Analysis of the singing voice handicap index for elderly choristers.
Weluma Evelyn Rodrigues Moura, Camila Dalbosco Gadenz, Isadora de Oliveira Lemos and 2 others
PMID 34705924WHAT IT FOUND
Elderly choristers had a median singing voice difficulty score of 25 on a 144-point scale.
Scores were higher in singers aged 76 or older, female contraltos, and those who drank little water.
Key findings
01The sample had a median SVHI score of 25 on a 144-point scale, with scores ranging from 0 to 86.
02Choristers aged 76 or older had a median SVHI score of 32, compared with 22 for those aged 60 to 75 (p=0.020), and female contraltos had a median score of 31, compared with 24 for sopranos (p=0.023).
03Those who reported drinking little water had a median SVHI score of 27, compared with 19 for those who did not (p=0.007).
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The study did not include laryngeal imaging or objective voice measures, so it cannot confirm whether the singers had normal vocal structures or function. The SVHI was not specific to elderly choristers, and the authors suggest that an elderly-specific instrument may be needed. Habits and health conditions were recorded only as yes/no answers, without frequency or duration, so exposure was not measured in detail. Smokers and people with previous or simultaneous speech therapy were excluded, so the results do not describe those groups. Vocal classification was determined by choir conductors before the study, not by objective assessment. The sample came from nine amateur choirs in one city, which may limit how far the results apply to other communities.
The easy way to misread this
Do not read the median SVHI score as objective proof that an elderly singer has a healthy voice. The study used a self-report questionnaire and did not include laryngeal imaging or objective voice measures.