PMID- 31647126
OWN - NLM
STAT- MEDLINE
DCOM- 20201029
LR  - 20201029
IS  - 1531-4995 (Electronic)
IS  - 0023-852X (Linking)
VI  - 130
IP  - 8
DP  - 2020 Aug
TI  - Prevalence of Vocal Fold Pathologies Among First-Year Singing Students Across 
      Genres.
PG  - 1996-2002
LID - 10.1002/lary.28354 [doi]
AB  - OBJECTIVES/HYPOTHESIS: The purpose of the study was to compare the prevalence of 
      vocal fold pathologies among first-year singing students from the classical, 
      musical theatre, and contemporary commercial music (CCM) genres. STUDY DESIGN: 
      Prospective cohort study. METHODS: Videostroboscopic examinations were rated by 
      blinded expert raters. Vocal pathology was defined as a vocal fold abnormality on 
      the membranous or cartilaginous portions of the vocal folds or hypomobility. 
      Consensus among three of four raters confirmed presence of pathology. Association 
      between genre of singer and presence of pathology, interrater reliability, and 
      intrarater reliability were calculated. Differences in singing voice handicap, 
      and voice use and vocal hygiene were compared. RESULTS: Fifty-seven participants 
      were included. Seventeen percent of CCM, 40% of musical theatre, and 0% of 
      classical singers were found to have vocal fold pathology. Interrater reliability 
      was 0.522 between all four raters, 0.591 between the two laryngologists, and 
      0.581 between the two speech-language pathologists, showing a moderate agreement 
      (P < .0001). Intrarater reliability was 1.000 (P < .0001) for the two 
      laryngologists and 0.452 (P = .949) and 0.622 (P = .828) for the two 
      speech-language pathologists. Singing Voice Handicap Index-10 data across genre 
      showed differences between CCM and classical singers. No significant differences 
      were found in voice usage or vocal hygiene. CONCLUSIONS: No classical students 
      were found to have vocal fold pathology, whereas CCM and musical theatre students 
      had significantly higher prevalence of pathologies. Voice use, vocal hygiene, and 
      physiologic phonatory differences among classical, musical theatre, and CCM 
      genres may be risk factors for development of vocal pathology. LEVEL OF EVIDENCE: 
      2b Laryngoscope, 130: 1996-2002, 2020.
CI  - (c) 2019 The American Laryngological, Rhinological and Otological Society, Inc.
FAU - Lloyd, Adam T
AU  - Lloyd AT
AUID- ORCID: 0000-0002-0985-397X
AD  - Department of Otolaryngology, Division of Laryngology and Voice and Division of 
      Speech Pathology, Miller School of Medicine, University of Miami, Miami, Florida, 
      U.S.A.
FAU - Gerhard, Julia
AU  - Gerhard J
AD  - Division of Speech-Language Pathology, Florida Hospital, Winter Park, Florida, 
      U.S.A.
FAU - Baker, Paul
AU  - Baker P
AD  - University of Miami, School of Medicine, Miami, Florida, U.S.A.
FAU - Lundy, Donna S
AU  - Lundy DS
AD  - Department of Otolaryngology, Division of Laryngology and Voice and Division of 
      Speech Pathology, Miller School of Medicine, University of Miami, Miami, Florida, 
      U.S.A.
FAU - Diaz, Jennylee
AU  - Diaz J
AD  - Department of Otolaryngology, Division of Laryngology and Voice and Division of 
      Speech Pathology, Miller School of Medicine, University of Miami, Miami, Florida, 
      U.S.A.
FAU - Bretl, Michelle M
AU  - Bretl MM
AD  - Department of Otolaryngology, Division of Laryngology and Voice and Division of 
      Speech Pathology, Miller School of Medicine, University of Miami, Miami, Florida, 
      U.S.A.
FAU - Landera, Mario A
AU  - Landera MA
AD  - Department of Otolaryngology, Division of Laryngology and Voice and Division of 
      Speech Pathology, Miller School of Medicine, University of Miami, Miami, Florida, 
      U.S.A.
FAU - Anis, Mursalin
AU  - Anis M
AD  - Department of Otolaryngology, Division of Laryngology and Voice and Division of 
      Speech Pathology, Miller School of Medicine, University of Miami, Miami, Florida, 
      U.S.A.
FAU - Marchman, Judy
AU  - Marchman J
AD  - Division of Vocal Performance, Frost School of Music, University of Miami, Miami, 
      Florida, U.S.A.
FAU - Rosow, David E
AU  - Rosow DE
AUID- ORCID: 0000-0002-4289-0158
AD  - Department of Otolaryngology, Division of Laryngology and Voice and Division of 
      Speech Pathology, Miller School of Medicine, University of Miami, Miami, Florida, 
      U.S.A.
AD  - Division of Vocal Performance, Frost School of Music, University of Miami, Miami, 
      Florida, U.S.A.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20191024
PL  - United States
TA  - Laryngoscope
JT  - The Laryngoscope
JID - 8607378
SB  - IM
MH  - Adolescent
MH  - Female
MH  - Humans
MH  - Laryngeal Diseases/*epidemiology
MH  - Male
MH  - Observer Variation
MH  - Prevalence
MH  - Prospective Studies
MH  - Reproducibility of Results
MH  - *Singing
MH  - *Vocal Cords
OTO - NOTNLM
OT  - Prevalence of vocal fold pathology
OT  - classical singing
OT  - contemporary commercial music
OT  - musical theatre
OT  - singers
OT  - singing students
OT  - videostroboscopy
EDAT- 2019/10/28 06:00
MHDA- 2020/10/30 06:00
CRDT- 2019/10/25 06:00
PHST- 2019/04/08 00:00 [received]
PHST- 2019/08/21 00:00 [revised]
PHST- 2019/09/19 00:00 [accepted]
PHST- 2019/10/28 06:00 [pubmed]
PHST- 2020/10/30 06:00 [medline]
PHST- 2019/10/25 06:00 [entrez]
AID - 10.1002/lary.28354 [doi]
PST - ppublish
SO  - Laryngoscope. 2020 Aug;130(8):1996-2002. doi: 10.1002/lary.28354. Epub 2019 Oct 
      24.