Singing voice handicap and videostrobolaryngoscopy in healthy professional singers

Liliana Castelblanco, Michael Habib, Daniel J. Stein, André De Quadros, Seth M. Cohen, Jacob Pieter Noordzij

Research output: Contribution to journalArticlepeer-review

30 Scopus citations


Objectives. This study correlates the Singing Voice Handicap Index (SVHI) scores with videostrobolaryngoscopy in healthy professional singers as a measure of self-perceived vocal health versus actual pathology seen on examination. The objective was to measure the strength of self-assessment among professional singers and determine if there is a benefit of combining SVHI and videostrobolaryngoscopy for routine assessment of singers without an obvious singing voice problem. Study Design. Prospective cross-sectional study. Methods. Forty-seven singers were included in the study. Singers produced spoken and sung pitches during videostrobolaryngoscopy. Examinations were blindly rated by two independent fellowship-trained laryngologists who assessed vocal fold appearance and function. The correlation between SVHI scores and total pathologic findings seen on videostrobolaryngoscopy was analyzed using linear regression and serial t tests. Results. SVHI scores (mean of 22.45/144) were as expected for healthy singers. However, although all singers selfidentified as healthy, laryngeal abnormalities were relatively common. The interrater reliability of total pathologic findings between two laryngologists was 71% (P = 0.006). Linear regression found no significant correlation (P = 0.9602) between SVHI scores and videostrobolaryngoscopy findings. Conclusion. Greater than expected laryngeal pathology was seen in these professional singers, who identified themselves as healthy, which possibly indicates a minimal impact on their singing voice and/or perception of vocal health. These findings demonstrate that laryngeal appearance alone does not dictate nor fully explain the sound or apparent health of a professional singer. Sustaining good vocal health is complex, and even experienced singers may not reliably assess the presence of pathology.

Original languageEnglish
Pages (from-to)608-613
Number of pages6
JournalJournal of Voice
Issue number5
StatePublished - 2014
Externally publishedYes


  • Laryngoscopy
  • Professional singers
  • Singing
  • Videostrobolaryngoscopy
  • Vocal health
  • Voice
  • Voice handicap index


Dive into the research topics of 'Singing voice handicap and videostrobolaryngoscopy in healthy professional singers'. Together they form a unique fingerprint.

Cite this