Table 1.

Program of Voice Therapy Interventions by Session.

Topics	Major Content and Activities	Muscle group
Session 1: Evaluation	Program purpose Establish home exercise program Relaxation techniques Circumlaryngeal massage Cervical stretches Ergonomics Posture
Session 2	Review home exercise program Supplemental techniques Ergonomics Posture	Sternocleidomastoid m. Scalene m.
Session 3	Neck and chest extensions Shoulder rotations Trunk Rotations	Suprahyoid m. Infrahyoid m.
Session 4	Review home exercise program Supplemental techniques Pectoralis stretches	Chest m.
Session 5	Self-releases Independent Exercises	Posterior cervical m.
Session 6	Tongue stretches Temporomandibular joint stretches	Temporomandibular joint Masseter m.
Session 7	Muscle imbalances in scapula and core	Suprahyoid m. .Infrahyoid m.
Session 8	Stress management education	Psoas m.
Session 9	Review home exercise program Discharge planning Additional referrals	Thyroid releases Hyoid releases
Session 10	Scar management Lower extremity stretching	Thyroid releases Hyoid Releases Scar tissue releases (PRN)
Sessions 11 – 18	Review home exercise program Additional individualized exercises	Cervical traction Occipital traction Temporomandibular joint techniques