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Somme L, Audouin M, Chau N, Beyaert C, Perrin P. Associations of Postural Activities and Knowledge for Voice with Breathing Issues and Voice-Physical-Disorders Among Lyric Singers. J Voice 2024:S0892-1997(23)00408-3. [PMID: 38195334 DOI: 10.1016/j.jvoice.2023.12.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Revised: 12/19/2023] [Accepted: 12/20/2023] [Indexed: 01/11/2024]
Abstract
OBJECTIVES/HYPOTHESIS The purpose of this research was to study the associations of postural activities and knowledge of the voice of opera singers, recognized in the literature for the specificity of their posture. Additionally, the link between vocal pathologies and body pains on one hand, and posture control on the other hand was investigated. METHODS A questionnaire including 90 questions was distributed to singers in France and overseas during 6 months. Ninety-eight opera singers participated in the survey. Data were analyzed using Excel and Stata software. RESULTS The results showed that the singers who paid more attention to posture, postural work while singing, had knowledge of anatomy and postural role in singing voice, healthy lifestyle, and good body habits, had less vocal discomfort and pathologies, a better vocal preservation, and used more costo-abdominal breathing. On the other hand, knowledge of postural role and postural work was linked with pain and vocal fatigue. Furthermore, a preventive need was revealed concerning the providing of knowledge and skills to singers, but also to singing teachers, speech therapists, and stage workers. CONCLUSION Our study shows that benefits were found in the voice quality of opera singers with anatomical and postural knowledge and who work on posture as part of their vocal work compared to others. Postural work and knowledge increase attention to body pain and vocal fatigue. These results can inform health care providers, opera singers, and their teachers and performers of the benefits of posture on operatic voice quality. Accordingly, this study sparks new ideas for postural work and therapy in lyric voice.
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Affiliation(s)
- Lauriane Somme
- University of Lorraine, Research Unit 3450 DevAH - Development, Adaptation and Handicap, Faculty of Medicine, 54500 Vandoeuvre-lès-Nancy, France; Department of Speech and Language Therapy, Faculty of Medicine, 54500 Vandoeuvre-lès-Nancy, France
| | - Mathilde Audouin
- University of Lorraine, Research Unit 3450 DevAH - Development, Adaptation and Handicap, Faculty of Medicine, 54500 Vandoeuvre-lès-Nancy, France
| | - Nearkasen Chau
- Faculty of Sciences, Royal University of Phnom-Penh, Phnom-Penh, Cambodia
| | - Christian Beyaert
- University of Lorraine, Research Unit 3450 DevAH - Development, Adaptation and Handicap, Faculty of Medicine, 54500 Vandoeuvre-lès-Nancy, France; Regional Institute of Physical Medicine and Rehabilitation, 54000 Nancy, France; Laboratory for the Analysis of Posture, Equilibrium and Motor Function (LAPEM), University Hospital of Nancy, 54500 Vandoeuvre-lès-Nancy, France
| | - Philippe Perrin
- University of Lorraine, Research Unit 3450 DevAH - Development, Adaptation and Handicap, Faculty of Medicine, 54500 Vandoeuvre-lès-Nancy, France; Laboratory for the Analysis of Posture, Equilibrium and Motor Function (LAPEM), University Hospital of Nancy, 54500 Vandoeuvre-lès-Nancy, France; Department of Pediatric Otolaryngology, University Hospital of Nancy, Vandoeuvre-lès-Nancy, France.
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Castillo-Allendes A, Delgado-Bravo M, Ponce AR, Hunter EJ. Muscle Activity and Aerodynamic Voice Changes at Different Body Postures: A Pilot Study. J Voice 2022:S0892-1997(22)00300-9. [PMID: 36273960 PMCID: PMC10924224 DOI: 10.1016/j.jvoice.2022.09.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Revised: 09/23/2022] [Accepted: 09/26/2022] [Indexed: 11/06/2022]
Abstract
OBJECTIVE Body posture is a commonly discussed component of voice training and therapy. However, body postures, postural changes, related posturing muscle monitoring, and the potential changes in voice production (eg, glottal aerodynamic changes, acoustic differences) have been inconsistently described in the literature, leaving room for free interpretation and possible misunderstandings. The primary purpose of this pilot study was to compare the magnitude of electromyographical activation of muscles involved in phonation-breathing functions and their changes due to four standardized body postures in experienced singers. Secondly, to identify which body posture produces greater changes in aerodynamic parameters, vocal pitch, and loudness. METHODS Eight healthy adults with experience in singing voice performed a vocal task during different body postures commonly used in both voice training and therapy. A 3D-capture system was used to control and quantify the alignment of each posture. During the performances, surface electromyography (sEMG) was used to measure the muscular activity involved in the breathing/phonation and posture processes. A nonparametric Kruskal-Wallis test was used to compare the sEMG activity of phonatory muscles and aerodynamic voice variables between postures. RESULTS Our study did not reveal significant differences in sEMG activity, aerodynamic parameters, vocal pitch, and loudness among body postures during vocal task productions. However, the vocal pitch (in semitones) revealed significant differences in the unstable surface when compared to the upright posture, modified upright, and leaning postures. CONCLUSION The body postures selected did not generate voice aerodynamic modifications of the voice nor in the levels of activation of muscles involved in the phonation-breathing process in individuals with experience in singing voice. Modifications of body posture as a tool for voice therapy should be further investigated, considering the population with voice problems and no voice training experience.
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Affiliation(s)
- Adrián Castillo-Allendes
- Department of Communicative Sciences and Disorders, Michigan State University, East Lansing, Michigan
| | - Mauricio Delgado-Bravo
- Carrera de Kinesiología, Departamento de Ciencias de la Salud, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile; Human Performance Laboratory, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada.
| | - Alvaro Reyes Ponce
- Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago de Chile, Chile
| | - Eric J Hunter
- Department of Communicative Sciences and Disorders, Michigan State University, East Lansing, Michigan
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Lewis A, Philip KEJ, Lound A, Cave P, Russell J, Hopkinson NS. The physiology of singing and implications for 'Singing for Lung Health' as a therapy for individuals with chronic obstructive pulmonary disease. BMJ Open Respir Res 2021; 8:8/1/e000996. [PMID: 34764199 PMCID: PMC8587358 DOI: 10.1136/bmjresp-2021-000996] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Accepted: 10/20/2021] [Indexed: 11/09/2022] Open
Abstract
Singing is an increasingly popular activity for people with chronic obstructive pulmonary disease (COPD). Research to date suggests that ‘Singing for Lung Health’ may improve various health measures, including health-related quality-of-life. Singing and breathing are closely linked processes affecting one another. In this narrative review, we explore the physiological rationale for ‘Singing for Lung Health’ as an intervention, focusing on the abnormalities of pulmonary mechanics seen in COPD and how these might be impacted by singing. The potential beneficial physiological mechanisms outlined here require further in-depth evaluation.
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Affiliation(s)
- Adam Lewis
- Department of Health Sciences, Brunel University London, London, UK
| | | | - Adam Lound
- Patient Experience Research Centre, Imperial College London, London, UK
| | - Phoene Cave
- Department of Health Sciences, Brunel University London, London, UK
| | - Juliet Russell
- Department of Health Sciences, Brunel University London, London, UK
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Peultier-Celli L, Lion A, Buatois S, Watfa G, Gueguen R, Benetos A, Perrin PP. Relation of arterial stiffness with postural control in older people. Eur Geriatr Med 2021; 12:871-879. [PMID: 33687696 DOI: 10.1007/s41999-021-00468-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Accepted: 02/04/2021] [Indexed: 11/30/2022]
Abstract
PURPOSE Arterial stiffness generates vascular alterations that may cause balance disorders and falls. This study aimed to investigate the possible link between arterial stiffness and postural control under different sensorial conditions in patients over 65 years. METHODS Carotid-femoral pulse wave velocity (PWV) was measured in 47 participants aged over 65 years to evaluate their arterial stiffness (high PWV). Twenty-seven participants (mean age = 70.52 ± 4.02 years, 22 females) had a normal PWV (< 10 m s-1) and 20 participants (mean age = 75.93 ± 6.11 years; 15 females) had a high PWV (≥ 10 m s-1). Postural control was evaluated using a force platform in four postural conditions: eyes open (EO) 1, eyes closed (EC), eyes open with a dual task (DT) and eyes open again (EO2). Using sway path traveled and surface covered by the center of foot pressure, we calculate the length function of surface (LFS). This ratio provides information about the precision (surface) of postural control and the effort made (length) by the subjects. RESULTS After an age-adjustment, LFS was lower in EO than in EC and DT in both groups (p ≤ 0.001). LFS was higher in participants with high PWV both in eyes open and eyes closed conditions (p < 0.05). LFS increased when PWV increased in EO (p < 0.01) and EC conditions (p < 0.001) but not when a dual task was performed. CONCLUSION Difficulties in maintaining equilibrium under a dual-task condition are more pronounced in people with increased arterial stiffness. These data suggest that understanding of the influence of the arterial stiffness level on specific balance control parameters could contribute to propose better balance-oriented rehabilitation programs in older adults in an attempt to prevent fall.
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Affiliation(s)
- Laetitia Peultier-Celli
- Faculté de Médecine de Nancy, EA 3450 DevAH, Développement, Adaptation et Handicap, Université de Lorraine, 54500, Vandoeuvre-lès-Nancy, France
- Laboratory for the Analysis of Posture, Equilibrium and Motor Function (LAPEM), University Hospital of Nancy, 54500, Vandoeuvre-lès-Nancy, France
| | - Alexis Lion
- Faculté de Médecine de Nancy, EA 3450 DevAH, Développement, Adaptation et Handicap, Université de Lorraine, 54500, Vandoeuvre-lès-Nancy, France
- Laboratory for the Analysis of Posture, Equilibrium and Motor Function (LAPEM), University Hospital of Nancy, 54500, Vandoeuvre-lès-Nancy, France
- Fédération Luxembourgeoise des Associations de Sport de Santé, 1445, Strassen, Luxembourg
- Luxembourg Institute of Research in Orthopedics Sports Medicine and Science, 1460, Luxembourg, Luxembourg
| | - Séverine Buatois
- Faculté de Médecine de Nancy, EA 3450 DevAH, Développement, Adaptation et Handicap, Université de Lorraine, 54500, Vandoeuvre-lès-Nancy, France
- Laboratory for the Analysis of Posture, Equilibrium and Motor Function (LAPEM), University Hospital of Nancy, 54500, Vandoeuvre-lès-Nancy, France
| | - Ghassan Watfa
- University of Lorraine, Inserm, DCAC, 54000, Nancy, France
| | - René Gueguen
- Faculté de Médecine de Nancy, EA 3450 DevAH, Développement, Adaptation et Handicap, Université de Lorraine, 54500, Vandoeuvre-lès-Nancy, France
- Laboratory for the Analysis of Posture, Equilibrium and Motor Function (LAPEM), University Hospital of Nancy, 54500, Vandoeuvre-lès-Nancy, France
| | - Athanase Benetos
- University of Lorraine, Inserm, DCAC, 54000, Nancy, France
- University of Lorraine, University Hospital of Nancy, Pôle « Maladie du Vieillissement, Gérontologie et Soins Palliatifs », 54000, Nancy, France
| | - Philippe P Perrin
- Faculté de Médecine de Nancy, EA 3450 DevAH, Développement, Adaptation et Handicap, Université de Lorraine, 54500, Vandoeuvre-lès-Nancy, France.
- Laboratory for the Analysis of Posture, Equilibrium and Motor Function (LAPEM), University Hospital of Nancy, 54500, Vandoeuvre-lès-Nancy, France.
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