Background and Aim: The impact of body posture on vocal emission is well known. Postural changes may increase muscular resistance in tracts of the phono-articulatory apparatus and lead to voice disorders. This work aimed to assess whether and to which extent body posture during singing and playing a musical instrument impacts voice performance in professional musicians. Subjects and Methods: Voice signals were recorded from 17 professional musicians (pianists and guitarists) while they were singing and while they were singing and playing a musical instrument simultaneously. Metrics were extracted from their voice spectrogram using the Multi-Dimensional Voice Program (MDVP) and included jitter, shift in fundamental voice frequency (sF0), shimmer, change in peak amplitude, noise to harmonic ratio, Voice Turbulence Index, Soft Phonation Index (SPI), Frequency Tremor Intensity Index, Amplitude Tremor Intensity Index, and maximum phonatory time (MPT). Statistical analysis was performed using two-tailed t tests, one-way ANOVA, and χ2 tests. Subjects’ body posture was visually assessed following the recommendations of the Italian Society of Audiology and Phoniatrics. Thirty-seven voice signals were collected, 17 during singing and 20 during singing and playing a musical instrument. Results: Data showed that playing an instrument while singing led to an impairment of the “singer formant” and to a decrease in jitter, sF0, shimmer, SPI, and MPT. However, statistical analysis showed that none of the MDVP metrics changed significantly when subjects played an instrument compared to when they did not. Shoulder and back position affected voice features as measured by the MDVP metrics, while head and neck position did not. In particular, playing the guitar decreased the amplitude of the “singer formant” and increased noise, causing a typical “raucous rock voice.” Conclusions: Voice features may be affected by the use of the instrument the musicians play while they sing. Body posture selected by the musician while playing the instrument may affect expiration and phonation.

1.
Wilson Arboleda
BM
,
Frederick
AL
.
Considerations for maintenance of postural alignment for voice production
.
J Voice
.
2008
Jan
;
22
(
1
):
90
9
.
[PubMed]
0892-1997
2.
Nacci
A
,
Fattori
B
,
Mancini
V
,
Panicucci
E
,
Matteucci
J
,
Ursino
F
, et al
Posturographic analysis in patients with dysfunctional dysphonia before and after speech therapy/rehabilitation treatment
.
Acta Otorhinolaryngol Ital
.
2012
Apr
;
32
(
2
):
115
21
.
[PubMed]
1827-675X
3.
Lobryeau-Desnus
C
,
Girard
P
,
Daguenant
C
,
Constant
O
,
Rallo
M
,
Jamet
S
.
[Rehabilitation strategies of dysfunctional dysphonias in relation to posture]
.
Rev Laryngol Otol Rhinol (Bord)
.
2010
;
131
(
1
):
69
72
.
[PubMed]
0035-1334
4.
Bruno
E
,
De Padova
A
,
Napolitano
B
,
Marroni
P
,
Batelli
R
,
Ottaviani
F
, et al
Voice disorders and posturography: variables to define the success of rehabilitative treatment
.
J Voice
.
2009
Jan
;
23
(
1
):
71
5
.
[PubMed]
0892-1997
5.
Cardoso
R
,
Lumini-Oliveira
J
,
Meneses
RF
: Associations between Posture, Voice, and Dysphonia: A Systematic Review. J Voice
2019
;33:124 e121-124 e112.
6.
Gilman
M
,
Johns
MM
: The Effect of Head Position and/or Stance on the Self-perception of Phonatory Effort. J Voice
2017
;31:131 e131-131 e134.
7.
Miller
NA
,
Gregory
JS
,
Semple
SI
,
Aspden
RM
,
Stollery
PJ
,
Gilbert
FJ
.
Relationships between vocal structures, the airway, and craniocervical posture investigated using magnetic resonance imaging
.
J Voice
.
2012
Jan
;
26
(
1
):
102
9
.
[PubMed]
0892-1997
8.
Ko
MJ
,
Jung
EJ
,
Kim
MH
,
Oh
JS
.
Effects of deep breathing on internal oblique and multifidus muscle activity in three sitting postures
.
J Phys Ther Sci
.
2018
Apr
;
30
(
4
):
504
6
.
[PubMed]
0915-5287
9.
Cacador
MP
.
J.: The influence of Posture and balance on Voice: a review
.
Gac Med (Guayaquil)
.
2018
;
5
:
116
21
. 0367-3715
10.
Lagier
A
,
Vaugoyeau
M
,
Ghio
A
,
Legou
T
,
Giovanni
A
,
Assaiante
C
.
Coordination between posture and phonation in vocal effort behavior
.
Folia Phoniatr Logop
.
2010
;
62
(
4
):
195
202
.
[PubMed]
1021-7762
11.
Johnson
G
,
Skinner
M
.
The demands of professional opera singing on cranio-cervical posture
.
Eur Spine J
.
2009
Apr
;
18
(
4
):
562
9
.
[PubMed]
0940-6719
12.
Staes
FF
,
Jansen
L
,
Vilette
A
,
Coveliers
Y
,
Daniels
K
,
Decoster
W
.
Physical therapy as a means to optimize posture and voice parameters in student classical singers: a case report
.
J Voice
.
2011
May
;
25
(
3
):
e91
101
.
[PubMed]
0892-1997
13.
Brown
WS
 Jr
,
Rothman
HB
,
Sapienza
CM
.
Perceptual and acoustic study of professionally trained versus untrained voices
.
J Voice
.
2000
Sep
;
14
(
3
):
301
9
.
[PubMed]
0892-1997
14.
Baracca
G
,
Cantarella
G
,
Forti
S
,
Pignataro
L
,
Fussi
F
.
Validation of the Italian version of the singing voice handicap index
.
Eur Arch Otorhinolaryngol
.
2014
Apr
;
271
(
4
):
817
23
.
[PubMed]
0937-4477
15.
Lovato
A
,
De Colle
W
,
Giacomelli
L
,
Piacente
A
,
Righetto
L
,
Marioni
G
,
de Filippis
C
: Multi-Dimensional Voice Program (MDVP) vs Praat for Assessing Euphonic Subjects: A Preliminary Study on the Gender-discriminating Power of Acoustic Analysis Software. J Voice
2016
;30:765 e761-765 e765.
16.
Schindler
A
,
Mozzanica
F
,
Vedrody
M
,
Maruzzi
P
,
Ottaviani
F
.
Correlation between the Voice Handicap Index and voice measurements in four groups of patients with dysphonia
.
Otolaryngol Head Neck Surg
.
2009
Dec
;
141
(
6
):
762
9
.
[PubMed]
0194-5998
17.
Titze
IR
.
Workshop on Acoustic Voice Analysis: Summary Statement
.
National Center for Voice and Speech
1995
18.
Ricci Maccarini
AL
.
E.: La valutazione soggettiva ed oggettiva della disfonia. Il Protocollo SIFEL
.
Acta Phoniatrica Latina
.
2002
;
24
:
13
42
.
19.
Ricci-Maccarini
A
,
Bergamini
G
,
Fustos
R
.
Proposal of a form for the collection of videolaryngostroboscopy basic findings
.
Eur Arch Otorhinolaryngol
.
2018
Jul
;
275
(
7
):
1927
33
.
[PubMed]
0937-4477
20.
Dejonckere
PH
,
Bradley
P
,
Clemente
P
,
Cornut
G
,
Crevier-Buchman
L
,
Friedrich
G
, et al;
Committee on Phoniatrics of the European Laryngological Society (ELS)
.
A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new assessment techniques. Guideline elaborated by the Committee on Phoniatrics of the European Laryngological Society (ELS)
.
Eur Arch Otorhinolaryngol
.
2001
Feb
;
258
(
2
):
77
82
.
[PubMed]
0937-4477
21.
Ikui
Y
,
Nakamura
H
,
Sano
D
,
Hyakusoku
H
,
Kishida
H
,
Kudo
Y
, et al
An Aerodynamic Study of Phonations in Patients With Parkinson Disease (PD)
.
J Voice
.
2015
May
;
29
(
3
):
273
80
.
[PubMed]
0892-1997
22.
Tanaka
Y
,
Nishio
M
,
Niimi
S
.
Vocal acoustic characteristics of patients with Parkinson’s disease
.
Folia Phoniatr Logop
.
2011
;
63
(
5
):
223
30
.
[PubMed]
1021-7762
23.
Boersma
P
.
Should jitter be measured by peak picking or by waveform matching?
Folia Phoniatr Logop
.
2009
;
61
(
5
):
305
8
.
[PubMed]
1021-7762
24.
Maryn
Y
,
Corthals
P
,
De Bodt
M
,
Van Cauwenberge
P
,
Deliyski
D
.
Perturbation measures of voice: a comparative study between Multi-Dimensional Voice Program and Praat
.
Folia Phoniatr Logop
.
2009
;
61
(
4
):
217
26
.
[PubMed]
1021-7762
25.
Nicastri
M
,
Chiarella
G
,
Gallo
LV
,
Catalano
M
,
Cassandro
E
.
Multidimensional Voice Program (MDVP) and amplitude variation parameters in euphonic adult subjects. Normative study
.
Acta Otorhinolaryngol Ital
.
2004
Dec
;
24
(
6
):
337
41
.
[PubMed]
0392-100X
26.
Nordio
S
,
Bernitsas
E
,
Meneghello
F
,
Palmer
K
,
Stabile
MR
,
Dipietro
L
, et al
Expiratory and phonation times as measures of disease severity in patients with Multiple Sclerosis. A case-control study
.
Mult Scler Relat Disord
.
2018
Jul
;
23
:
27
32
.
[PubMed]
2211-0348
27.
Pettersen
V
.
Preliminary findings on the classical singer’s use of the pectoralis major muscle
.
Folia Phoniatr Logop
.
2006
;
58
(
6
):
427
39
.
[PubMed]
1021-7762
28.
Mendes
AP
,
Rodrigues
AF
,
Guerreiro
DM
: Acoustic and phonatory characterization of the Fado voice. J Voice
2013
;27:655 e659-655 e615.
29.
Lima
IS
,
Florêncio de Moura Filho
O
,
Cunha
FV
,
Ribeiro
JL
,
Valenti
VE
,
Carlos de Abreu
L
.
Chest and neck mobilization effects on spirometric responses in healthy subjects
.
J Manipulative Physiol Ther
.
2011
Nov
;
34
(
9
):
622
6
.
[PubMed]
0161-4754
30.
Vieira
DS
,
Mendes
LP
,
Elmiro
NS
,
Velloso
M
,
Britto
RR
,
Parreira
VF
.
Breathing exercises: influence on breathing patterns and thoracoabdominal motion in healthy subjects
.
Braz J Phys Ther
.
2014
Nov-Dec
;
18
(
6
):
544
52
.
[PubMed]
1413-3555
31.
Kaneko
H
,
Horie
J
.
Breathing movements of the chest and abdominal wall in healthy subjects
.
Respir Care
.
2012
Sep
;
57
(
9
):
1442
51
.
[PubMed]
0020-1324
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.