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Vocal Health Article #1 - Maintaining Vocal Health

Article by David Otis Castonguay, Radford University.
For many school-aged singers, the choral director is the only significant source of professional instruction and advice they willever receive about their voice. The choral director is their first line of defense for vocal health. A conductor's skill at diagnosis of vocal faults must be matched by a willingness to refer students to the proper health care professional. This is a copy of a handout presented to students in choral conducting and vocal pedagogy classes at Radford University. In addition to the sources cited in the bibliography, and my own experience, this material is drawn from the work of Van Lawrence, M. D., Otolaryngology and Paul Brandvik.

1. Try your best to maintain good general health. Avoid viral colds (a regimen of washing hands hasbeen shown to reduce the transmission of cold viruses). Some advocate vitamin C and zinc lozenges, while I find these effective I would recommend their use these only after the student has consulted a physician.

2. Emotional and physical stress both contribute significantly to vocal distress. Exercise regularly. Using your major muscle groups in jogging,etc. is an excellent way to diminish stress. NOTE: extensive power weight lifting will place some wear on the vocal folds, this should be avoided during times of extended vocal use or vocal fatigue.

3. Eat a balanced diet. At times of extended vocal use avoid large amounts of salt and refined sugar, spicy food such as Mexican, Szechuan Chinese, as well as excessive amounts of food and/or alcohol. One may note hoarseness in the larynx or dryness of the throat after drinking significant amounts of alcohol, caffienated, as well naturally or artificially sweetened beverages. The body needs water to metabolize these foods and beverages, excessive consumption of these items will reduce the amount of water available to hydrate the voice.

4. Maintain body hydration (7-9 glasses of water a day) and avoid known dietary diuretics such as caffeine and alcohol. Moisture is a necessary lubricant of the vocal folds. When one's body is dehydrated laryngeal lubrication diminishes and wear takes place at a much greater rate than normal.

5. Avoid dry, artificial interior climates. Laryngologists recommend a humidity level of 40-50%. Much body moisture is lost while breathing air in low humidity climates, i.e., air conditioned or heated rooms (routinely 10-20% moisture), cars, buses, etc.

6. Avoid smoking cigarettes, cigars, pipes. These are bad for the heart, lungs, and vocal tract of not only yourself, but others around you as well. Avoid other irritant inhalants, i.e., marijuana. In addition to the debilitating effect on the vocal tract, you need your head on straight when you sing.

7. Avoid breathing smoggy, polluted air, i.e., car exhausts, smoky bars and lounges when you are vocally tired.

8. Avoid the use of local anesthetics when you are singing. The anesthetic effect masks any signs of injury, therefore encouraging further abuse of the folds. Additionally, singing under their influence is like playing the piano with gloves on (Chloroseptic, Parke-Davis Throat Discs, etc.).

9. Question the use of progesterone dominant birth control pills. These cause a virilization of the female larynx and a decrease of range in your upper register. There may be no other solution for your particular situation, however. The treatment of endometriosis often includes pharmaceuticals which cause permanent vocal changes. Inform your doctor that you are a singer if you are undergoing treatment for this disease.

Vocal Use Practices

1. Avoid hyperfunctional use of your voice, i.e., learn to use your voice with as little effort and tension as possible. A high school or collegiate singer in training should be able to sing for 3-4 hours per day (when healthy) without debilitating the next day's singing activity. If one cannot sing for this length of time without some disablement, then one should consider a reevaluation of present singing or speaking habits.

2. Keep in mind that the degree of individual vocal conditioning and innate vocal capacity to endure wear and tear relate directly to the amount of singing or speaking one can do each day.

3. Avoid singing in a tessitura which is continually near the extremes of your own range (both high and low). Carefully pace the use of register extremes (such as pushing the chest voice into the upper range for effect, i.e, belting). MISUSE OR OVERUSE HERE CAN BE VOCAL SUICIDE.

4. Before singing or using the voice in unusual ways (public/dramatic speaking), do some vocal warm-ups. As in any physical activity, the warm-up should proceed from general stretching through less strenuous to more strenuous usage. Loud volume and high range are the most strenuous of usages,therefore, begin in the mid-range with easy production. At every stage along the way, evaluate your present day vocal condition, and adjust your rehearsal activity accordingly. Every voice is different, but 7-10 minutes of warm-up is usually the minimum.

5. Reduce general voice use prior to a concert. While riding the bus to the program, have a quiet period when everyone can conserve energy for the task that is at hand.

6. Avoid shouting, screaming,loud laughter, and heavy throat clearing. Necessary coughing and sneezing should be as gentle and as nonvocal as possible.

7. If it feels bad, don't do it.

Common Signs of Significant Vocal Abuse

1. Throat is tender to the touch after use.

2. Voice is hoarse at the end of singing.

3. Throat is very dry, with a noticeable "tickle" that is persistent. Check dehydration.

4. Inability to produce your highest notes at pianissimo volume.

5. Persistent hoarseness or an inability to sing with a clear voice after 24-48 hours of vocal rest.

Treat your voice and body sensibly when you feel vocally run down. This necessitates the development of accurate perceptions by the singer of why the voice is feeling tired. Accurate self-evaluation will lead one to therapeutic practices which will return you to vocal health in the shortest period of time. In doubt? seek professional help.

Vocal Health Article #2 - Vocal Health

Article by MEWSIC.
You have to make your own choices about what to do to take care of your voice and weigh them against other parts of your life. There are all kinds of theories and opinions about what is good and bad for singers. Here are some common beliefs on care of the voice:

Bad For Your Voice:

Alcohol dries vocal folds, Don't drink and sing!

· Don't use Antihistamines if you can avoid them, they dry the respiratory system.

· Anesthetic sprays - they just numb you into thinking everything is OK when it's not!

· Diuretics (including caffeine!) these deplete the body of excess fluids and as a singer you NEED fluids! So if you drink caffeine - drink lots and lots of water to counteract the drying effects.

· Beta blockers - tranquilizers, valium, alcohol, these aren't good for your voice. To overcome stage fright try some of the techniques covered in my other workshop: yoga, visualization, preparation, exercise, breathing... and remember that nervous energy gives you an edge in performance!

· Don't shout! - Singing, speaking, shouting or screaming too loudly is bad for your voice. Get out of the habit of yelling if you do it often. If you sing in loud venues or with a rock band, use proper amplification for your voice and make sure you can hear in a monitor well enough to not oversing.

· Lack of Good Vocal Technique - using poor or injurious habits.

· Inadequate Sleep · Inadequate Hydration - drink LOTS and LOTS of water! ("Pee Clear")

Good For Your Voice:

· Drink - Drink LOTS of water! - herbal teas without caffeine and avoid hibiscus (it's also a desiccant) this can be tricky because lots of teas have it, but I've heard that just following the herbal tea with lots of water works. If your throat feels tired I suggest Traditional Medicines "Throat Coat Tea" it has slippery elm in it and tastes pretty good as well as making your throat feel soothed.

· Don't eat too much. Wait two hours after a full meal before singing. (Due to interaction of diaphragm and digestive system.) Bring along healthy light snacks to eat if you get hungry. Fruit is excellent because the natural sugar energy it provides gives you a boost when you may need it most!

· Don't PUSH the sound! Avoid situations where you must force your voice. Don't yell to be heard. If you are singing along with many instruments or people in a casual setting either use a microphone or use your hand cupped between your mouth and your ear to help you hear yourself better and remind yourself not to shout. Insist on being properly miked if performing with a band or in a loud setting.

· Avoid Smoke. Don't smoke. Try to avoid smoky places.

· Get plenty of rest. This really is very important.

· Warm up vocally and physically before singing. Get in the habit of it. Make it a badge of being serious about singing. It's very important. Warming up with vocal warm-ups is better than just "singing a song" because the warm-ups generally help you get you focused on proper technique, which makes you sound better and protects your voice.

· Steam - Take hot showers and take deep breaths and even gently warm up in the shower. Use a humidifier in your house/bedroom/practice room. Consider traveling with a humidifier or steamer. (Hotel rooms get very dry!) Steam anytime but especially when clogged up from sinus congestion, a cold, smog etc.

· Use Saline Nasal Spray - This works! It actually helps your body avoid colds etc, and also opens clogged nasals, and hydrates.

When should I see a doctor? Here's some information on vocal nodes.

Vocal cords aren't really cords, they are actually folds, which is why the term vocal folds has come into use. The vocal fold is where polyps or nodes (nodules) occur. Nodules are most frequently caused by vocal abuse or misuse. Polyps may be caused by prolonged vocal abuse, but may also occur after a single, traumatic event to the vocal folds, such as yelling at a concert. Long-term cigarette smoking, hypothyroidism, and gastroesophageal reflux may also cause polyp formation. Vocal abuse takes many forms and includes: Allergies, Smoking, "Type A" personality (person who is often tense or anxious) Singing, Coaching, Cheerleading, Talking loudly, Drinking caffeine and alcohol (dries out the throat and vocal folds) I am not in any way trained in this area but the following is excerpted from an article in "Vocals Newsletter" and will at least give you an idea:

Here are symptoms that are warning signs of nodes or polyps: Auditory Signs: acute or chronic hoarseness; reduced vocal range; inability to sing at length; recurring laryngitis; a tonal change from a clear voice to one that's breathy, raspy, squeaky, foggy or rough; and the inability to project clearly. Sensory Signs: repeated throat clearing (to no avail); progressive vocal fatigue after speaking or singing; pain in or around the larynx; the sensation or a foreign substance or lump in the throat; recurring throat soreness; tickling, a burning sensation, tension or tightness in the throat; the feeling that talking or singing is an effort; frequent mucus formation; and unusual swelling of veins or arteries in the throat during speaking or singing. Visual Signs: You can't see nodes, only an otolaryngologist or speech pathologist has the training and equipment. in an exam what they see is benign callus like growths that are the body's reaction to undue friction of the vocal fold mucous membranes. Always get a second opinion! There are other things that can have similar symptoms and before ever letting anyone perform surgery on your vocal folds make sure it's really necessary. Nodes can be cured without surgery depending on the severity.

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