Manual evaluation of mobility and diaphragmatic tonicity in professional lyrical singers and non-singers
DOI:
https://doi.org/10.33233/fb.v21i5.4317Keywords:
diaphragm, muscle tonus, singingAbstract
Introduction: The professional lyrical singers during their careers suffer great demand and consequent alteration of the coordination of the respiratory muscles, however it is not known if these requirements can alter the mobility and tonicity in the main muscle of the breath, the diaphragm. Objectives: To evaluate and compare diaphragm tonicity and mobility of professional lyric singers and non-singers. The study included 15 professional lyric singers in their full careers and 24 non-singing adults of equivalent ages and BMIs. Methods: Two forms of manual evaluation of the diaphragm were used: to assess costal mobility, the part of the manual evaluation to evaluate this parameter was used the Manual Evaluation of the Diaphragm Scale (MED Scale); and to evaluate the diaphragmatic tonicity the evaluation described by Rial and Pinsach in 2015. Results: The results showed that the distribution of the manual evaluation of the diaphragm in the group of singers presented a significantly different distribution, with p < 0,05, in relation to the bilateral diaphragm tonicity, presenting them with greater hypertonicity in relation to the control group, and that there were no significant differences regarding mobility. Conclusion: The artistic gestures used by professional lyric singers affect the tone of the diaphragm.
References
Miller R. The Structure of singing. EUA: Schirmer; 1996. 372 p.
Dick RW, Berning JR, Dawson W, Ginsburg RD, Miller C, Shybut GT. Athletes and the arts - the role of sports medicine in the performing arts. Current Sports Medicine Reports 2013. doi: 10.1249/jsr.0000000000000009
Quarrier NF. Performing arts medicine: the musical athlete. J Orthop Sports Phys Ther 1993;17(2):90-5. doi: 10.2519/jospt.1993.17.2.90
Helene T. Atletas da voz - manual para o cantor lírico. Porto Alegre: Simplíssimo; 2020. (Edição Digital).
David M. The new voice pedagogy. 2a ed. (Edição Digital). EUA: Scarecrow Press; 2008.
Salomoni S, van den Hoorn W, Hodges P. Breathing and singing: objective characterization of breathing patterns in classical singers. PLoS One 2016;11(5):1-18. doi: 10.1371/journal.pone.0155084
Leanderson R, Sundberg J, von Euler C. Breathing muscle activity and subglottal pressure dynamics in singing and speech. Journal of Voice 1987;1(3):258-61. doi: 10.1016/S0892-1997(87)80009-7
McAllister A, Sundberg J. Data on subglottal pressure and SPL at varied vocal loudness and pitch in 8 to 11 year-old children. Journal of Voice 1998;12(2):166-74. doi: 10.1016/S0892-1997(98)80036-2
Sundberg J, Elliot N, Gramming P, Nord L. Short-term variation of subglottal pressure for expressive purposes in singing and stage speech: a preliminary investigation. Journal of Voice 1993;7(3):227-34. doi: 10.1016/S0892-1997(05)80331-5
Malde M. The singer"™s breath. In: What every singer needs to know about the body. 2a ed EUA: Plural Publishing; 2013. p. 251.
Rus MM. Manual de Fisioterapia Respiratoria. 2a ed. Madrid: Ergon; 2003. 139 p.
Leanderson R, Sundberg J, von Euler C. Role of diaphragmatic activity during singing: a study of transdiaphragmatic pressures. Am Phys Soc 1987;62:259-70. doi: 10.1152/jappl.1987.62.1.259
Woodring JH, Bognar B. Muscular hypertrophy of the left diaphragmatic crus: an unusual cause of a paraspinal "mass". J Thorac Imaging 1998;13:144-5. doi: 10.1097/00005382-199804000-00010
Romani JCP, Miara N, Carradore MJK. Avaliação clínica da função dos músculos respiratórios em adultos: revisão da literatura. Cadernos da Escola de Saúde 2014;11:1-19. Disponível em: https://portaldeperiodicos.unibrasil.com.br/index.php/cadernossaude/article/view/2398
Bordoni B, Marelli F, Morabito B, Sacconi B. Manual evaluation of the diaphragm muscle. Int J Chron Obstruct Pulmon Dis 2016;11:1949-56. doi: 10.2147/copd.s111634
Cuello AF. Kinesiologia neumo cardiológica. Buenos Aires: Sijka; 1980.
Cuello AF, Aquim EE, Cuello GA. Músculos Ventilatórios - Biomotores da bomba respiratória - avaliação e tratamento. São Paulo: Andreoli; 2013. 174 p.
Rial T, Pinsach P. Ejercicios hipopresivos - mucho más que abdominales. (Edição Digital). Madri: La esfera de los libros; 2015. 3264 posições.
Bordoni B, Marelli F, Morabito B, Sacconi B. Proposal for a new manual evaluation scale for the diaphragm muscle: Manual Evaluation of the Diaphragm Scale - MED - Scale. Int J Complement Altern Med 2017;7(6):1-7. doi: 10.15406/ijcam.2017.07.00242
Banfi M. Canto e Postura. Principi posturali ed osteopatici al servizio del cantante. Itália: Simplicissimus Book Farm; 2013. 1341 posições. (Edição Digital).
Koskinen L. Mitä voice massage on? [Internet]. Voice massage. [citado 2019 Fev 12]. Disponível em: https://www.voicemassage.fi/mitae-voice-massage-on
Staes FF, Jansen L, Vilette A, Coveliers Y, Daniels K, Decoster W. Physical therapy as a means to optimize posture and voice parameters in student classical singers: a case report. Journal of Voice 2011;25(3):e91-101. doi: 10.1016/j.jvoice.2009.10.012
Sataloff RT. Professional singers: the science and art of clinical care. Am J Otolaryngol 81;2(3):251-66. doi: 10.1016/s0196-0709(81)80022-1
Johnson G, Skinner M. The demands of professional opera singing on cranio-cervical posture. Eur Spine J 2009;18:562-9. doi: 10.1007/s00586-009-0884-1
Amato RCF. Análise da ocorrência de dissincronismos tóraco-abdominais durante a execução de manobras de estratégia respiratória por cantoras líricas. In: XVIII Congresso da Associação Nacional de Pesquisa e Pós-Graduação (ANPPOM). Salvador; 2008. p. 368-71. Disponível em: https://antigo.anppom.com.br/anais/anaiscongresso_anppom_2008/posteres/POS272%20-%20Amato.pdf
Kocjan J, Mariusz A, Bozena G-Z, Damian C, Mateusz R. Network of breathing. Multifunctional role of the diaphragm: a review. Adv Respir Med 2017;85(4):224-32. doi: 10.5603/ARM.2017.0037
Cammarota G, Masala G, Cianci R, Palli D, Capaccio P, Schindler A et al. Reflux symptoms in professional opera choristers. Gastroenterology 2007;132(3):892-8. doi: 10.1053/j.gastro.2007.01.047
Silveira TLR, Pontes RB. Técnica hipopressiva para redução da linha subcostal em mulheres: artigo original [TCC]. Fortaleza: Universidade Federal do Ceará; 2019 [citado 2020 Feb 3]. Disponível em: http://repositorio.ufc.br/handle/riufc/48748
Costa Melo L, Silva MAM, Calles ACN. Obesidade e função pulmonar: uma revisão sistemática. Einstein (São Paulo) 2014;12(1):120-5. doi: 10.1590/S1679-45082014RW2691
Panizzi EA, Cordova FF, Pavan MP, Pamplona CMA, Mozerle A, Kerkoski E. Mobilidade torácica em indivíduos com peso corporal acima, no desejável e abaixo do normal. In VIII Encontro Latino Americano de Iniciação Científica e IV Encontro Latino Americano de Pós-Graduação – Universidade do Vale do Paraíba; 2004. p. 467-71. Disponível em: http://www.inicepg.univap.br/cd/INIC_2004/trabalhos/inic/pdf/IC4-65.pdf
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