Running head: RESPIRATORY MEASURES 1 RESPIRATORY MEASURES OF MUSICAL THEATER SINGERS, CLASSICAL SINGERS, AND NON-SINGERS by Payton Burnette A Senior Honors Project Presented to the Honors College East Carolina University In Partial Fulfillment of the Requirements for Graduation with Honors by Payton Burnette Greenville, NC May 2015 Approved by: Dr. Kathleen Cox, CCC-SLP, PhD Department of Communication Sciences and Disorders, College of Allied Health RESPIRATORY MEASURES 2 Respiratory Measures of Musical Theater Singers, Classical Singers, and Non-singers Summary Based on the current state of research, it is clear that singers have remarkably different vocal abilities than non-singers (Siupsinskiene and Lycke, 2011; Peppard, Bless and Milenkovic, 1987). Additionally, studies by Barlow and LoVetri (2010) and Hoit, Jenks, Watson, and Cleveland (1995) show that singers of different styles vary significantly from each other on respiratory and phonatory measures. In order to add to knowledge of the singing population, this study used the Phonatory Aerodynamic System to compare three subject groups (musical theater singers, classical singers, and non-singers) on measures associated with five specific tasks; vital capacity, maximum sustained phonation, comfortable sustained phonation, variation in sound pressure level, and voicing efficiency. Kruskal Wallis non-parametric analysis revealed that the groups differed significantly on maximum phonation time and peak expiratory airflow. Implications for further research are discussed. Introduction It is now commonly agreed that singers have remarkably different vocal abilities than the non-singers (Siupsinskiene and Lycke, 2011; Peppard, Bless, and Milenkovic, 1988). In quantitative studies specifically, singers have continually performed differently than their nonsinger counterparts. Siupsinskiene and Lycke (2011) reported that singers show increased ability on all tested areas compared to normative data, particularly in pitch range and slope of speaking measurements in men and highest frequency, intensity range, and slope of speaking measurements in women. Peppard, Bless, and Milenkovic (1988) found that singers have greater RESPIRATORY MEASURES 3 maximum phonation times than non-singers, even when presenting with vocal nodules. Carroll, Sataloff, Heuer, Spiegel, Radionoff, and Cohn 1996), reported that singers have shorter maximum phonation times than non-singers, but increased phonation quotients. The singers in the study also showed over 100% averages for forced expiratory volume and forced vital capacity measures, contributing to the idea that singers can utilize their lung volumes differently than non-singers. Also, singers have a tendency to initiate phrases at higher lung volumes and use larger ranges of percent vital capacity than non-singers according to Tang et al. (2008) and Hoit et al. (1996). As a result of this research, we can conclude that singers perform differently on phonatory and respiratory tasks than non-singers, but there is still much to learn about the consistency and patterns in which these differences occur. Normative data for respiratory and vocal measures in singers is relatively sparse in the literature. A singer may have a high repeatability of lung volume, rib cage excursions, and abdominal excursions when repeating the same singing tasks but how those three contributors interact varies from singer to singer (Thomasson and Sundberg, 1999). Singers also vary in how they utilize isometric and isotonic vocal fold contractions, which can in turn affect how much variability they show in percent vital capacity used during singing tasks (Tang et al. 2008). The respiratory system continually changes in response to vocal training and to intervals of time without training, causing the quantitative measures of a singer to change over relatively short periods of time (Mendes et al., 2006). The high amount of variation within the singing population may prove to make establishing normative data difficult. One way to evaluate some of the quantifiable variations among singers is to separate singers based on style. Barlow and LoVetri (2010) discovered that singers trained for musical theater showed higher closed quotients and higher amplitudes across all harmonics (up to six) on RESPIRATORY MEASURES 4 average vowel spectra than classically trained singers. They also found that classically trained singers show a steeper spectral slope for long term average spectra. Hoit et al. (1996) revealed that country singers showed very similar respiratory behaviors in both their speaking and singing tasks. Country singers initiated phrases at a much lower percent vital capacity than their classical singer counterparts and only used a small range of percent vital capacity throughout their tasks. The classical singers in the Hoit study (1996) were said to have significantly more noticeable chest wall manipulations and inhalatory/exhalatory transitions than the country singers. While all these findings suggest that differences between singers of different styles exist, it is necessary to build upon such research to provide a clearer understanding of what different styles of vocal training contribute to a client’s performance on breathing, speaking, and singing tasks. Justification of Need for the Present Research The data presented indicates that while we know that singers perform differently than non-singers, little can be concluded about whether distinct respiratory or phonatory patterns exists within the singing population and further, whether those patterns can be found for all singers or only for singers of a specific style. The goal of this study is to improve the speechlanguage pathologists understanding of the singer population by a) validating previous data on the respiratory differences between singers and non-singers b) determining whether or not significant respiratory differences exist between musical theater singers, classical singers and non-singers when performing respiratory and phonatory tasks. We hypothesize that singers will have significantly different measures from the non-singers, particularly in expiratory volume (based on Carroll et al., 1996), phonation time (based on Peppard, Bless, and Milenkovic, 1988), and pitch range (Siupsinskiene and Lycke, 2011). We also hypothesize that the musical theater RESPIRATORY MEASURES 5 singers and classical singers will significantly differ on measures, specifically those associated with the voice efficiency task (Carroll et al., 1996). Methods Subjects Fifteen subjects were used in this study, recruited by word of mouth, previous relationships, and IRB approved advertisements presented to a studio class in the School of Music. Testing was done with five participants that were classical singers, five that were musical theater singers, and the five remaining non-singers acted as controls. Inclusionary and Exclusionary Criteria Participants all met the inclusion criteria of being female, ages 18-39 and were non-singers (had never received formal voice lessons), classical singers (had received at least 3 semesters of classical collegiate voice lessons), or musical theater singers (had received at least 3 semesters of musical theater collegiate voice lessons.). Subjects were screened and none were pregnant, smokers, or had any history of vocal or respiratory problems. Tasks Each subject was asked to come to the Voice and Swallowing Research Laboratory to go through the testing procedure. Upon arrival, the principal investigator obtained consent and asked each participant to perform five protocols, three times each using the KayPentax Phonatory Aerodynamic System (PAS). The instructions for the tasks were pulled from those used in the Zraick, Smith-Olinde, and Shotts (2012) study and those given by the help screens of the PAS device. The instructions were as follows: RESPIRATORY MEASURES - 6 Vital Capacity: Subjects inhaled maximally, then breathed out maximally into the mask of the PAS not exceeding a rate of 5L per second - Maximum Sustained Phonation: Subjects inhaled maximally then sustained an “ah” sound into the mask of the PAS at a comfortable frequency and level for as long as possible - Comfortable Sustained Phonation: Subjects inhaled maximally then sustained an “ah” sound at a comfortable frequency and level for at least 5 seconds - Variation in Sound Pressure Level: Subjects inhaled maximally then produced the syllable strong /pa:pa:pa/ three times, the first time at normal volume, the second at half normal volume, and the third at twice normal volume - Voicing Efficiency: Subjects inhaled maximally then produced the syllable string /pa:pa:pa:pa:pa:pa:pa/ with equal emphasis on all syllables and no breaks in between Analysis After average data was recorded for each participant, Kruskal Wallis tests were administered between the three groups on selected measures from the five tasks.. Additionally, descriptive statistics and graphical comparisons were performed on selected measures to search for clinically significant trends. Results RESPIRATORY MEASURES 7 Kruskal Wallis non-parametric analysis revealed that: Non-singers had significantly higher peak expiratory airflow measures in the maximum phonation task than both musical theater singers and classical singers. (p-value =.029) Musical theater singers had significantly higher maximum phonation times than classical singers and non-singers. (p-value= .029) Classical singers had almost significantly higher measures for mean expiratory airflow than musical theater singers during the maximum phonation task. (p-value=.114) Graphical comparisons showed that: Non-singers had lower mean peak pressures during the voicing efficiency task than both singing groups. Singers were more likely to utilize their upper boundaries of their vital capacities during phonation tasks than in vital capacity tasks. Discussion Non-singers had higher peak expiratory airflow measures during the maximum sustained phonation task than both singing groups (p-value= .029). When looking graphically, it can be observed that one subject in the non-singer group had a very high peak airflow which may have skewed the results. Higher peak airflow indicates an uneven release of air, which could be contributed to a lack of control, which in turn could be due to lack of training as is confirmed by the Carroll study (1996). RESPIRATORY MEASURES 8 While musical theater singers showed significantly higher maximum phonation times than non-singers, classical singers did not have higher measurements than non-singers as we had hypothesized. This could be related to the pressure of performance. Musicians tend to value creating an aesthetically pleasing sound and many suffer from performance anxiety that could cause a decrease in the quality of their task performance (Yoshie, Shigemasu, Kudo, & Ohtsuki, 2009). There were also differences in how the subjects performed the maximum sustained phonation task task. When instructed, each of the subjects was asked to sustain an ”ah” sound for as long as possible with comfortable pitch and loudness. In order to complete the task, each individual chose the frequency and intensity they felt would give them the longest phonation time. The different degrees to which a subject utilized their laryngeal muscles for speech and singing could affect maximum phonation times. A study by Schmidt, Klingholz, and Martin RESPIRATORY MEASURES 9 91988) has shown that it is slightly more difficult to sustain low frequency high intensity sounds because it requires more muscular control. Data could be reflecting measurements that resulted from the pitch and intensity choices of individual subjects rather than the respiratory capacities of the groups. While not statistically significant, it is noted that classical singers showed very close to significantly higher mean expiratory airflow measurements than the musical theater singers (pvalue= .114). This steadily higher expulsion of air by the classical singers can be connected to their lower maximum phonation times. The inverse relationship of maximum phonation time and mean expiratory airflow explains why classical singers showed different maximum phonation RESPIRATORY MEASURES 10 times but similar vital capacities to the musical theater group. Non-singers showed what looks to be lower mean peak pressures for the voicing efficiency tasks. This could be due to increased tension during phonation in the singing groups. When comparing the two singing groups, we see that the musical theater group has slightly higher mean peak pressures than the classical singers. This could be a result of articulation training that occurs in acting. Singers are taught to articulate but when training the theater, the musical theater college student goes through multiple courses in articulation and dialects that a classical singing student does not. Those skills gained by the musical theater singers could have carried over and affected their voicing efficiency tasks but there is not enough empirical data to RESPIRATORY MEASURES 11 say for sure. Overall, voicing efficiency measures of all the groups were more similar than we expected with regards to Carroll’s (1996) findings and the perceived differences in musical theater and classical singing. Repeating the protocol with a larger sample size would give more information. Three of 5 musical theater singers, 4 of 5 classical singers and 1 of 5 non-singers used over 80% of their vital capacity when completing the maximum sustained phonation task. While the amount of expiratory volume for the vital capacity protocol did not differ between groups as we had hypothesized based on Carrol (1996) study, the singers did show an increased ability to utilize higher percentages of their vital capacities than non-singers, however it only occurred during the phonation task. From this, we conclude that the singer’s ability to use their vital RESPIRATORY MEASURES 12 capacity differs from the ability of a non-singer, but maybe not to the same degree on every kind of task. While there were some notable differences in pitch range between the groups, there was not task designed for the PAS that looked specifically at pitch range. Therefore, all the pitch range measurements taken were byproducts of the subject’s completion of a different task. That in mind, we did not feel we could make any conclusions about the pitch ranges of our subjects given the source of our data. Conclusion Our study confirmed some previous studies regarding maximum phonation times but did not show significant difference between the three test groups in the areas of expiratory volume or voicing efficiency. In the future this study should include more participants and instructions RESPIRATORY MEASURES 13 should be given more specifically to control for task variation between subjects. Our study points toward the same conclusion of Medes, Brown, Rothman, and Sapienza (2004) who suggested that the affects of singing training are mostly limited to the singing voice and do not generalize to speech. The PAS does not contain any singing tasks and therefore may not be sensitive to identify patterns or differences between the three groups. RESPIRATORY MEASURES 14 References Barlow, C., & LoVetri, J. (2010). Closed quotient and spectral measures of female adolescent singers in different singing styles. Journal of Voice, 24(3), 314-318. Hoit, J. D., Jenks, C. L., Watson, P. J., & Cleveland, T. F. (1996). Respiratory function during speaking and singing in professional country singers. Journal of Voice, 10(1), 39-49. Mendes, A. P., Brown, W. S., Sapienza, C., & Rothman, H. B. (2005). Effects of vocal training on respiratory kinematics during singing tasks. Folia phoniatrica et logopaedica: official organ of the International Association of Logopedics and Phoniatrics (IALP), 58(5), 363-377. Peppard, R. C., Bless, D. M., & Milenkovic, P. (1988). Comparison of young adult singers and nonsingers with vocal nodules. Journal of Voice, 2(3), 250-260. Siupsinskiene, N., & Lycke, H. (2011). Effects of vocal training on singing and speaking voice characteristics in vocally healthy adults and children based on choral and nonchoral data. Journal of voice, 25(4), e177-e189. Schmidt, P., Klingholz, F., & Martin, F. (1988). Influence of pitch, voice sound pressure, and vowel quality on the maximum phonation time. Journal of Voice, 2(3), 245-249. Yoshie, M., Shigemasu, K., Kudo, K., & Ohtsuki, T. (2009). Effects of state anxiety on music performance: relationship between the Revised Competitive State Anxiety Inventory-2 subscales and piano performance. Musicae Scientiae, 13(1), 55-84. Zraick, R. I., Smith-Olinde, L., & Shotts, L. L. (2012). Adult normative data for the KayPENTAX phonatory aerodynamic system model 6600. Journal of Voice, 26(2), 164-176.