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  Patronage of the Polish Society of Audiology and Phoniatrics

vol 11. no 3. September 2012  

 Review articles
Phoniatricion’s role in singers interdisciplinary health care
Ewelina Sielska-Badurek, Ewa Kazanecka, Ewa Osuch-Wójcikiewicz, Anna Domeracka-Kołodziej

Today in many countries a multidisciplinary team delivers
singers optimal care. The voice care team should include:
the singer, singing teacher, pianist-accompanist, phoniatrician,
psychologist, speech-language pathologist, nutritionist,
conscious movement- and relaxation techniques specialist,
doctors of other specialties.
Singers are a very demanding and specific group of patients.
Their existence in the profession depends on the quality of their
voice. Depending on the specific music (classical, pop, rock, jazz,
folk, etc.), singers use different vocal techniques, by which they
obtain the desired voice quality.
Phoniatrician, as a member of the team, is responsible for
periodic evaluation of the singers voice and for treatment of
voice disorders. Singer’s assessment is based on the complete
ENT examination, with phoniatric evaluation of voice function
using specialized laboratory tests. A very important part of the
examination is a careful study of the singer’s medical history.
Physical examination should include an assessment of anatomic
predisposition to voice classification (the vocal tract and the
body structure), posture, type of breathing and palpation of
the abdomen, chest and neck muscles. A significant element
is the assessment of voice quality: vocal range, vocal tessitura,
vocal intensity of singing voice, etc. An essential part of the
examination involves an endoscopic evaluation. Additional tests,
like aerodynamic measures and acoustic analysis.
Multidisciplinary approach and a collaborative decision-making
in critical moments of the singers’ career may help the singer
to continue his/her profession for longer timer and with better

keywords: wokalista, interdyscyplinarna opieka, lekarz foniatra

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