SLPCohortJournal of voice : official journal of the Voice Foundation2025

Effects of Participation in a Structured Choral Program on the Voice of Older Adults.

Sheila V Stager, Deanna Goudelias, Aaron M Johnson

PMID 37003864

WHAT IT FOUND

Healthy older choral singers mostly rated their speaking voice as normal, and voice quality of life did not differ by experience.

Airflow measures showed some improvement or maintenance, while singing accuracy changed little.

Key findings

01Singers with fewer than 4 semesters of choral experience were more likely to show no change in several speaking-voice acoustic measures, but improvement in LTAS, H1*-H2*, and estimated subglottal pressure.

02Singers with 4 or more semesters were more likely to show improvement in flow, and after a semester of rest plus another semester they were more likely to maintain aerodynamic improvement.

03Self-rated speaking-voice quality and voice-related quality of life did not differ significantly by singing experience, while less experienced singers reported more singing-voice fatigue at baseline.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The groups were small: sixteen less experienced singers and fifteen more experienced singers at two visits, and only twenty-one completed all three visits. All participants were already chorale singers, so the study compared levels of experience rather than singers with non-singers. Participants were relatively fit and had normal pulmonary function and self-rated speaking voice at baseline, leaving little room for improvement. Independent home practice was not verified, so dose of singing outside rehearsals is unknown. Singing accuracy testing did not include a warm-up, and many sessions were in the morning, which the authors link to poor reliability. The sample was not balanced for sex. The study did not include people with neurological or movement disorders or people who had voice care from an otolaryngologist or speech-language pathologist.

The easy way to misread this

Do not read this as evidence that choral singing improves voice-related quality of life or treats voice disorders. The participants were healthy older adults without voice problems requiring speech-language pathology or otolaryngology care, and self-rated speaking voice and voice-related quality of life did not differ by experience.

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