus, and stapes) creates problems with effective sound conduction across the middle ear.Ã‚Â This loss of energy in route to the inner ear leads to a mild to moderate conductive hearing loss.Ã‚Â Because the inner ear is also responsible for balance, improper function leaves some affected with bouts of dizziness.
it is important to remember that each persons experience of hms is different so it is not necessarily so that everyone with the syndrome has all of the difficulties some do have. It is reported that some with HMS find shouting impossible I can but it leaves me with no voice for a while which is pleasing for my other half
I have lost significant singing voice - but have not concentrated on maintaining my vocal chords in any way and this in part could be the reason. Don't despair Adele I'm middle aged and you are young yet