Vocal Essentials LLC, Denver, Colorado.
Hofstra University, Long Island, New York.
J Voice. 2020 Mar;34(2):243-249. doi: 10.1016/j.jvoice.2018.09.024. Epub 2018 Nov 14.
To conduct an interdisciplinary literature review on the function of the pelvic floor musculature during respiration and its role in phonation, particularly singing.
This is a literature review.
A literature review was conducted using three electronic databases: PubMed, Scopus, and Google Scholar. An index search was also performed for the NATS Journal/Journal of Singing utilizing the keywords from the original search, as these articles did not appear in the original search. Peer-reviewed articles from 1985 to 2017 were gathered on the respiratory musculature and/or support mechanisms for phonation (anatomy and physiology). Articles that pertained to the muscular function of the respiratory system in breathing and/or phonation were utilized in the review. Eighty-five articles were included in this review.
Breathing and support strategies were variable and nonspecific in much of the singing voice literature. The voice science literature was a rich source of articles written about breathing and support for singing. Multiple studies looked at musculature utilized in respiration and breath support and subglottal pressure generation for muscular support. However, little or no mention was made specifically of the pelvic floor. The physical medicine literature includes the pelvic floor musculature as having an important role in respiration, as a key player in the generation of intra-abdominal pressure, and as a primary expiratory muscle.
The information gleaned from this literature review suggests that a cross-pollination between areas of science is needed, because quite obviously, the pelvic floor is a topic in physical medicine, but it is not (so much) in the voice literature. Reaching a consensus on how we describe the function of the respiratory musculature and specifically including the role of the pelvic floor in respiration and phonation deserves future attention. Further research looking specifically at the role of the pelvic floor in phonation is also warranted.
对盆底肌在呼吸中的功能及其在发音，特别是歌唱中的作用进行跨学科文献回顾。
这是一篇文献综述。
使用三个电子数据库（PubMed、Scopus 和 Google Scholar）进行文献回顾。还对 NATS 杂志/歌唱杂志进行了索引搜索，使用了原始搜索的关键词，因为这些文章没有出现在原始搜索中。收集了 1985 年至 2017 年关于呼吸肌和/或发音支持机制（解剖学和生理学）的同行评议文章。在综述中使用了与呼吸系统呼吸和/或发音的肌肉功能相关的文章。共有 85 篇文章纳入本综述。
在大部分歌唱声音文献中，呼吸和支撑策略是多变且不具体的。声音科学文献是大量关于呼吸和歌唱支撑的文章的丰富来源。多项研究着眼于呼吸和呼吸支持以及声带下压力产生的肌肉利用，以提供肌肉支撑。然而，很少或根本没有特别提到盆底。物理医学文献包括盆底肌肉在呼吸中起着重要作用，作为产生腹内压的关键因素，也是主要的呼气肌。
从文献综述中收集的信息表明，需要在科学领域之间进行交叉授粉，因为很明显，盆底是物理医学的一个主题，但在声音文献中并不是（那么）多。关于我们如何描述呼吸肌的功能，特别是包括盆底在呼吸和发音中的作用，达成共识值得未来关注。进一步研究专门研究盆底在发音中的作用也是值得的。
