Abstract
Purpose of Review
Caring for the vocal performance community represents a great privilege. A multidisciplinary team approach that is both accessible and sensitive to the unique needs of the performing artist is crucial to providing the highest level of care.
Recent Findings
The approach to a vocal performer in the clinical setting must be one that does not trivialize vocal concerns nor ignore vocal demands and habits outside of the performance milieu. Furthermore, relevant historical details and considerations for the performing artist are specific to their craft. Counseling this population often addresses vocal dose awareness, vocal hygiene optimization, and muscle memory pattern adjustments. Behavioral intervention in the form of voice therapy almost always precedes consideration of surgical therapy. Furthermore, prescribed short-term voice rest periods, guided by videostroboscopic exam, can be effective both diagnostically and therapeutically.
Summary
Various medical, surgical, and behavioral intervention recommendations and management strategies are highlighted from the perspective of a fellowship-trained laryngologist and a voice therapist, both with clinical emphasis on performance voice.
Similar content being viewed by others
References
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
Miller R. The structure of singing. New York: Schirmer; 1986. p. 229.
•• Leborgne W, Rosenberg M. The vocal athlete. San Diego: Plural Publishing. 2014:xiii. Addresses the science behind the popular contemporary commercial music singing style.
Baker J, et al. Patterns of emotional expression and responses to health and illness in women with functional voice disorders (MTVD) and a comparison group. J Voice. 2014;28(6):762–9.
American Speech-Language- Hearing Association. The role of the speech language pathologist, the teacher of singing, and the speaking voice trainer in voice habilitation [technical report]. American Speech and Hearing Association Ad Hoc Joint Committee with the National Association of Teachers of Singing and the Voice and Speech Trainers Association, Rockville (MD) (2005).
Sataloff RT. Evaluation of professional singers. Otolaryngol Clin North Am. 2000;33(5):923–56.
Dawson WJ. The motions of wind instrument performance. Dawson. 2006;2.
Castellengo M. Manuel Garcia Jr: a clear-sighted observer of human voice production. Logoped Phoniatr Vocol. 2005;30(3–4):163–70.
Punt N. Laryngology applied to singers and actors. Ashford: Headley Brothers; 1983.
Surow JB, Lovetri J. “Alternative medical therapy” use among singers: prevalence and implications for the medical care of the singer. J Voice. 2000;14(3):398–409.
Gehling D, et al. Backstage at Broadway: a demographic study. J Voice. 2014;28(3):311–5.
•• Garrett CG, Francis DO. Is surgery necessary for all vocal fold polyps? Laryngoscope. 2014;124(2):363–4. A concise review of the role of conservative therapy with vocal fold polyps.
Sandage MJ. Perioperative voice recovery: an exercise physiology perspective. SIG 3 Perspect Voice Voice Disord. 2013;23:47–52.
Mishra S, Rosen CA, Murry T. Acute management of the performing voice. Otolaryngol Clin North Am. 2000;33(5):957–66.
Verdolini Abbott K. Lessac–Madsen resonant voice therapy: clinician manual. San Diego: Plural Publishing Inc; 2008.
Stemple J, et al. Efficacy of vocal function exercises as a method of improving voice production. J Voice. 1994;8(3):271–8.
Stone R, Casteel R. Restoration of voice in nonorganically based dysphonia. In: Filter M, editor. Phonatory voice disorders in children. Springfield: Charles C. Thomas Publisher; 1982.
Roy N, Leeper H. Effects of the manual laryngeal musculoskeletal tension reduction technique as a treatment for functional voice disorders: perceptual and acoustic measures. J Voice. 1993;7(3):242–9.
Titze I. Voice training and therapy with a semi-occluded vocal tract: rationale and scientific underpinnings. Speech Lang Hear. 2006;49(2):448–59.
Stemple J et al. Clinical voice pathology: theory and management. San Diego: Plural Publishing Inc. 2014, pp. 338, 312.
Risser R. Balancing the art and science of the singing voice. Perspect Voice Voice Disord. 2015;25:110–5.
Smith WS. The naked voice: a wholistic approach to singing. New York: Oxford University Press; 2007. p. 18.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
Dr. Lesley F. Childs and Ms. Amy L. Hamilton declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Additional information
This article is part of the Topical collection on Professional Voice Disorders.
Rights and permissions
About this article
Cite this article
Childs, L.F., Hamilton, A.L. The Initial Evaluation and Management of a Vocal Performer With New Voice Complaints. Curr Otorhinolaryngol Rep 4, 183–188 (2016). https://doi.org/10.1007/s40136-016-0129-x
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40136-016-0129-x