Massachusetts General Hospital, Center for Laryngeal Surgery and Voice Rehabilitation, Boston, Massachusetts; MGH Institute of Health Professions, Rehabilitation Science, Charlestown, Massachusetts.
Massachusetts General Hospital, Center for Laryngeal Surgery and Voice Rehabilitation, Boston, Massachusetts.
J Voice. 2022 Mar;36(2):203-211. doi: 10.1016/j.jvoice.2020.04.029. Epub 2020 May 22.
Singers, college students, and females are groups known to be at an elevated risk of developing functional/hyperfunctional voice disorders; therefore, female college students majoring in vocal performance may be at an even higher risk. To mitigate this risk, it would be helpful to know the "safe limits" for voice use that would help maintain vocal health in this vulnerable group, but there is a paucity of high-quality objective information upon which to base such limits. This study employed weeklong ambulatory voice monitoring in a large group of vocally healthy female college student singers to begin providing the types of objective data that could be used to help develop improved vocal health guidelines.
Participants included 64 vocally healthy females currently enrolled in a vocal performance or similar program at a college or university. An ambulatory voice monitor recorded neck-surface acceleration throughout a typical week. A singing classifier was applied to the data to separate singing from speech. Weeklong vocal dose measures and distributional characteristics for standard voice measures were computed separately for singing and speech, and for both types of phonation combined.
Participants spent 6.2% of the total monitoring time speaking and 2.1% singing (with total phonation time being 8.4%). Singing had a higher f mode, more pitch variability, higher average sound pressure level (SPL), negatively skewed SPL distributions, lower average CPP, and higher H-H values than speaking.
These results provide a basis for beginning to establish vocal health guidelines for female students enrolled in college-level vocal performance programs and for future studies of the types of voice disorders that are common in this group. Results also demonstrate the potential value that ambulatory voice monitoring may have in helping to objectively identify vocal behaviors that could contribute to voice problems in this population.
歌手、大学生和女性是已知患功能性/超功能性嗓音障碍风险增加的群体;因此,主修声乐表演的女大学生可能面临更高的风险。为了降低这种风险,了解有助于维持这一脆弱群体嗓音健康的“安全用声界限”将很有帮助,但目前缺乏基于这些界限的高质量客观信息。本研究通过为期一周的声带活动监测,对大量健康的女大学生歌手进行了研究,旨在提供有助于制定嗓音健康指南的客观数据。
参与者包括 64 名目前在学院或大学就读声乐表演或类似课程的健康女性。活动式声带监测仪记录了整个典型一周颈部表面加速度。歌唱分类器应用于数据,将歌唱与言语分开。分别计算了歌唱和言语以及两种发音方式的总嗓音剂量测量值和标准嗓音测量值的分布特征。
参与者的总监测时间中,6.2%用于说话,2.1%用于唱歌(总发音时间为 8.4%)。与说话相比,歌唱的 f 模式更高,音高变化更大,平均声压级(SPL)更高,SPL 分布呈负偏态,平均连续压平(CPP)更低,H-H 值更高。
这些结果为开始为参加大学水平声乐表演项目的女学生制定嗓音健康指南以及为研究该群体中常见的嗓音障碍类型提供了基础。结果还表明,活动式声带监测可能具有帮助客观识别可能导致该人群嗓音问题的发声行为的潜在价值。