Do you lose your voice easily or does your throat feel strained after talking to a large audience?

Imagine a day without your voice. Your voice is a vital asset in conveying your thoughts, emotions and everyday needs.

Caring for your voice is important to prevent stress or injury to the fragile folds of muscles that create our voice – vocal folds.

Our signature Voice Program helps you to identify tension in the voice, develop good vocal habits, and to bring out a resonant voice without vocal strain.

Vocal assessment and training offered:

Assessment

Training

Take this quiz to find out if voice training is for you:

If you have answered “Yes” to two or more questions, a detailed voice assessment and evaluation is highly recommended.

Normal vocal folds

What is Muscle Tension Dysphonia

Muscle Tension Dysphonia (MTD) is a voice disorder caused by inappropriate muscle tension in and surrounding the larynx (voice box) during voicing.

Frequently, the front and back of the larynx (anterior-posterior constriction) and/or sides (lateral constriction) of the larynx are squeezed together.

Posterior- anterior constriction

A posterior-anterior constriction occurs where the larynx is squeezed from the back towards the front. The arytenoid cartilages (that hold the posterior ends of the vocal folds) are pulled forward, obscuring some or all of the vocal folds.

Posterior anterior constriction
Anterior- posterior constriction

An anterior-posterior squeeze (AP compression) occurs where the back part of the voicebox almost touches the front. The cuneiform cartilages tilt backwards and the front/mid portion of the vocal folds are obscured.

Lateral constriction

A lateral constriction occurs where the false vocal cords touch and completely obscure the true vocal cords.

Lateral constriction

Causes of Muscle Tension Dysphonia

Muscle Tension Dysphonia is often caused by excessive or inefficient use of the muscles in and around the voice box. Possible causes include:

Muscle Tension Dysphonia can reduce a person’s work performance, social activities, mental health and overall quality of life.

Signs and Symptoms of Muscle Tension Dysphonia

Signs of MTD include:

Muscle Tension Dysphonia can co-exist or develop in response to laryngeal pathology. For example, squeezing the false vocal folds tightly together (lateral constriction) frequently occur as compensations for a weak or paralysed vocal fold.

Voice Treatment

Voice therapy strategies include:

SOVT exercises create back pressure on the vocal cords by partially closing off the mouth. This allows the vocal cords to vibrate with ease and little effort.

SOVT exercises include tongue and lip trills, straw phonation, humming, vocalizing on “m”, “oo”, “ng”

This helps:

Straw Phonation:

Using an easy and breathy vocal quality with continuous airflow. This keeps the vocal folds slightly apart, relaxed and reduces the collision forces of the vocal cords during phonation.

N.B: Breathy voice is to be used for a selected time period, it is not the end product.

Confidential voice exercises include:

A silent giggle helps to prevent constriction in the throat muscles (larynx).

Benefits:
Tension or tightness in the throat muscles (larynx) is caused by a narrowing of the airway by the false vocal folds (the strong closing muscle immediately above the true vocal folds). This prevents the true vocal folds from vibrating normally. If your muscles of the larynx are constricted for a prolonged period, sensations of tiredness or soreness may develop. This may also cause voice problems such as vocal nodules.

Diaphragmatic Breathing

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