The demands of professional opera singing on cranio-cervical posture.
Identifieur interne : 000405 ( PubMed/Curation ); précédent : 000404; suivant : 000406The demands of professional opera singing on cranio-cervical posture.
Auteurs : Gillian Johnson [Nouvelle-Zélande] ; Margot SkinnerSource :
- European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society ; 2009.
English descriptors
- KwdEn :
- Adolescent, Adult, Atlanto-Axial Joint (physiology), Atlanto-Occipital Joint (anatomy & histology), Atlanto-Occipital Joint (physiology), Cervical Vertebrae (anatomy & histology), Cervical Vertebrae (physiology), Cervical Vertebrae (radiography), Female, Humans, Hyoid Bone (anatomy & histology), Hyoid Bone (physiology), Hyoid Bone (radiography), Laryngeal Muscles (anatomy & histology), Laryngeal Muscles (physiology), Male, Music, Pharynx (anatomy & histology), Pharynx (physiology), Phonation (physiology), Posture (physiology), Range of Motion, Articular (physiology), Respiratory Physiological Phenomena, Respiratory System (anatomy & histology), Skull (anatomy & histology), Skull (physiology), Skull (radiography), Spinal Fusion (adverse effects), Spondylosis (surgery), Voice Quality (physiology), Young Adult.
- MESH :
- adverse effects : Spinal Fusion.
- anatomy & histology : Atlanto-Occipital Joint, Cervical Vertebrae, Hyoid Bone, Laryngeal Muscles, Pharynx, Respiratory System, Skull.
- physiology : Atlanto-Axial Joint, Atlanto-Occipital Joint, Cervical Vertebrae, Hyoid Bone, Laryngeal Muscles, Pharynx, Phonation, Posture, Range of Motion, Articular, Skull, Voice Quality.
- radiography : Cervical Vertebrae, Hyoid Bone, Skull.
- surgery : Spondylosis.
- Adolescent, Adult, Female, Humans, Male, Music, Respiratory Physiological Phenomena, Young Adult.
Abstract
Difficulty with singing is a rare but important complication following cervical spine surgery but there is little objective information regarding the cervical and head postural changes taking place during singing. The aim of this study was to identify postural changes in the cranio-cervical region associated with the demands of voice production in professional opera singing. The two Roentgen-cephalograms, one of which are taken whilst performing a specified singing task were taken from 18 professional opera students, 12 females (mean age 20.86 +/- 3.07 years) and six males (18.66 +/- 1.36 years). A paired t test compared mean cranio-cervical postural and pharyngeal/hyoid variables between the two registrations (P = 0.05). The association between the cranio-cervical postural variables and the pharyngeal/hyoid region in each registration position was examined using Spearman's rank correlation coefficient. In singing, the position of the atlas with respect to the true vertical (P < 0.001), the axis (P < 0.001) and the C4 vertebra both with respect to the horizontal (P < 0.001), and the axis with respect to the cranium (P < 0.001), were all significantly different to those at rest. Of the cranio-cervical postural variables in the singing registration, the angles measuring positional change of the atlas and C4 relative to the true horizontal were shown be significantly related to an increased pharyngeal airway space at the C3 level (P < 0.01). An appreciation of the requirement for the cervical spine to undergo postural change during professional opera singing has relevance to the potential impact on voice quality in professional opera singers should they undergo cervical spine surgery.
DOI: 10.1007/s00586-009-0884-1
PubMed: 19165506
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when="2009">2009</date><idno type="doi">10.1007/s00586-009-0884-1</idno><idno type="RBID">pubmed:19165506</idno><idno type="pmid">19165506</idno><idno type="wicri:Area/PubMed/Corpus">000405</idno><idno type="wicri:Area/PubMed/Curation">000405</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The demands of professional opera singing on cranio-cervical posture.</title><author><name sortKey="Johnson, Gillian" sort="Johnson, Gillian" uniqKey="Johnson G" first="Gillian" last="Johnson">Gillian Johnson</name><affiliation wicri:level="1"><nlm:affiliation>School of Physiotherapy, Centre for Physiotherapy Research, University of Otago, Level 3, 325 Great King Street, PO Box 56, Dunedin 9054, New Zealand. gill.johnson@otago.ac.nz</nlm:affiliation><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>School of Physiotherapy, Centre for Physiotherapy Research, University of Otago, Level 3, 325 Great King Street, PO Box 56, Dunedin 9054</wicri:regionArea></affiliation></author><author><name sortKey="Skinner, Margot" sort="Skinner, Margot" uniqKey="Skinner M" first="Margot" last="Skinner">Margot Skinner</name></author></analytic><series><title level="j">European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society</title><idno type="e-ISSN">1432-0932</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Atlanto-Axial Joint (physiology)</term><term>Atlanto-Occipital Joint (anatomy & histology)</term><term>Atlanto-Occipital Joint (physiology)</term><term>Cervical Vertebrae (anatomy & histology)</term><term>Cervical Vertebrae (physiology)</term><term>Cervical Vertebrae (radiography)</term><term>Female</term><term>Humans</term><term>Hyoid Bone (anatomy & histology)</term><term>Hyoid Bone (physiology)</term><term>Hyoid Bone (radiography)</term><term>Laryngeal Muscles (anatomy & histology)</term><term>Laryngeal Muscles (physiology)</term><term>Male</term><term>Music</term><term>Pharynx (anatomy & histology)</term><term>Pharynx (physiology)</term><term>Phonation (physiology)</term><term>Posture (physiology)</term><term>Range of Motion, Articular (physiology)</term><term>Respiratory Physiological Phenomena</term><term>Respiratory System (anatomy & histology)</term><term>Skull (anatomy & histology)</term><term>Skull (physiology)</term><term>Skull (radiography)</term><term>Spinal Fusion (adverse effects)</term><term>Spondylosis (surgery)</term><term>Voice Quality (physiology)</term><term>Young Adult</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Spinal Fusion</term></keywords><keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en"><term>Atlanto-Occipital Joint</term><term>Cervical Vertebrae</term><term>Hyoid Bone</term><term>Laryngeal Muscles</term><term>Pharynx</term><term>Respiratory System</term><term>Skull</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Atlanto-Axial Joint</term><term>Atlanto-Occipital Joint</term><term>Cervical Vertebrae</term><term>Hyoid Bone</term><term>Laryngeal Muscles</term><term>Pharynx</term><term>Phonation</term><term>Posture</term><term>Range of Motion, Articular</term><term>Skull</term><term>Voice Quality</term></keywords><keywords scheme="MESH" qualifier="radiography" xml:lang="en"><term>Cervical Vertebrae</term><term>Hyoid Bone</term><term>Skull</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Spondylosis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Female</term><term>Humans</term><term>Male</term><term>Music</term><term>Respiratory Physiological Phenomena</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Difficulty with singing is a rare but important complication following cervical spine surgery but there is little objective information regarding the cervical and head postural changes taking place during singing. The aim of this study was to identify postural changes in the cranio-cervical region associated with the demands of voice production in professional opera singing. The two Roentgen-cephalograms, one of which are taken whilst performing a specified singing task were taken from 18 professional opera students, 12 females (mean age 20.86 +/- 3.07 years) and six males (18.66 +/- 1.36 years). A paired t test compared mean cranio-cervical postural and pharyngeal/hyoid variables between the two registrations (P = 0.05). The association between the cranio-cervical postural variables and the pharyngeal/hyoid region in each registration position was examined using Spearman's rank correlation coefficient. In singing, the position of the atlas with respect to the true vertical (P < 0.001), the axis (P < 0.001) and the C4 vertebra both with respect to the horizontal (P < 0.001), and the axis with respect to the cranium (P < 0.001), were all significantly different to those at rest. Of the cranio-cervical postural variables in the singing registration, the angles measuring positional change of the atlas and C4 relative to the true horizontal were shown be significantly related to an increased pharyngeal airway space at the C3 level (P < 0.01). An appreciation of the requirement for the cervical spine to undergo postural change during professional opera singing has relevance to the potential impact on voice quality in professional opera singers should they undergo cervical spine surgery.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">19165506</PMID><DateCreated><Year>2009</Year><Month>04</Month><Day>01</Day></DateCreated><DateCompleted><Year>2009</Year><Month>07</Month><Day>15</Day></DateCompleted><DateRevised><Year>2014</Year><Month>09</Month><Day>01</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-0932</ISSN><JournalIssue CitedMedium="Internet"><Volume>18</Volume><Issue>4</Issue><PubDate><Year>2009</Year><Month>Apr</Month></PubDate></JournalIssue><Title>European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society</Title><ISOAbbreviation>Eur Spine J</ISOAbbreviation></Journal><ArticleTitle>The demands of professional opera singing on cranio-cervical posture.</ArticleTitle><Pagination><MedlinePgn>562-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00586-009-0884-1</ELocationID><Abstract><AbstractText>Difficulty with singing is a rare but important complication following cervical spine surgery but there is little objective information regarding the cervical and head postural changes taking place during singing. The aim of this study was to identify postural changes in the cranio-cervical region associated with the demands of voice production in professional opera singing. The two Roentgen-cephalograms, one of which are taken whilst performing a specified singing task were taken from 18 professional opera students, 12 females (mean age 20.86 +/- 3.07 years) and six males (18.66 +/- 1.36 years). A paired t test compared mean cranio-cervical postural and pharyngeal/hyoid variables between the two registrations (P = 0.05). The association between the cranio-cervical postural variables and the pharyngeal/hyoid region in each registration position was examined using Spearman's rank correlation coefficient. In singing, the position of the atlas with respect to the true vertical (P < 0.001), the axis (P < 0.001) and the C4 vertebra both with respect to the horizontal (P < 0.001), and the axis with respect to the cranium (P < 0.001), were all significantly different to those at rest. Of the cranio-cervical postural variables in the singing registration, the angles measuring positional change of the atlas and C4 relative to the true horizontal were shown be significantly related to an increased pharyngeal airway space at the C3 level (P < 0.01). An appreciation of the requirement for the cervical spine to undergo postural change during professional opera singing has relevance to the potential impact on voice quality in professional opera singers should they undergo cervical spine surgery.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Johnson</LastName><ForeName>Gillian</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>School of Physiotherapy, Centre for Physiotherapy Research, University of Otago, Level 3, 325 Great King Street, PO Box 56, Dunedin 9054, New Zealand. gill.johnson@otago.ac.nz</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Skinner</LastName><ForeName>Margot</ForeName><Initials>M</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2009</Year><Month>01</Month><Day>23</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Eur Spine J</MedlineTA><NlmUniqueID>9301980</NlmUniqueID><ISSNLinking>0940-6719</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Eur Spine J. 2008 Jan;17(1):20-9</RefSource><PMID Version="1">17721713</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Voice. 2008 Jan;22(1):90-9</RefSource><PMID Version="1">16978836</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Crit Rev Oral Biol Med. 2003;14(6):413-29</RefSource><PMID Version="1">14656897</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Oral Rehabil. 2004 Sep;31(9):843-50</RefSource><PMID Version="1">15369463</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Acta Odontol Scand. 1971 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Version="1">12407940</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000293">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000328">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D001268">Atlanto-Axial Joint</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000502">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D001269">Atlanto-Occipital Joint</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000033">anatomy & histology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000502">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D002574">Cervical Vertebrae</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000033">anatomy & histology</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000502">physiology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000530">radiography</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006928">Hyoid Bone</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000033">anatomy & histology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000502">physiology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000530">radiography</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D007821">Laryngeal Muscles</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000033">anatomy & histology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000502">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D009146">Music</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010614">Pharynx</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000033">anatomy & histology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000502">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010699">Phonation</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000502">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011187">Posture</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000502">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D016059">Range of Motion, Articular</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000502">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012143">Respiratory Physiological Phenomena</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012137">Respiratory System</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000033">anatomy & histology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012886">Skull</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000033">anatomy & histology</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000502">physiology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000530">radiography</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013123">Spinal Fusion</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000009">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D055009">Spondylosis</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014833">Voice Quality</DescriptorName><QualifierName MajorTopicYN="N" 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