Abstract
With the emergence of the multidisciplinary approach to the management of patients with voice disorders, nonsurgical “conservative” voice management has gained popularity as a primary treatment option in sports occupational voice users (SOVU) and others with dysphonia. The most commonly adopted strategies are vocal hygiene therapy (VHT), vocal function exercises (VFE), and voice amplification (VA). Vocal hygiene therapy (VHT) stresses voice health education, nontraumatic phonatory behavior, and lifestyle behavioral modifications, whereas VFE includes supervised voice training to reduce laryngeal muscle tension and imbalance and improve the coordination between oscillation (vocal fold vibration), respiration, and resonance to optimize phonation. VA aims to decrease vocal dose by amplifying the voice, using either via a stationary or portable system. Although VA does not address the laryngeal behavior directly, it is still an alternative treatment strategy in SOVU with or without dysphonia, and it can be used in combination with VHT and VFE.
This chapter provides a scientific review of the usefulness of the above voice health strategies in other professional voice users (such as teachers and singers) with dysphonia. The same therapeutic strategies are applicable to SOVU. Proper education and training of coaches and sports instructors, periodic inspection of sports equipment, and proper implementation of athletic regulations also are essential in the prevention of sports-related voice injuries.
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References
Morley DE. A ten-year survey of speech disorders among university students. J Speech Hear Disord. 1952;17(1):25–31.
Laguaite JK. Adult voice screening. J Speech Hear Disord. 1972;37(2):147–51.
Williams NR. Occupational groups at risk of voice disorders: a review of the literature. Occup Med. 2003;53:456–60.
Lennelöv E, Irewall T, Naumburg E, Lindberg A, Stenfors N. The prevalence of asthma and respiratory symptoms among cross-country skiers in early adolescence. Can Respir J. 2019;2019:1514353.
Waterman JJ, Kapur R. Upper gastrointestinal issues in athletes. Curr Sports Med Rep. 2012;11(2):99–104.
Del Giacco SR, Carlsen KH, Du Toit G. Allergy and sports in children. Pediatr Allergy Immunol. 2012;23(1):11–20.
Seidman MD, Wertz AG, Smith MM, Jacob S, Ahsan SF. Evaluation of noise exposure secondary to wind noise in cyclists. Otolaryngol Head Neck Surg. 2017;157(5):848–52.
Masullo M, Lenzuni P, Maffei L, et al. Assessment of noise exposure for basketball sports referees. J Occup Environ Hyg. 2016;13(6):464–75.
Long J, Williford HN, Olson MS, Wolfe V. Voice problems and risk factors among aerobics instructors. J Voice. 1998;12(2):197–207.
Heidel SE, Torgerson JK. Vocal problems among aerobic instructors and aerobic participants. J Commun Disord. 1993;26(3):179–91.
Fontan L, Fraval M, Michon A, Déjean S, Welby-Gieusse M. Vocal problems in sports and fitness instructors: a study of prevalence, risk factors, and need for prevention in France. J Voice. 2017;31(2):261.e33–8.
Rumbach A, Khan A, Brown M, Eloff K, Poetschke A. Voice problems in the fitness industry: factors associated with chronic hoarseness. Int J Speech Lang Pathol. 2015;17(5):441–50.
Fellman D, Simberg S. Prevalence and risk factors for voice problems among soccer coaches. J Voice. 2017;31(1):121-e9–15.
Rendon MD, Ermakova T, Freymann ML, Ruschin A, Nawka T, Caffier PP. Efficacy of phonosurgery, logopedic voice treatment and vocal pedagogy in common voice problems of singers. Adv Ther. 2018;35(7):1069–86.
Hartnick C, Ballif C, De Guzman V, et al. Indirect vs direct voice therapy for children with vocal nodules: a randomized clinical trial. JAMA Otolaryngol Head Neck Surg. 2018;144(2):156–63.
Chhetri SS, Gautam R. Acoustic analysis before and after voice therapy for laryngeal pathology. Kathmandu Univ Med J. 2015;13(4):323–7.
Behlau M, Oliveira G. Vocal hygiene for the voice professional. Curr Opin Otolaryngol Head Neck Surg. 2009;17(3):149–54.
Sataloff RT. Professional voice: the science and art of clinical care. 4th ed. San Diego: Plural Publishing; 2017. p. 1163–324.
Ruotsalainen JH, Sellman J, Lehto L, Jauhiainen M, Verbeek JH. Interventions for treating functional dysphonia in adults. Cochrane Database Syst Rev. 2007;(3):CD006373.
Timmermans B, Vanderwegen J, De Bodt MS. Outcome of vocal hygiene in singers. Curr Opin Otolaryngol Head Neck Surg. 2005;13(3):138–42.
Zuim AF, Lloyd AT, Gerhard J, Rosow D, Lundy D. Associations of education and training with perceived singing voice function among professional singers. J Voice. 2019;S0892–1997(19)30313–3.
Yiu EM, Chan RM. Effect of hydration and vocal rest on the vocal fatigue in amateur karaoke singers. J Voice. 2003;17(2):216–27.
Verdolini-Marston K, Sandage M, Titze I. Effect of hydration treatment on laryngeal nodules and polyps and related voice measures. J Voice. 1994;8:30–47.
Solomon NP, DiMattia MS. Effects of a vocally fatiguing task and systemic hydration on phonation threshold pressure. J Voice. 2000;14(3):341–62.
Timmermans B, De Bodt MS, Wuyts FL, Van de Heyning PH. Training outcome in future professional voice users after 18 months of voice training. Folia Phoniatr Logop. 2004;56(2):120–9.
Timmermans B, De Bodt MS, Wuyts FL, Van de Heyning PH. Analysis and evaluation of a voice-training program in future professional voice users. J Voice. 2005;19(2):202–10.
Sataloff RT. Introduction to treating voice abuse. In: Satalof RT. Professional voice: the science and art of clinical care. 4th ed. San Diego: Plural Publishing; 2017. p. 1163–6.
Rose B, Horman M, Sataloff RT. Voice therapy. In: Satalof RT. Professional voice: the science and art of clinical care. 4th ed. San Diego: Plural Publishing; 2017. p. 1171–94.
Hazlett D, Duffy OM, Moorhead SA. Review of the impact of voice training on the vocal quality of professional voice users: implications for vocal health and recommendations for further research. J Voice. 2011;25(2):181–91.
Pasa G, Oates J, Dacakis G. The relative effectiveness of vocal hygiene training and vocal function exercises in preventing voice disorders in primary school teachers. Logoped Phoniatr Vocol. 2007;32(3):128–40.
Meerschman I, Van Lierde K, Peeters K, Meersman E, Claeys S, D’haeseleer E. Short-term effect of two semi-occluded vocal tract training programs on the vocal quality of future occupational voice users: “resonant voice training using nasal consonants” versus “straw phonation”. J Speech Lang Hear. 2017;60(9):2519–36.
Watts CR, Hamilton A, Toles L, Childs L, Mau T. A randomized controlled trial of stretch-and-flow voice therapy for muscle tension dysphonia. Laryngoscope. 2015;125(6):1420–5.
Roy N, Gray SD, Simon M, Dove H, Corbin-Lewis K, Stemple JC. An evaluation of the effects of two treatment approaches for teachers with voice disorders: a prospective randomized clinical trial. J Speech Lang Hear Res. 2001;44(2):286–96.
Meerschman I, Van Lierde K, Ketels J, Coppieters C, Claeys S, D’haeseleer E. Effect of three semi-occluded vocal tract therapy programmes on the phonation of patients with dysphonia: lip trill, water-resistance therapy and straw phonation. Int J Lang Commun Disord. 2019;54(1):50–61.
Stemple JC, Lee L, D’Amico B. Efficacy of vocal function exercise as a method of improving voice production. J Voice. 1994;8(3):271–8.
Sabol JW, Lee L, Stemple JC. The value of vocal function exercises in the practice regimen of singers. J Voice. 1995;9(1):27–36.
Calvache C, Guman M, Bobadilla M, Bortnem C. Variation on vocal economy after different semioccluded vocal tract exercises in subjects with normal voice and dysphonia. J Voice. 2020;34(4):582–9.
Teixeira LC, Behlau M. Comparison between vocal function exercises and voice amplification. J Voice. 2015;29(6):718–26.
Gaskill CS, O’Brien SG, Tinter SR. The effect of voice amplification on occupational vocal dose in elementary school teachers. J Voice. 2012;26(5):667.e19–27.
Masson MLV, de Araújo TM. Protective strategies against dysphonia in teachers: preliminary results comparing voice amplification and 0.9% NaCl nebulization. J Voice. 2018;32(2):257.e1–257.e10.
Morrow SL, Connor NP. Voice amplification as a means of reducing vocal load for elementary music teachers. J Voice. 2011;25(4):441–6.
Bovo R, Trevisi P, Emanuelli E, Martini A. Voice amplification for primary school teachers with voice disorders: a randomized clinical trial. Int J Occup Med Environ Health. 2013;26(3):363–72.
Roy N, Weinreich B, Gray SD, et al. Voice amplification versus vocal hygiene instruction for teachers with voice disorders: a treatment outcomes study. J Speech Lang Hear. 2002;45:625–38.
Paluska SA, Lansford CD. Laryngeal trauma in sport. Curr Sports Med Rep. 2008;7(1):16–21.
Trinidade A, Shakeel M, Stickle B, Ah-See KW. Laryngeal fracture caused by a lacrosse ball. J Coll Physicians Surg Pak. 2015;25(11):843–4.
French C, Kelly R. Laryngeal fractures in lacrosse due to high speed ball impact. JAMA Otolaryngol Head Neck Surg. 2013;139(7):735–8.
US Consumer Product Safety Commission. Baby boomer sports injuries. April 2000. https://www.cpsc.gov/s3fs-public/pdfs/boomer.pdf. Accessed 20 Nov 2020.
Ostby ET, Crawley BK. Helmet clasp cracks larynx? A case series and literature review. Ann Otol Rhinol Laryngol. 2018;127(4):282–4.
Mueller FO, Cantu RC. Twenty-sixth annual report fall 1982- Spring 2008. UNC-Chapel Hill website. http://nccsir.unc.edu/files/2014/05/AllSport.pdf. Published 2008. Accessed 20 Nov 2020.
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Hamdan, AL., Sataloff, R.T., Hawkshaw, M.J. (2021). Voice Health Management in Sports Occupational Voice Users. In: Voice Disorders in Athletes, Coaches and other Sports Professionals. Springer, Cham. https://doi.org/10.1007/978-3-030-69831-7_11
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