Potential link between playing wind instruments and vocal tract disorders. A literature review
DOI:
https://doi.org/10.12775/JEHS.2021.11.12.022Keywords
health, voice disorders, wind instrumentsAbstract
Introduction and purpose: Currently, we can distinguish three basic groups of instruments. These are wind instruments, percussion instruments, and plucked instruments. In the case of wind instruments, the source of sound is a vibrating column of air, which is created by blowing by the player. It is suspected that such vibration may cause specific vocal and laryngeal symptoms. The aim of the study was to present the current state of knowledge regarding the potential relation between playing wind instruments and vocal tract disorders.
Material and methods: The article reviews 19 publications available on the PubMed and Google Scholar, Web of Science databases meeting assumed criteria: published as a full text, without time limit and conducted on humans. The studies were found using initially established searching strategies as well as subsequent manual searching in order not to miss adequate articles.
State of knowledge: Laryngeal symptoms may be combined with vocal symptoms. The main raised vocal manifestations among instrumentalists are dysphonia, hoarseness, and altered voice quality. Comparing a group that used wind instruments with control, VHI-10 (Voice Handicap Index) and F0 (fundamental frequency) and HNR (harmonics-to-noise ratio) were higher while jitter % and shimmer %, which are perturbation parameters, were lower in the study group. The majority of studies has a limitation because they were performed in a limited number of volunteers.
Conclusions: The symptoms of the vocal tract related to playing wind instruments are characterized by a low frequency of occurrence and intensity. However, further research is needed to assess this relation.
References
Clemente M, Mendes J, Moreira A, et al. A new classification of wind instruments: Orofacial considerations. J Oral Biol Craniofac Res. 2019;9(3):268-276. doi:10.1016/j.jobcr.2019.06.010.
Evans A, Ackermann B, Driscoll T. Functional anatomy of the soft palate applied to wind playing. Med Probl Perform Art. 2010;25(4):183-189.
de Lima Silva CR, da Silva Nunes AD, de Souza LBR, Jerez-Roig J, Barbosa IR. Vocal and laryngeal symptoms and associated factors in wind instrumentalists: A systematic review. J Voice. 2021;35(2):284-290. doi:10.1016/j.jvoice.2019.08.024.
Matei R, Broad S, Goldbart J, Ginsborg J. Health education for musicians. Front Psychol. 2018;9:1137. Published 2018 Jul 16. doi:10.3389/fpsyg.2018.01137.
Clark T, Williamon A, Redding E. The value of health screening in music schools and conservatoires. Clin Rheumatol. 2013;32(4):497-500. doi:10.1007/s10067-013-2203-9.
Rietveld AB, Macfarlane JD, de Haas GJ. Some thoughts on the prevention of complaints in musicians and dancers. Clin Rheumatol. 2013;32(4):449-452. doi:10.1007/s10067-013-2195-5.
Capellaro J, Beber BC. Vocal tract discomfort and voice related quality of life in wind instrumentalists. J Voice. 2018; 32: 314-317.
Hullet CM. The effects of embouchure and breathing instruction on beginning brass students’ performance. DMA essay, Arizona State University. 2011: 115.
Stanek JL, Komes KD, Murdock FA Jr. A cross sectional study of pain among U.S. college music students and faculty. Med Probl Perform Artists. 2017; 32(1): 20-26. doi: 10.21091/mppa.2017.1005.
Lonsdale K, Boon OK. Playing-related health problems among instrumental music students at a university in Malaysia. Med Probl Perform Art. 2016;31(3):151-159. doi:10.21091/mppa.2016.3028.
Scavone GP, Lefebvre A, da Silva AR. Measurement of vocal-tract influence during saxophone performance. J Acoust Soc Am. 2008;123(4):2391-2400. doi:10.1121/1.2839900.
Weikert M, Schlömicher-Thier J. Laryngeal movements in saxophone playing: video-endoscopic investigations with saxophone players. A pilot study. J Voice. 1999;13(2):265-273. doi:10.1016/s0892-1997(99)80031-9.
Eckley CA. Glottic configuration in wind instrument players. Braz J Otorhinolaryngol. 2006;72(1):45-47. doi:10.1016/s1808-8694(15)30033-1.
Ocker C, Pascher W, Röhrs M, Katny W. Voice disorders among players of wind instruments?. Folia Phoniatr (Basel). 1990;42(1):24-30. doi:10.1159/000266016.
Tuhanioglu B, Erkan SO. Assessment of the effect of wind instruments on voice quality. Electronic Journal of Otolaryngology - Head and Neck Surgery.2018; 17(4).
Trollinger V, Alnouri G, Sataloff RT. LEMG findings of vocal fold paresis in voice patients who play or played wind instruments [published online ahead of print, 2021 Dec 4]. J Voice. 2021;S0892-1997(21)00356-8. doi:10.1016/j.jvoice.2021.10.018.
Gallivan GJ, Eitnier CM. Vocal fold polyp in a professional brass/wind instrumentalist and singer. J Voice. 2006;20(1):157-164. doi:10.1016/j.jvoice.2004.11.006.
Costa MM, Alvite FL. Lateral laryngopharyngeal diverticula: a videofluoroscopic study of laryngopharyngeal wall in wind instrumentalists. Arq Gastroenterol. 2012; 49(2):99-106.
Chapman RR. A strategy for proper utilization of the glottis and implications of improper use in trumpet performance. Open Access Dissertations. Paper 1188; 2014.
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