The Relationship Between the Stomatognathic System and Voice in Classical Singers

IF 2.4 4区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Voice Pub Date : 2025-09-01 DOI:10.1016/j.jvoice.2023.04.018

Rafaela Lombas de Resende, Maria Fernanda Bagarollo, Ana Carolina Constantini

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引用次数: 0

Abstract

Purpose

To evaluate stomatognathic system...s structures and functions in classical singers, relating them to the auditory-perceptual judgment of voice quality and voice self-perception.

Methods

A.ßcross-sectional pilot study was conducted to evaluate the Stomatognathic System (SS) using orofacial myofunctional evaluation (MBGR Protocol). Voice handicap self-perception was assessed by the Classical Singing Handicap Index (CSHI) and the Voice Handicap Index (VHI-10). Voice samples, recorded according to the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) protocol, underwent auditory-perceptual judgment by two voice experts. All statistical analyses adopted a 5% significance level.

Results

The study included 15 classical singers (nine women and six men). Adequate assessments of lip and tongue functionality and mobility, upper and lower lip, mentum, and tongue tone were higher compared with altered assessments (P.ß<.ß0.001). Nasal and oronasal breathing showed similar proportions among singers (P.ß=.ß0.273). Participants reported greater pain in the masseter muscle (P.ß..±.ß0.001), temporomandibular joint (TMJ) (P.ß..±.ß0.001), and sternocleidomastoid muscle (SCM), especially on the left side (P.ß..±.ß0.001). MBGR score showed no association with singers... voice handicap and voice quality self-perception.

Conclusion

MBGR-evaluated SS items were not related to auditory-perceptual judgment of voice quality.ßand voice self-perception. Singers reported more pain with palpation in the SCM, masseter muscle, and TMJ. Preference for a chewing side was higher than bilateral chewing. Assessing SS is paramount for the multidimensional evaluation of classical singers... voice.

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古典歌手口颌系统与声音的关系

目的评价口腔口腔系统的临床应用价值。研究了古典歌手的结构和功能，并将其与音质的听觉感知判断和声音自我感知联系起来。采用orofacial myfunction evaluation （MBGR Protocol）对口腔颌面系统（SS）进行了横断面试点研究。采用古典歌唱障碍指数（CSHI）和声音障碍指数（VHI-10）对声音障碍自我认知进行评估。根据声音共识听觉-感知评价（CAPE-V）协议记录的声音样本，由两位语音专家进行听觉-感知判断。所有统计分析均采用5%显著性水平。研究对象包括15名古典歌手（9名女性和6名男性）。与改变后的评估相比，充分评估唇舌功能和活动性、上下唇、动量和舌音的水平更高（p ß<.ß0.001）。歌手的鼻腔和口鼻呼吸比例相似（p ß=.ß0.273）。参与者报告说，咬肌（p ..±.ß0.001）、颞下颌关节（p ..±.ß0.001）和胸锁乳突肌（SCM），尤其是左侧（p ..±.ß0.001）的疼痛更大。MBGR评分与歌手无关。语音障碍和语音质量自我感知。结论mbgr评价的SS项目与语音质量的听觉知觉判断无关。和声音自我感知。歌手在SCM、咬肌和颞下颌关节触诊时疼痛较多。对一侧咀嚼的偏好高于双侧咀嚼。对于古典歌手的多维评价，SS的评估是至关重要的。的声音。

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来源期刊

Journal of Voice 医学-耳鼻喉科学

CiteScore

4.00

自引率

13.60%

发文量

395

审稿时长

59 days

期刊介绍： The Journal of Voice is widely regarded as the world''s premiere journal for voice medicine and research. This peer-reviewed publication is listed in Index Medicus and is indexed by the Institute for Scientific Information. The journal contains articles written by experts throughout the world on all topics in voice sciences, voice medicine and surgery, and speech-language pathologists'' management of voice-related problems. The journal includes clinical articles, clinical research, and laboratory research. Members of the Foundation receive the journal as a benefit of membership.