Opera singers train their vocal organ to have a good timbre of voice. They train and train again to have a strong resonance, large range of voice, homogenous color of voice, a voice goes far and to avoid vocal disorder, etc. This article is analyzing training> from scientific and medical perspective. It could approach the secret of the great art of 400 years history - . Furthermore standardizing voice training method based on training> will facilitate to train, therapy and care the voice professional user and voice disorders.
Methods* ; Singing ; Voice Disorders ; Voice Training* ; Voice*

Humans ; Phonation ; Vocal Cords ; Voice Training

OBJECTIVE: To testify the effect of voice therapy methods for the glottal dysraphism patient with functional voice disorder. METHOD: The subject was a 62 year old man, who had been diagnosed as functional voice disorder of glottal dysraphism. The main therapy was voice training, with normalized noise energy (NNE) as the assessment and monitoring parameter of the voice function. The datum of the baseline period and the treatment period were collected, and were analyzed with A-B Single-Subject Design in statistics. RESULT: NNE had been significantly decreased (P < 0.01) through the systematical voice training. CONCLUSION Voice training had been the effective therapy for the glottal dysraphism patient with functional voice disorder.
Glottis ; physiopathology ; Humans ; Male ; Middle Aged ; Treatment Outcome ; Voice Disorders ; therapy ; Voice Quality ; Voice Training

Glottis ; physiopathology ; Humans ; Vocal Cords ; physiopathology ; Voice Training

OBJECTIVETo observe promoting action of Yintang (EX-HN 3) on expanding and unifying the vocal range of the singer.

METHODSYintang (EX-HN 3) was stimulated at the same time of singing, and changes of expanding and unifying of the vocal range of the subject were investigated.

RESULTSStimulation of the acupoint could promote expanding and unifying of the vocal range of the singer, and strength coordination and completeness of expanding of the vocal range and unifying of sound area for singing.

CONCLUSIONStimulation of Yintang (EX-HN 3) is beneficial to expanding and unifying of the vocal range in singing, and to increasing vocal function.

Acupuncture Points ; Adolescent ; Adult ; Female ; Humans ; Male ; Music ; Phonation ; Voice Quality ; Voice Training

OBJECTIVES: To explore the character of laryngoscopy finding, voice, and therapy of vocal fold fibrous mass. METHODS: Clinical data, morphology, voice character, surgery and pathology of 15 cases with vocal fold fibrous mass were analyzed. RESULTS: The morbidity of vocal fold fibrous mass might be related to overuse of voice and laryngopharyngeal reflex. Laryngoscopy revealed shuttle line appearance, smoothness and decreased mucosal wave of vocal fold. These patients were invalid for voice training and might be improved by surgery, but recovery is slow. CONCLUSIONS The morbidity of vocal fold fibrous mass might be related to overuse of voice and laryngopharyngeal reflex. Conservative treatment is ineffective for this disease, and surgery might improve.
Humans ; Laryngeal Diseases ; therapy ; Laryngoscopy ; Vocal Cords ; pathology ; Voice Quality ; Voice Training

OBJECTIVES: To evaluate the therapeutic effect on the voice recovery of patients with vocal cord polyps undergoing the microsurgery of preoperative voice therapy. METHODS: Twenty-six patients diagnosed with unilateral vocal cord polyp under stroboscope, who needed to undergo vocal cord loss resection under supportive laryngoscope, were randomly divided into control group (non-voice training) and treatment group (voice training), with each group of 13 patients. Patients in control group were just treated with surgical operation. Apart from surgical treatment, patients in treatment group received 6 hours intensive vocal therapy one week before the surgery. The therapy courses consist of the propaganda and education of voice care, postoperative vocal instruction and the patients' self-training under the guidance of voice therapists. The acoustic parameters (irregularity, breathiness, grade, jitter and shimmer) of the same patient were collected 24 to 48 hours before the surgery and 14 days after the surgery with Ling WAVES. The results were analyzed with SPSS 19.0. RESULTS: The differences of all the five preoperative voice parameters between control group and treatment group are not significant; but postoperative breathiness and jitter in treatment group were significantly lower than that in control group, while the differences of irregularity, overall severity and shimmer were not significant between control group and treatment group. In control group, breathiness and jitter were significantly improved after surgery, while the differences of irregularity, breathiness and shimmer were not significant between preoperation and postoperation. In treatment group, all the five voice parameters were significantly improved after surgery. According to the laryngostroboscopic examination, the vocal fold polyps were excised completely in both groups. CONCLUSIONS Preoperative voice therapy contributes to the recovery of voice quality of the patients with vocal cord polyps. Combined intervention of surgery and voice therapy is an effective method to treat the patients with vocal cord polyps.
Humans ; Laryngeal Diseases ; Microsurgery ; Polyps ; surgery ; Treatment Outcome ; Vocal Cords ; surgery ; Voice Disorders ; prevention & control ; Voice Quality ; Voice Training

OBJECTIVETo apply the theory of channels and collaterals to the study on teaching of singing and to resolve problems in teaching of singing.

METHODSAcupoint stimulation manipulation was used for channels and collaterals comprehensive systematic experiment for signing, and changes of voice quality before and after stimulation of acupoints were investigated.

RESULTSThe stimulation of acupoints is beneficial to discovering and developing a comprehensive controlling system potential for the singer, and after stimulation of acupoints the range of voice and the difference of the higher and lower voice in the subjects have significant changes.

CONCLUSIONStimulation of acupoints provides an experimental basis for teaching study of singing and open a new area of study for the theories of channels.

Acupuncture Points ; Adolescent ; Adult ; Child ; Female ; Humans ; Male ; Teaching ; Voice Training

OBJECTIVETo evaluate the extensive and degree of physical rehabilitation improvement of the quality of life in laryngectomees.

METHODSForty nine patients who underwent total laryngectomies were trained by esophageal voice rehabilitation successfully. The questionnaires of performance status scale for head and neck cancer patients (PSS-HN) and the functional assessment of head and neck cancer therapy (FACT-H&N) were answered by them before esophageal voice training and 3 months after successful vocal rehabilitation.

RESULTSTotal laryngectomy deteriorated the quality of life in laryngectomees. The mean scores of PSS-HN scale and FACT-H&N questionnaire were lower than the criteria scores after patients underwent total laryngectomy, the mean score were 131. 4,90.6 respectively, the difference was significant statistically (t =53. 673, P <0.001) , (t = 67.44, P <0.001). After successful esophageal speech training, the mean scores of the laryngectomees were improved both in PSS-HN scale and FACT-H&N which were 240.4 and 103.7 respectively, the difference was significant statistically (t = 18.209, P < 0.001) , (t = 21.389, P<0.001).

CONCLUSIONSThe quality of life in laryngectomees can be improved by physical rehabilitation and the esophageal voice training.

Adult ; Aged ; Female ; Humans ; Laryngectomy ; rehabilitation ; Larynx, Artificial ; Male ; Middle Aged ; Quality of Life ; Speech, Esophageal ; Surveys and Questionnaires ; Voice Training

OBJECTIVETo study classification of the articulation errors, find the related factors which affect the therapy effect, and compare the therapy effect in the different patterns of the phonemic errors and build up a clinical model of the speech therapy on the basis of more than 4 years speech therapy in the clinic.

METHODAfter excluding the organic articulation disorders, 91 cases of consonant phonemic errors were classified into different patterns according to the phonemic placement errors. The 91 cases were divided into two groups as effective one and ineffective one depending on whether the symptoms disappeared or not after the speech therapy. Ten factors including sex, age, oral-motor function problem, developmental delay, history of language development delay, history of middle ear affection, lingua frenata, mental retardation, the therapy frequency and times, were analyzed. The statistics software SPSS (SPSS Inc, 1997) was applied to show the factors related to the therapy effect by logistic multiple stepwise regression analysis. The therapy effect was compared between the single pattern (phonemic error < 2 groups) and multiple pattern (phonemic errors > or = 2 groups).

RESULTSThe 91 cases with consonant phonemic errors were classified into four groups. The multiple pattern of the articulation errors was the most common (37 cases, 41%) among the 4 groups, followed by velar errors (33 cases, 36%). The third one was the apico-dental errors (12 cases, 13%) and the last one was the linguo-alveolar errors (8 cases, 9%). Only one case had labiodental error (/f/). The logistic multiple stepwise regression analysis showed that the history of the positive developmental delay, language delay and the frequency of the speech therapy were related to the therapy effect. The effective rate of the speech therapy in the single pattern of the phonemic error was as high as 87% while the one in the multiple pattern group was only 2.7%. The difference was significant (P < 0.000 1) when the therapy effect in these two groups was compared. The clinical model of the speech therapy included speech assessment, designing of the goal, choice of the target sound, sound production and oral-motor functional training.

CONCLUSIONThe consonant phonemic errors in the clinic represent four groups. The developmental delay, the language delay and frequency of the speech therapy influence the therapy effect. The frequency of the speech therapy should be increased every week, for example not less two times a week. The therapy effect of the single pattern of the phonemic errors is much better than that of the multiple pattern. The primary model of the speech therapy has been built in the clinics.

Articulation Disorders ; diagnosis ; etiology ; therapy ; Child ; Child, Preschool ; Female ; Humans ; Logistic Models ; Male ; Multivariate Analysis ; Risk Factors ; Speech Therapy ; Voice Training