Voice Watch

Voicewatch aims to provide a quick guide to matters concerning the care and management of the professional voice. As such it should be of interest to voice-care professionals, voice teachers, teachers of singing, researchers, singers, actors, schoolteachers, clergy, lawyers and all whose work depends on their voices. Much of the content deals with problems relating to the vocal cords. In our view many of these problems could be prevented if professional voice-users adopted White's Technique as a safe, alternative method of voice production.

The information on this page consists of short excerpts from articles and reports by acknowledged experts: each excerpt being fully referenced. It is recommended that, where possible, the reader should refer to original sources in order to view items of information in their proper context.

E-mail: voicewatch@eircom.net

 

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Humming may help sinuses stay healthy

Even if you don't have an ear for music, humming may help keep your sinuses healthy. A new study shows humming can improve ventilation in the sinuses, which might reduce your risk of developing sinusitis.

Sinusitis is a common but painful condition that affects more than 14% of the U.S. population. It occurs when the hollow, mucus-lined spaces around the nose (known as the paranasal sinuses) become inflamed - causing symptoms such as headaches, pain and nasal congestion.

Inflamation of the sinuses is usually triggered by an upper respiratory infection, and some people are much more likely than others to suffer these infections. For example, people with allergies, asthma, or those with compromised immune systems are more susceptible to chronic sinusitis.

Researchers say proper ventilation of the sinuses is vital to keeping them healthy and preventing infection. But current tools used to measure sinus function are invasive and somewhat cumbersome to perform.

That prompted study author Jon Lundberg, MD, PhD, of the Karolinska Institute in Stockholm, Sweden, and colleagues to look at humming as a possible method to measure as well as increase airflow and ventilation in the nasal passages.

They thought the airflow created by humming would speed up the exchange of air between the sinuses and the nasal cavity. And the researchers measured the increased nasal output by monitoring the amount of nitric oxide (NO) in the exhaled air. Most of the NO in exhaled air comes from the nasal airways, and healthy sinuses have high concentrates of NO.

The study found that humming increased NO levels by 15 times compared with quiet breathing - creating a dramatic increase in the amount of the gas exchnaged between the sinuses and nasal cavity.

Researchers say blockages or limited airflow between the two cavities is a key factor in the development of sinusitis.

Reference

This article is from the WEBMED: Reviewed by Gary Vogin, MD

 

World Voice Day: what is it?

The American Academy of Otolaryngology - Head and Neck Surgery - is observing the first "World Voice Day", an international celebration of the human voice. On April 16, 2003, the public is being asked to recognise that the human voice, a fragile communication instrument, can be easily and irretrievably damaged through harmful speaking techniques and alcohol and tobacco abuse. The consequence can be strained vocal cords, chronic hoarseness, or in some cases, deadly head and neck cancers.

Voice disorders can afflict not only the famous but also the neighbour. Many otolaryngologists have assisted well-known entertainers in maintaining their voice, all to the enjoyment of the American public. These medical specialists have also aided our nation's teachers,clergy, salespeople, and courtroom attorneys, all professionals requiring the ability to speak clearly in the performance of their job.

World Voice recognition originally started in Brazil, where ear, nose and throat specialists established National Voice Week in April 1999, in response to a report by the World Health Organisation of the high larynx cancer rate in that anation. Now other nations and institutions have signed on to mark World Voice Day.

Reference

www://newswise.com/articles/2002/3/VOICEDAY.AAO.html

 

Incidence and prevalence of voice disorders in the United States:

  • It is estimated that 3% to 9% of the total population of the United States has a voice disorder (1)
  • Disorders of vocal abuse and misuse are the most prevalent and preventable types of voice disorders (2)
  • There is evidence of an increased incidence of vocal nodules in such occupations as homemakers, teachers, singers, lawyers, salespeople, preachers and telemarketers (3)
  • The frequency of repeated vocal nodule occurrence ranges from 15% to 35% (4)

References

  1. Ramig, L.O., & Verdolini, K. (1998, February). Treatment efficacy: Voice Disorders. Journal of Speech, Language and Hearing Research, 41, S101-S116.
  2. National Institute on Deafness and Other Communication Disorders. (1999, May). Disorders of vocal abuse and misuse (NIH Pub. No. 99-4375) Bethesda, MD: Author
  3. National Institute of Neurological Disorders and Stroke. (2000, November). Amyotrophic Lateral Schlerosis fact sheet.
  4. Pannbacker, M. (1999, August). Treatment of vocal nodules: Options and outcomes. American Journal of Speech-Language Pathology, 8, 201-208.

Original article compiled by Andrea Castrogiovanni, Research Resources and Advocacy, ASHA 10801 Rockville Pike, Rockville MD 20852, 301-897-5700

 

Prevalence of voice disorders among future teachers:

An epidemiological study was conducted in order to find out the prevalence of voice disorders among students studying to be teachers. Vocal symptoms were inquired of 226 students. Their voices were assessed perceptually by a speech therapist and those who had abnormal voice quality or reported several vocal symptoms were referred to a clinical examination by a laryngologist. The results showed that 20% of this population reported two or more vocal symptoms during the previous year and that 19% had an organic voice disorder. This reinforces the need for clinical evaluation of students with vocal symptoms and more vocal training in the teacher education programs.

Reference

Simberg S, Sala E, Laine A, Ronnemaa A-M. Prevalence of voice disorders among future teachers. J Voice 2000; 14: 231-5

 

Are telemarketers more susceptible to voice disorders?

This study set out to investigate whether there is an increased prevalence of voice problems among telemarketers compared with the general population and if these voice problems affect productivity and are associated with the presence of known risk factors for voice problems.

Results Telemarketers were twice as likely to report 1 or more symptoms of vocal attrition compared with controls after adjusting for age, sex and smoking status (P<.001). Of those surveyed, 31% reported that their work was affected by an average of 5.0 symptoms. These respondents tended to be women (P<.001) and were more likely to smoke (P = .02); take drying medications (P<.001); have sinus problems (P = .04), and frequent colds (P<.001), and dry mouth (P<.001); and be sedentary (P<.001).

Conclusions Telemarketers have a higher prevalence of voice problems than the control group. These problems affect productivity and are associated with modifiable risk factors. Evaluation of occupational voice disorders must encompass all of the determinats of health status, and treatment must focus on modifiable risk factors, not just the reduction of occupational vocal load.

Reference

Katherine Jones, MS; Jason Sigmon, MD; Lynette Hock, MS; Eric Nelson, BS; Marsha Sullivan, MA, CCC-SLP; Frederic Ogren, MD. Prevalence and risk factors for voice problems among telemarketers. Arch Otolaryngol Head Neck Surg. 2002; 128:571-577

Prevalence of voice disorders among future teachers

 
 
 
 
   

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