Combined influences of stress and fibromyalgia on voice: A single-case report

Abstract

Fibromyalgia may occur due to muscle tension while speaking or singing inaccurately. Symptoms of fibromyalgia are pain, fatigue, alteration in sleep, cognitive dysfunction, anxiety, depression, intestinal disorders, voice, and mood. Women are more affected than men. Voice was evaluated using the GRBAS scale and Dr. Speech software. Perceptually, voice was minimal dysphonia, and acoustically, voice parameters were within normal limits except harmonic–to-noise ratio.