The purpose of this literature review was to identify scholarship pertaining to teachers’ vocal health and to discuss implications for music teachers. The review includes studies where researchers have addressed vocal health issues for K–12 teachers of all subjects as well as issues unique to music teachers. Risk factors, measurement, and treatments for teachers’ voice disorders were also explored. Much is written about the prevalence and treatment of voice disorders in the teaching profession, but there is less information about the prevention of the disorders. More research is needed that specifically concentrates on prevention, and vocal hygiene education in teacher training programs should be increased. Education about vocal health is needed, coupled with strategies for ensuring that teachers make the connection between what they learn in vocal hygiene education and how they manage their vocal health on a daily basis.
AngelilloM.Di MaioG.CostaG.AngelilloN.BarillariU. (2009). Prevalence of occupational voice disorders in teachers. Journal of Preventive Medicine and Hygiene, 50(1), 26–32.
BakerV. D.CohenN. (2017). University vocal training and vocal health of music educators and music therapists. Update: Applications of Research in Music Education, 35(3), 46–54. https://doi.org/10.1177/8755123316638517
5.
BartlettI.WilsonP. H. (2017). Working 9–5: Causal relationships between singers’ “day jobs” and their performance work, with implications for vocal health. Journal of Voice, 31(2), e27–e34. https://doi-org.umiss.idm.oclc.org/10.1016/j.jvoice.2016.04.003
6.
BeemanS. A. (2017). Perceptions of voice teachers regarding students’ vocal behaviors during singing and speaking. Journal of Voice, 31(1), 111.e19–111.e28. https://doi.org/10.1016/j.jvoice.2016.02.007
7.
BernstorfE. D.BurkK. W. (1996). Vocal integrity of elementary vocal music teachers: Personal and environmental factors. Journal of Research in Music Education, 44(4), 369–383. https://doi.org/10.2307/3345448
8.
BovoR.GalceranM.PetruccelliJ.HatzopoulosS. (2007). Vocal problems among teachers: Evaluation of a preventive voice program. Journal of Voice, 21(6), 705–722. https://doi.org/10.1016/j.jvoice.2006.07.002
9.
BrunkanM. C. (2018). Preservice music teacher voice use, vocal health, and voice function before and during student teaching. Journal of Music Teacher Education, 27(3), 80–93. https://doi.org/10.1177/1057083717741216
10.
ChenS.ChiangS.ChungY.HsiaoL.HsiaoT. (2010). Risk factors and effects of voice problems for teachers. Journal of Voice, 24(2), 183–190.
11.
CutivaL. C.BurdorfA. (2015). Effects of noise and acoustics in schools on vocal health in teachers. Noise & Health, 17(74), 17–22. https://doi.org/10.4103/1463-1741.149569
12.
Da CostaV.PradaE.RobertsA.CohenS. (2012). Voice disorders in primary school teachers and barriers to care. Journal of Voice, 26(1), 69–76. https://doi.org/10.1016/j.jvoice.2010.09.001
13.
DavisA. P. (1998). Performance achievement and analysis of teaching during choral rehearsals. Journal of Research in Music Education, 46(4), 496–509. https://doi.org/10.2307/3345346
14.
DuffyO. M.HazlettD. E. (2004). The impact of preventive voice care programs for training teachers: A longitudinal study. Journal of Voice, 18(1), 63–70. https://doi.org/10.1016/S0892-1997(03)00088-2
GassullC.GodallP.PoliniE.AmadorM.CasanovaC. (2020). Effects of a voice training program on acoustics, vocal use, and perceptual voice parameters in Catalan teachers. Folia Phoniatrica et Logopaedica: International Journal of Phoniatrics, Speech Therapy and Communication Pathology, 72(6), 411–418. https://doi.org/10.1159/000502766
17.
Gillivan-MurphyP.DrinnanM. J.O’DwyerT. P.RidhaH.CardingP. (2006). The effectiveness of a voice treatment approach for teachers with self–reported voice problems. Journal of Voice, 20(3), 423–431. https://doi.org/10.1016/j.jvoice.2010.02.003
18.
GilmanM.MeratiA. L.KleinA. M.HapnerE. R.JohnsM. M. (2009). Performer’s attitudes toward seeking health care for voice issues: Understanding the barriers. Journal of Voice, 23, 225–228. https://doi.org/10.1016/j.jvoice.2007.08.003
19.
HackworthR. S. (2006). Preservice music teachers’ perceptions of vocal hygiene: Findings from a national survey. Journal of Music Teacher Education, 16(1), 20–31.
20.
HackworthR. S. (2007). The effect of vocal hygiene and behavior modification instruction on the self–reported vocal health habits of public school music teachers. International Journal of Music Education, 25(1), 21–31. https://doi.org/10.1177/0255761407074889
21.
HackworthR. S. (2009). Vocal hygiene perceptions of experienced and preservice music teachers. Journal of Music Teacher Education, 18(2), 74–88.
22.
HackworthR. S. (2010). The effect of teaching experience and specialty (vocal or instrumental) on vocal health ratings of music teachers. Update: Applications of Research in Music Education, 28(2), 13–19.
Herrington-HallB. L.LeeL.StempleJ. C.NiemiK. R.McHoneM. M. (1988). Description of laryngeal pathologies by age, sex, and occupation in a treatment–seeking sample. Journal of Speech and Hearing Disorders, 53(1), 57–64.
25.
HunterE. J.Cantor-CutivaL. C.van LeerE.van MersbergenM. (2020). Toward a consensus description of vocal effort, vocal load, vocal loading, and vocal fatigue. Journal of Speech, Language, and Hearing Research, 63(2), 509–532. https://doi.org/10.1044/2019_JSLHR-19-00057
26.
HunterE. J.TitzeI. R. (2010). Variations in intensity, fundamental frequency, and voicing for teachers in occupational versus nonoccupational settings. Journal of Speech, Language, and Hearing Research, 53(4), 862–875. https://doi.org/10.1044/1092-4388(2009/09-0040
27.
JacobsonB. H.JohnsonA.GrywalskiC.SilbergleitA.JacobsonG.BenningerM. S.NewmanC. W. (1997). The voice handicap index (VHI): Development and validation. American Journal of Speech–Language Pathology, 6(3), 66–70. https://doi.org/10.1044/1058-0360.0603.66
28.
KooijmanP. G. C.ThomasG.GraamansK.de JongP. I. C. R. S. (2007). Psychosocial impact of the teacher’s voice throughout the career. Journal of Voice, 21(3), 316–324. https://doi.org/10.1016/j.jvoice.2005.12.007
29.
LaPineP. R. (2008). The relationship between the physical aspects of voice production and optimal vocal health. Music Educators Journal, 94(3), 24–29. https://doi.org/10.1177/002743210809400306
30.
LawrenceV. L. (1983). Vocal problems of the professional user of voice. Seminars in Speech and Language, 4, 233–243.
31.
LeaoS. H.OatesJ. M.PurdyS. C.ScottD.MortonR. P. (2015). Voice problems in New Zealand teachers: A national survey. Journal of Voice, 29(5), 645.e1–645.e13.
32.
LópezJ. M.CatenaA.MontesA.CastilloM. E. (2017). Effectiveness of a short voice training program for teachers: A preliminary study. Journal of Voice, 31(6), 697–706. https://doi.org/10.1016/j.jvoice.2017.01.017
33.
ManfrediC.DejonckereP. H. (2016). Voice dosimetry and monitoring, with emphasis on professional voice diseases: Critical review and framework for future research. Logopedics, Phoniatrics, Vocology, 41(2), 49–65.
34.
ManternachJ. N. (2015). Voice use and self–reported voice health of preservice music educators. Journal of Music Teacher Education, 24(3), 53–66. https://doi.org/10.1177/1057083714525176
35.
ManternachJ. N.SchlonegerM. J. (2021). Vocal dose of preservice music therapists, preservice music teachers, and other undergraduate students. Journal of Voice, 35(2), 328.e1–328.e10. https://doi.org/10.1016/j.jvoice.2019.09.008
36.
MartinS.DarnleyL. (2004). The teaching voice (2nd ed.). Whurr Publishers.
37.
MattiskeJ. A.OatesJ. M.GreenwoodK. M. (1998). Vocal problems among teachers: A review of prevalence, causes, prevention, and treatment. Journal of Voice, 12, 489–499. https://doi.org/10.1016/S0892-1997(98)80058-1
38.
MorrowS. L.ConnorN. P. (2011). Comparison of voice–use profiles between elementary classroom and music teachers. Journal of Voice, 25(3), 367–372. https://doi.org/10.1016/j.jvoice.2009.11.006
39.
MunierC.FarrellR. (2016). Working conditions and workplace barriers to vocal health in primary school teachers. Journal of Voice, 30(1), 127.e31–127.e41.
40.
MunierC.KinsellaR. (2008). The prevalence and impact of voice problems in primary school teachers. Occupational Medicine, 58(1), 74–76.
41.
MurryT.RosenC. A. (2000). Outcome measurements and quality of life in voice disorders. Otolaryngologic Clinics of North America, 33(4), 905–916.
Niebudek-BoguszE.Śliwińska-KowalskaM. (2013). An overview of occupational voice disorders in Poland. International Journal of Occupational Medicine and Environmental Health, 26(5), 659–669. https://doi-org.umiss.idm.oclc.org/10.2478/s13382-013-0146-7
OhlssonA.AnderssonE. M.SöderstenM.SimbergS.ClaessonS.BarregårdL. (2015). Voice disorders in teacher students—A prospective study and a randomized controlled trial. Journal of Voice, 30(6), 755.e13–755.e24. https://doi.org/10.1016/j.jvoice.2015.09.004
46.
OhlssonA.Demitz-HelinG.FuruA.HällgrenI.KarjalainenS. (2021). Potential risk factors and prevalence of voice symptoms in students starting their teacher education. Journal of Voice, 35(2), 323.e1–323.e8. https://doi.org/10.1016/j.jvoice.2019.08.008
47.
PasaG.OatesJ.DacakisG. (2007). The relative effectiveness of vocal hygiene training and vocal function exercises in preventing voice disorders in primary school teachers. Logopedics, Phoniatrics, Vocology, 32(3), 128–140.
RosenC. A.MurryT.ZinnA.ZulloT.SonbolianM. (2000). Voice handicap index change following treatment of voice disorders. Journal of Voice, 14(4), 619–623. https://doi.org/10.1016/s0892-1997(00)80017-x
50.
RoyN.GrayS. D.SimonM.DoveH.Corbin-LewisK.StempleJ. C. (2001). An evaluation of the effects of two treatment approaches for teachers with voice disorders: A prospective randomized clinical trial. Journal of Speech, Language, and Hearing Research, 44(2), 286–296. https://doi.org/10.1044/1092-4388(2001/023)
51.
RoyN.MerrillR. M.ThibeaultS.GrayS. D.SmithE. M. (2004). Voice disorders in teachers and the general population: Effects on work performance, attendance, and future career choices. Journal of Speech, Language, and Hearing Research, 47(3), 542–551.
52.
RoyN.MerrillR. M.ThibeaultS.ParsaR. A.GrayS. D.SmithE. M. (2004). Prevalence of voice disorders in teachers and the general population. Journal of Speech, Language, and Hearing Research, 47(2), 281–293.
53.
RoyN.WeinrichB.GrayS. D.TannerK.StempleJ. C.SapienzaC. M. (2003). Three treatments for teachers with voice disorders: A randomized clinical trial. Journal of Speech, Language, and Hearing Research, 46(3), 670–688. https://doi.org/10.1044/1092-4388(2003/053)
54.
RoyN.WeinrichB.GrayS. D.TannerK.ToledoS. W.DoveH.Corbin–LewisK.StempleJ. C. (2002). Voice amplification versus vocal hygiene instruction for teachers with voice disorders: A treatment outcomes study. Journal of Speech, Language, and Hearing Research, 45(4), 625–638. https://doi.org/10.1044/1092-4388(2002/050)
55.
RussellA.OatesJ.GreenwoodK. M. (1998). Prevalence of voice problems in teachers. Journal of Voice, 12(4), 467–479.
56.
SabolJ.LeeL.StempleJ. (1995). The value of vocal function exercises in the practice regimen of singers. Journal of Voice, 9(1), 27–36. https://doi.org/10.1016/S0892-1997(05)80220-6
57.
SapirS.KeidarA.Mathers-SchmidtB. (1993). Vocal attrition in teachers: Survey findings. International Journal of Language & Communication Disorders, 28(2), 177–185.
58.
SataloffR. T. (1991). Professional voice: The science and art of clinical care. Raven Press.
59.
SchwartzS. (2013). Predictors of choral directors’ voice handicap. Contributions to Music Education, 39, 117–131. www.jstor.org/stable/24127248
60.
SchwartzS. M. (2009). Voice range profiles of middle school and high school choral directors. Journal of Research in Music Education, 56(4), 293–309. https://doi.org/10.1177/0022429408328670
61.
SimbergS. (2004). A comparison of the prevalence of vocal symptoms among teacher students and other university students. Journal of Voice, 18(3), 363–368. https://doi.org/10.1016/j.jvoice.2003.12.005
62.
SimbergS.SalaE.VehmasK.LaineA. (2005). Changes in the prevalence of vocal symptoms among teachers during a twelve year period. Journal of Voice, 19(1), 95–102.
63.
SmithE.GrayS. D.DoveH.KirchnerL.HerasH. (1997). Frequency and effects of teachers’ voice problems. Journal of Voice, 11(1), 81–87.
64.
SmithE.LemkeJ.TaylorM.KirchnerH. L.HoffmanH. (1998). Frequency of voice problems among teachers and other occupations. Journal of Voice, 12(4), 480–488.
65.
StempleJ. C.LeeL.D’AmicoB.PickupB. (1994). Efficacy of vocal function exercises as a method of improving voice production. Journal of Voice, 8(3), 271–278. https://doi.org/10.1016/S0892-1997(05)80299-1
66.
StempleJ. C.GlazeL. E.KlabenB. (2000). Clinical voice pathology: Theory and management (3rd ed.) Singular Pub. Group.
ThibeaultS. L.MerrillR. M.RoyN.GrayS. D.SmithE. M. (2004). Occupational risk factors associated with voice disorders among teachers. Annals of Epidemiology, 14(10), 786–792. https://doi.org/10.1016/j.annepidem.2004.03.004
69.
ThomasG.de JongF. I. C. R. S.CremersW. R. J.KooijmanP. G. C. (2006). Prevalence of voice complaints, risk factors and impact of voice problems in female student teachers. Folia Phoniatrica et Logopaedica, 58(2), 65–84. https://doi.org/10.1016/j.jvoice.2005.12.003
70.
ThomasG.KooijmanP. C. G.CremersC. W. R. J.De JongF. I. C. R. S. (2006). A comparative study of voice complaints and risk factors for voice complaints in female student teachers and practicing teachers early in their career. European Archives of Otorhinolaryngology, 263(4), 370–380. https://doi.org/10.1007/s00405-005-1010-6
71.
TimmermansB.De BodtM. S.WuytsF. L.BoudewijnsA.ClementG.PeetersA.Van de HeyningP. H. (2002). Poor voice quality in future elite vocal performers and professional voice users. Journal of Voice, 16(3), 372–382. https://doi.org/10.1016/s0892-1997(02)00108-x
72.
TitzeI. R.LemkeJ.MontequinD. (1997). Populations in the US workforce who rely on voice as a primary tool of trade: A preliminary report. Journal of Voice, 11, 254–259.
73.
Van HoutteE.ClaeysS.WuytsF.Van LierdeK. (2010). The impact of voice disorders among teachers: Vocal complaints, treatment–seeking behavior, knowledge of voice care, and voice–related absenteeism. Journal of Voice, 25(5), 570–575. https://doi.org/10.1016/j.jvoice.2010.04.008
74.
VerdoliniK. (2004). Voice therapy for professional voice users. In KentR. D. (Ed.), The MIT encyclopedia of communication disorders (pp. 95–98). The MIT Press.
75.
VilkmanE. (2000). Voice problems at work: A challenge for occupational safety and health arrangement. Folia Phoniatrica Et Logopaedica, 52(1–3), 120–125.
76.
VilkmanE. (2004). Occupational safety and health aspects of voice and speech professions. Folia Phoniatrica Et Logopaedica, 56(4), 220–253.
77.
VincentL. S. (2008). The effects of amplification and selected vocal exercises on the perceived vocal health of elementary music educators (Order No. 3326829). ProQuest Dissertations & Theses A&I. (304548400). https://digital.library.unt.edu/ark:/67531/metadc6041/m2/
78.
WilliamsN. R. (2003). Occupational groups at risk of voice disorders: A review of the literature. Occupational Medicine, 53(7), 456–460. https://doi.org/10.1093/occmed/kqs167
79.
WingateJ. M.BrownW. S.ShrivastavR.DavenportP.SapienzaC. M. (2007). Treatment outcomes for professional voice users. Journal of Voice, 21(4), 433–449. https://doi.org/10.1016/j.jvoice.2006.01.001
80.
YiuE. M. (2002). Impact and prevention of voice problems in the teaching profession: Embracing the consumers’ view. Journal of Voice, 16(2), 215–229. https://doi.org/10.1016/S0892-1997(02)00091-7
