Tuesday, May 14, 2013

Vocal Warm-Ups

Many singers engage in some form of daily routine or warm-up prior to singing; however, many singers do not know the rationale behind choosing various warm-ups or their actual function. Unfortunately, these questions also elude researchers. A study by Elliott, Sundberg, & Gramming (1995) attempted to determine if vocal warm-ups prior to singing yielded the same effect as warming up other parts of the body, i.e., increasing blood flow to muscles thereby decreasing their thickness and increasing their pliability. Although the results of this study were inconclusive as to the exact effect of vocal warm-ups, several reasons still support the use of vocal warm-ups. Elliott, Sundberg, & Gramming emphasized that changing pitch undoubtedly stretches the muscles. They also noted that many singers subjectively indicated improved vocal functioning following warm-ups.

Warm-ups should not be confused with vocalises. Warm-ups, as in weight training, are used to stretch the muscles to prepare them for work without injury. Vocalises are tasks aimed at acquiring a particular skill, i.e., the actual exercise itself. For example, some schools of thought encourage simple, quiet glides across the range as an effective warm-up. On the other hand, using a staccato (short) "ha-ha-ha" on 1-3-5 of a scale is to encourage onset and flexibility. Many singers will use a variety of vowels, consonants, or arpeggios to "warm" the voice; however, these techniques may actually be encouraging articulatory precision or vowel balancing as in rapid "me-may-mah-mo-mu," or balancing "registers" as in sung single vowels on 1-5-6-5-1, etc.

Vocal Cool-Downs

Although unfortunately and frequently ignored, vocal cool-downs may also be used to prevent damage to the vocal cords. During speaking and singing, blood flow to the larynx is increased. Stopping immediately after prolonged speaking or singing may contribute to a pooling of blood in the larynx, weighing the vocal cords down. Damage may result as one attempts to speak on these potentially swollen folds. An analogy can be drawn to other physical exercise. After running for prolonged periods of time, an athlete is encouraged to walk for several minutes to maintain blood flow and prevent cramping. The same propensity for "cramping" may apply to laryngeal activity. The simple practice of gentle, relaxed humming can serve as an excellent form of cooling-down.

Vocal Function Exercises

Once "warmed," the singer may proceed to daily exercises. The work of Sabol, Lee, & Stemple (1995) explains that many of the exercises prescribed for vocal flexibility are actually calisthenic exercises. Other exercises focus on training the perception of various resonances. A teacher may also recommend the use of isometric exercise, that focuses on improving vocal functioning at the level of the vocal cords. Vocal Function Exercises, first described by Barnes and modified by Dr. Joseph Stemple, are "a series of direct, systematic voice manipulations (exercises), similar in theory to physical therapy for the vocal folds, designed to strengthen and balance the laryngeal musculature, and to improve the efficiency of the relationship among airflow, vocal fold vibration, and supraglottic treatment of phonation."

Optimally, one should hear an example of Dr. Stemple's Vocal Function Exercises to ensure accuracy and efficiency. Most speech-language pathologists are familiar with the exercises, but a compact disc featuring examples of the Vocal Function Exercises is at Plural Publishing.

The Vocal Function Exercises should be done twice in a row, two times per day. They should be produced as softly as is possible with an easy onset (initiation of sound) and forward placement of the tone (avoid a swallowed or dark vocal sound).

Sustain the vowel sound "eee" for as long as possible on the musical note F above middle C for women, below middle C for men. The tone should be produced as softly as possible, but without breathiness. A good supported breath should proceed voice. The "eee" should be produced with an extreme "forward" tone focus; almost, but not quite nasal. The goal is to sustain the sound without breaks for as long as possible. Sustain an "eee" as long as possible.

Glide from your lowest to your highest note on the word "knoll" or on a lip or tongue trill. Voice should be soft, and a forward focus used. If breaks occur, continue to glide without hesitating.

Glide from a comfortable high note to your lowest note on the word "knoll" or on a lip or tongue trill. Voice should be soft, and a forward focus used. If breaks occur, continue to glide without hesitating.

Sustain the musical notes C-D-E-F-G, each as long as possible on the word "ol" ("old" without the "d"). Lips should be rounded; a sympathetic vibration should be felt on the lips.

Friday, April 5, 2013

Voice Cracking

Hello, I'm a 20 year old female and for about the last 3 years I've suffered from voice cracking. When it first started my voice would only crack when I was trying to project it (example: having to talk in front of a class, talking in loud restaurants, etc.) But as of the past year and half or so, it cracks all the time, even when I'm not talking extremely loud. It's very embarrassing and I've put off getting help for it for many reasons. One being I'm not sure where to even start, and two, I'm embarrassed to even talk to anyone about it. Please let me know what you think would be best for me. 

Melissa Kim M.S., CCC-SLP replies...
There could be any number of explanations for your symptoms. The only way to determine the cause and appropriate treatment strategies is to be evaluated by an Ear, Nose, and Throat physician.

Good luck to you!

Tuesday, April 2, 2013

Difficult to Sing High

I am 17 years old, and my voice starts doing weird things when I hit a certain note. I can sing without any problems low, but around a C sharp, I have a hard time singing that high and sounds like I am forcing it. I don't have any pain in my throat. It has been doing this for a while. Do you have any idea of what can cause this?   

Joanna Lott, M.A., CCC-SLP replies...
Problems transitioning from low to high is one of the most common voice problems singers encounter. Singing is a tricky balance of air flow, air pressure, and muscular effort. Try to notice if you are pushing a lot with your throat muscles, or if you have a sense of holing your breath as you get higher in pitch. Try gliding through your entire range on lip trills (lip flutters or lip bubbles) or simply through a straw. See if that troublesome area of your voice becomes easier to navigate using these tools. The best thing you can do though, is find a good singing teacher who understands the anatomy and physiology of voice production. A good singing teacher will be able to help you with this issue. Good luck!

Lost Voice

I'm a singer who sings in all chest voice. I lost my voice suddenly and w/o any other illness about five months ago. Since then it has not fully recovered, my singing voice is strained and hard to control, and I can only sing for short spurts before I start to cough and lose my singing voice though I can still speak normally. My range has also suffered. I have to assume I am singing improperly but it's only a guess.

Joanna Lott, M.A., CCC-SLP replies...
Any time you experience a sudden voice loss - especially when you are unable to identify any precipitating or contributing factors - you should be seen at a dedicated voice center for a video stroboscopy. The voice team should include a laryngologist (ENT specializing in voice -- not a general ENT) and a speech language pathologist specializing in voice. The team will work with you to determine the cause of your voice problems and the best next steps to take. If you don't know of a dedicated voice center in your area, you can search for one using our national referral database
http://www.gbmc.org/home_voicecenter.cfm?id=1551. If you are near our center in Baltimore, we would be happy to see you here. Best of luck!

Voice Change

I had a nasty cough all day and I used cough drops to get rid of it. Then I started singing probably over like 4 songs and then my voice changed. It feels like I'm losing my voice. Is this caused by the coughing and then singing? Why?

Melissa Kim M.S., CCC-SLP replies...
Overuse of the voice, when vocal folds are inflamed and/ or swollen (likely in the setting of persistent or prolonged coughing), does increase the risk of vocal fold damage; conservation of the voice is recommended while the cough remains. If your voice change persists following resolution of the cough, see an Ear, Nose, and Throat physician for an evaluation. 

Best of luck to you!

Monday, March 25, 2013

Laryngeal Stroboscopy in Clinical Practice with Hands-On Instruction

The Milton J. Dance, Jr. Head & Neck Center & The Johns Hopkins Voice Center at GBMC present Laryngeal Stroboscopy in Clinical Practice with Hands-On Instruction

Friday, June 28, 2013


Friday, March 15, 2013

Falsetto Voice

10 years ago I had a thyroidectomy. It was years before I was able to actually sing again. My chest voice has come back strong but my falsetto is next to nothing. When I try to sing in my falsetto it feels as if I can't control the vocal cords enough to make a decent sound. Is there any way I can strengthen or rebuild my falsetto?

Melissa Kim M.S., CCC-SLP replies... 
Difficulty in raising pitch can be the result of damage to the superior laryngeal nerve, which can sustain injury during a thyroidectomy. It is also possible that the reason for your difficulties with falsetto are secondary to improper technique and/ or excessive laryngeal tension. See an Ear, Nose, and Throat physician to discuss these possibilities, and whether or not voice therapy with a speech pathology might be helpful.  

Best of luck to you!