vocal hygiene and voice management

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    Vocal Hygiene

    and

    Voice Management

    [Notes: Highlights from the lecture by Vanessa Tait-Jones ]

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    Introduction

    The voice is a most valuable instrument, even more so, as it resides inside the body. Would you

    neglect your instrument of wood or metal? No, you would protect it. The voice is exposed to many

    potentially detrimental factors: smoking, stress, temperature change, unhealthy diet and excessivealcohol intake.

    [Thesis The role of the singing teacher in the interdisciplinaryis available]

    The thesis covers Tait-Jones experience over 17 month with professional voice users i.e. teachers,

    preachers, sports coaches and singers. The range of singers include: classic professional, voice

    students, amateurs and choral singers.

    General anatomy - physiology

    Pharynx, tongue, Larynx, epiglottis etc. [Pictures were shown]

    [Pictures: http://www.voiceproblem.org/anatomy/learning.phpand

    http://www.gbmc.org/home_voicecenter.cfm?id=1552]

    NB:

    The larynx is mainly composed of cartilage. The only bone is the hyoid bone Everything you breathe in passes through your vocal chords

    Voice problems

    Voice problems may appear in the following ways

    Prolonged irritation which causes a hoarse voice Swelling which is indicated by redness which causes a hoarse voice A callus which forms on vocal fold edge

    Pathological voice problems

    [Pictures:http://www.ghorayeb.com/PicturesLarynx.html]

    Legions

    Vocal nodules

    These occur in pairs (sore on one side bigger as it causes the other) Treatment:

    o Rest, proper oral hygiene, correct vocal management, and treatment of acid refluxo Surgery in the worst caseso Time period: May occur gradually over months or years

    http://www.voiceproblem.org/anatomy/learning.phphttp://www.voiceproblem.org/anatomy/learning.phphttp://www.gbmc.org/home_voicecenter.cfm?id=1552http://www.gbmc.org/home_voicecenter.cfm?id=1552http://www.ghorayeb.com/PicturesLarynx.htmlhttp://www.ghorayeb.com/PicturesLarynx.htmlhttp://www.ghorayeb.com/PicturesLarynx.htmlhttp://www.ghorayeb.com/PicturesLarynx.htmlhttp://www.gbmc.org/home_voicecenter.cfm?id=1552http://www.voiceproblem.org/anatomy/learning.php
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    Result:o Limits range (high notes) and you may not notice until you feel that something is

    wrong

    Polyp

    Like a blister Treatment:

    o Not easily treated, usually requires surgery Time period: As soon as trauma has occurred and may be noticed after a day or two

    Cyst

    Occurs when a gland bursts in the muscle, forming a sore that fills with phlegm Symptoms: One struggles to make a sound as the vocal folds cannot close properly. There is

    a visible gap causing a breathy tone in the voice. Treatment:

    o Not easily treated, usually surgeryOther

    Laryngitis

    Laryngitis occurs when an infection occurs in the larynx Symptoms include:

    oRed and swollen larynx

    o Voice lossVocal haemorrhage

    This is where a single traumatic episode of voice use occursTrauma

    Physical contact trauma is not common, but may occur while playing any contact sport oo ifone gets into a fight

    Hyper-function

    In the case of hyper-function, o legion or pathology is visible, rather the pathology is of afunctional nature i.e. bad voice technique or a tenseness in the voice

    Voice problem symptoms

    Though these pathologies are neither cancerous nor painful, it affects the voice causing aloss in range, a breathy quality and causes the voice to get tired or hoarse.

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    Acid reflux

    Acid from the stomach moves up into the oesophagus and irritates chords Arytenoids joints red and swollen Open ends of vocal chords affected Avoid complete closure, posterior gap visible Silent reflux Mostly at night Quality/overcompensation-push voice harder Symptoms

    o Hoarse or deeper voice in morningo Bad taste in moutho Thick feelingo Produce voice with efforto Voice tires easilyo Throat clearing becomes a habito Compensatory voice use

    Functional nature

    Incorrect /abusive voice use patterns Shouting or smoking

    Misuse

    Singing/speaking techniqueVocal care

    Avoid vocal abuse Be aware of abuse Reflux Use diaphragmatic breathing rather than Clavicular Avoid using too small a resonance space

    Are you regularly hoarse?

    Reason:o Over use of voice: using force or making use of voice at too loud a volume for too

    long

    o Vocal legion (nodule/cyst) may have formedo Incorrect vocal technique is used on a regular basis

    Prevent hoarseness

    Regulate the amount and manner of voice use Dont always sing out at rehearsals

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    Rest when tired especially long rehearsals or performances Be more sensitive to the needs of your voice Take treatment for acid reflux and adapt diet accordingly

    Lifestyle and diet habits Stop smoking. It is the top cause of laryngeal cancer and smoke is breathed through vocal

    chords

    Avoid places with polluted air (smoke, dust) Allow yourself to be fully rested. This means between 6-9hrs sleep Manage stress levels as the vocal apparatus is linked with emotions Minimise alcohol intake

    o It dehydrates vocal apparatus and causes acid reflux flux, especially hard liquor andred wine

    Healthy diet and exercise Drink a minimum of 6-8 glasses of water per day for a healthy clear voice. If you do not know

    whether or not you have had enough water check that your urine is pale or clear.

    Steam for immediate relief (water bottle) Consider meds: antihistamines and anti-depressants Be careful during weight training

    Acid reflux

    Effective meds available to treat acid reflux. They are referred to as protoinhibitors.Gaviscon and other over the counter medication may help for a short period, but does nottreat acid reflux effectively

    The cause of acid reflux may include a dysfunctional stomach valve, stress and an unhealthydiet

    Avoid:o Caffeine, alcohol, carbonated drinks and big fatty mealso Examples of foods that contain caffeine : Coffee, Ceylon tea, chocolate and

    chocolate related products

    o Spicy foods or those containing tomatoo Being overweight as the pressure on your stomach may push acid up youre your

    oesophagus

    o Lying down 2-3 hours after eating, wait until food has been properly digestedo Wearing tight clothing around waisto Combining carbohydrates and proteino Citrus, onion, pastries, fatty potato chips

    Drink enough water

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    Summery

    For a long singing career treat your voice as the valuable instrument that it is, take lessonswith good a good teacher. A healthy voice makes for a happy sing. For an ENT that is

    sensitive to the needs of a singer should you require one, you may make contact with theTygervally medical centre or Vanessa Tait-Jones from the SU Conservatory