That breath is at the foundation of voicing and singing is hardly an argument that needs to be made. Disorders of breathing pattern can lead to a myriad of problems in the upper airway including, induced laryngeal obstruction, cough, dysphonia and dysphagia. Breathing pattern disorders including biomechanical deficiencies (pattern, strength, weaknesses, imbalances), physiological/biomechcanical (breath stacking, hyperventilation etc) and psychosocial factors (emotional components of breathing), have been studied extensively in professional athletes, but this has yet to be applied to vocal athletes and may not be part of a standard clinical voice assessment. Given the correct tools, clinicians can assess breathing patterns using low-tech equipment and questionnaires in order to inform clinical decision making and maximize functional outcomes.

Methods: In this presentation, we will explore the tools used in respiratory physiotherapy to assess breathing pattern disorders including Nijmegen Questionnaire, Hi/Lo Test, hip drop (core stability when standing), spO2 at rest, during stationary singing and during staged singing (ie. movement on stage), breath hold times (assess CO2 tolerance), Modified Manual Assessment of Respiratory Motion (rib cage mobility) and maximal inspiratory/expiratory pressures. Following the review and demonstration, participants will have the chance to practice using these hands-on assessment tools on each other. A handout will be given for the purpose of application outside of the workshop.

Results/Conclusions: Participants will have a better understanding of how to assess breathing pattern disorders among their vocal athletes, therefore informing their own treatment and referal decisions.

Dr. Rachel B. Goldenberg, DMA, MClSc, CCC-SLP (C), PAVA-RV