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Vocal Health Risk Factors in Sports Occupational Voice Users

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Voice Disorders in Athletes, Coaches and other Sports Professionals

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Abstract

The fitness industry, like other occupational industries with high voice demand, increases the risk of voice disorders among its occupational voice users. Athletes, coaches, and fitness instructors, often referred to as sports occupational voice users (SOVU), are exposed routinely during training and competitive events to environmental risk factors. Exposure to outdoor and/or indoor airborne allergens results in upper respiratory symptoms that may cause structural or functional laryngeal disorders. Similarly, noise is a significant threat to voice that may lead to compensatory phonotraumatic behavior. Other significant environment-related risk factors include high altitude and extreme temperatures. Equally important to environment-related risk factors are individual-related risk factors. Voice education/health awareness in SOVU is limited. Dehydration is very common in endurance athletes, and comorbidities such as asthma and gastroesophageal/laryngopharyngeal reflux diseases are major threats to voice, but most SOVU are unaware of their importance.

This chapter reviews the risk factors for voice disorders in SOVU. Analyzing these risk factors is crucial in understanding why athletes, coaches, fitness instructors, and announcers develop voice disorders. This information is useful in defining and implementing preventive measures that help avoid sports-related phonatory disturbances.

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References

  1. Rumbach AF, Maddox M, Hull M, Khidr A. Laryngeal symptoms in weightlifting athletes. J Voice. 2020;34(6):964.

    Article  PubMed  Google Scholar 

  2. Paluska SA, Lansford CD. Laryngeal trauma in sport. Curr Sports Med Rep. 2008;7(1):16–21.

    Article  PubMed  Google Scholar 

  3. Marcinow AM, Thompson J, Chiang T, Forrest LA, de Silva BW. Paradoxical vocal fold motion disorder in the elite athlete: experience at a Large Division I University. Laryngoscope. 2014;124(6):1425–30.

    Article  PubMed  Google Scholar 

  4. O’Neill J, McMenamin R. Voice use in professional soccer management. Logoped Phoniatr Vocol. 2014;39(4):169–78.

    Article  PubMed  Google Scholar 

  5. Gould D, Greenleaf C, Guinan D, Chung Y. A survey of US Olympic coaches: variables perceived to have influenced athlete performances and coach effectiveness. Sport Psychol. 2002;16(3):229–50.

    Article  Google Scholar 

  6. Fontan L, Fraval M, Michon A, Déjean S, Welby-Gieusse M. Vocal problems in sports and fitness instructors: a study of prevalence, risk factors, and need for prevention in France. J Voice. 2017;31(2):261.e33–8.

    Article  Google Scholar 

  7. Rumbach A, Khan A, Brown M, Eloff K, Poetschke A. Voice problems in the fitness industry: factors associated with chronic hoarseness. Int J Speech Lang Pathol. 2015;17(5):441–50.

    Article  PubMed  Google Scholar 

  8. Long J, Williford HN, Olson MS, Wolfe V. Voice problems and risk factors among aerobics instructors. J Voice. 1998;12(2):197–207.

    Article  CAS  PubMed  Google Scholar 

  9. Rumbach AF. Voice problems of group fitness instructors: diagnosis, treatment, perceived and experienced attitudes and expectations of the industry. J Voice. 2013;27(6):786.e1–9.

    Article  Google Scholar 

  10. Buckley KL, O’Halloran PD, Oates JM. Occupational vocal health of elite sports coaches: an exploratory pilot study of football coaches. J Voice. 2015;29(4):476–83.

    Article  PubMed  Google Scholar 

  11. Fellman D, Simberg S. Prevalence and risk factors for voice problems among soccer coaches. J Voice. 2017;31(1):121.e9–15.

    Article  CAS  Google Scholar 

  12. Heidel SE, Torgerson JK. Vocal problems among aerobic instructors and aerobic participants. J Commun Disord. 1993;26(3):179–91.

    Article  CAS  PubMed  Google Scholar 

  13. Pany S, Panigrahi SK, Rao EV, Patnaik L, Sahu T. Anabolic androgenic steroid abuse and their health impacts: a cross-sectional study among body builders in a city of Eastern India. Int J Prev Med. 2019;10:178.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Leppanen K, Ilomaki I, Laukkanen AM. One-year follow-up study of self-evaluated effects of voice massage, voice training, and voice hygiene lecture in female teachers. Logoped Phoniatr Vocol. 2010;35:13–8.

    Article  PubMed  Google Scholar 

  15. Porcaro CK, Howery S, Suhandron A, Gollery T, et al. Impact of vocal hygiene training on teachers’ willingness to change vocal behaviors. J Voice. 2019; S0892-1997(19)30427-8.

    Google Scholar 

  16. Logan-Sprenger HM. Fluid balance and thermoregulatory responses of competitive triathletes. J Therm Biol. 2019;79:69–72.

    Article  PubMed  Google Scholar 

  17. Judelson DA, Maresh CM, Anderson JM, et al. Hydration and muscular performance. Sports Med. 2007;37(10):907–21.

    Article  PubMed  Google Scholar 

  18. Barley OR, Chapman DW, Blazevich AJ, Abbiss CR. Acute dehydration impairs endurance without modulating neuromuscular function. Front Physiol. 2018;9:1562.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Costa RJ, Hoffman MD, Stellingwerff T. Considerations for ultra-endurance activities: part 1-nutrition. Res Sports Med. 2019;27(2):166–81.

    Article  PubMed  Google Scholar 

  20. Barnes KA, Anderson ML, Stofan JR, et al. Normative data for sweating rate, sweat sodium concentration, and sweat sodium loss in athletes: an update and analysis by sport. J Sports Sci. 2019;37(20):2356–66.

    Article  PubMed  Google Scholar 

  21. Sekiguchi Y, Adams WM, Curtis RM, Benjamin CL, Casa DJ. Factors influencing hydration status during a National Collegiate Athletics Association Division 1 Soccer Preseason. J Sci Med Sport. 2019;22(6):624–8.

    Article  PubMed  Google Scholar 

  22. Love TD, Baker DF, Healey P, Black KE. Measured and perceived indices of fluid balance in professional athletes. The use and impact of hydration assessment strategies. Eur J Sport Sci. 2018;18(3):349–56.

    Article  CAS  PubMed  Google Scholar 

  23. Jones LC, Cleary MA, Lopez RM, Zuri RE, Lopez R. Active dehydration impairs upper and lower body anaerobic muscular power. J Strength Cond Res. 2008;22(2):455–63.

    Article  PubMed  Google Scholar 

  24. Kovacs MS. A review of fluid and hydration in competitive tennis. Int J Sports Physiol Perform. 2008;3(4):413–23.

    Article  PubMed  Google Scholar 

  25. Riebl SK, Davy BM. The hydration equation: update on water balance and cognitive performance. ACSMs Health Fit J. 2013;17(6):21–8.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Chan RW, Tayama N. Biomechanical effects of hydration in vocal fold tissues. Otolaryngol Head Neck Surg. 2002;126(5):528–37.

    Article  PubMed  Google Scholar 

  27. Verdolini K, Titze IR, Fennel A. Dependence of phonatory effort on hydration level. J Speech Hear Res. 1994;37(5):1001–7.

    Article  CAS  PubMed  Google Scholar 

  28. Verdolini-Marston K, Sandage M, Titze I. Effect of hydration treatment on laryngeal nodules and polyps and related voice measures. J Voice. 1994;8:30–47.

    Article  CAS  PubMed  Google Scholar 

  29. Solomon NP, DiMattia MS. Effects of a vocally fatiguing task and systemic hydration on phonation threshold pressure. J Voice. 2000;14(3):341–62.

    Article  CAS  PubMed  Google Scholar 

  30. Solomon NP, Glaze LE, Arnold RR, van Mersbergen M. Effects of a vocally fatiguing task and systemic hydration on men’s voices. J Voice. 2003;17(1):31–46.

    Article  PubMed  Google Scholar 

  31. Fisher KV, Ligon J, Sobecks JL, Roxe DM. Phonatory effects of body fluid removal. J Speech Lang Hear Res. 2001;44(2):354–67.

    Article  CAS  PubMed  Google Scholar 

  32. Hamdan AL, Sibai A, Rameh C. Effect of fasting on voice in women. J Voice. 2007;21(4):495–501.

    Article  PubMed  Google Scholar 

  33. Hamdan AL, Ashkar J, Sibai A, Oubari D, Husseini ST. Effect of fasting on voice in males. Am J Otolaryngol. 2011;32(2):124–9.

    Article  PubMed  Google Scholar 

  34. Akinbami LJ, Rossen LM, Fakhouri TH, Fryar CD. Asthma prevalence trends by weight status among US children aged 2–19 years, 1988–2014. Pediatr Obes. 2018;13(6):393–6.

    Article  CAS  PubMed  Google Scholar 

  35. Gleeson M, Pyne DB. Respiratory inflammation and infections in high-performance athletes. Immunol Cell Biol. 2016;94(2):124–31.

    Article  CAS  PubMed  Google Scholar 

  36. Bonini M, Gramiccioni C, Fioretti D, et al. Asthma, allergy and the Olympics: a 12-year survey in elite athletes. Curr Opin Allergy Clin Immunol. 2015;15(2):184–92.

    Article  CAS  PubMed  Google Scholar 

  37. Lund TK. Asthma in elite athletes: how do we manage asthma-like symptoms and asthma in elite athletes? Clin Respir J. 2009;3(2):123.

    Article  PubMed  Google Scholar 

  38. Lennelöv E, Irewall T, Naumburg E, Lindberg A, Stenfors N. The prevalence of asthma and respiratory symptoms among cross-country skiers in early adolescence. Can Respir J. 2019;2019:1514353.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Boulet LP, Turmel J, Irwin RS, et al. Cough in the athlete: CHEST guideline and expert panel report. Chest. 2017;151(2):441–54.

    Article  PubMed  Google Scholar 

  40. Fields KB, Thekkekandam TJ, Neal S. Wheezing after respiratory tract infection in athletes. Curr Sports Med Rep. 2012;11(2):85–9.

    Article  PubMed  Google Scholar 

  41. Colbey C, Cox AJ, Pyne DB, Zhang P, Cripps AW, West NP. Upper respiratory symptoms, gut health and mucosal immunity in athletes. Sports Med. 2018;48(1):65–77.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Hamdan AL. Laryngeal manifestations of respiratory disorders. In: Hamdan AL, Sataloff RT, Hawkshaw MJ. Laryngeal manifestations of systemic diseases. San Diego: Plural Publishing; 2018. p. 159–82.

    Google Scholar 

  43. Waterman JJ, Kapur R. Upper gastrointestinal issues in athletes. Curr Sports Med Rep. 2012;11(2):99–104.

    Article  PubMed  Google Scholar 

  44. Hoffman MD. Performance trends in 161-km ultramarathons. Int J Sports Med. 2010;31(01):31–7.

    Article  CAS  PubMed  Google Scholar 

  45. Paluska SA. Current concepts: recognition and management of common activity-related gastrointestinal disorders. Phys Sports Med. 2009;37(1):54–63.

    Article  Google Scholar 

  46. Simons SM, Kennedy RG. Gastrointestinal problems in runners. Curr Sports Med Rep. 2004;3(2):112–6.

    Article  PubMed  Google Scholar 

  47. Leggit JC. Evaluation and treatment of GERD and upper GI complaints in athletes. Curr Sports Med Rep. 2011;10(2):109–14.

    Article  PubMed  Google Scholar 

  48. Singh AM, McGregor RS. Differential diagnosis of chest symptoms in the athlete. Clin Rev Allergy Immunol. 2005;29(2):87–96.

    Article  PubMed  Google Scholar 

  49. Khodaee M, Ansari M. Common ultramarathon injuries and illnesses: race day management. Curr Sports Med Rep. 2012;11(6):290–7.

    Article  PubMed  Google Scholar 

  50. Collings KL, Pratt PF, Rodriguez-Stanley S, Bemben M, Miner PB. Esophageal reflux in conditioned runners, cyclists, and weightlifters. Med Sci Sports Exerc. 2003;35(5):730–5.

    Article  PubMed  Google Scholar 

  51. Jozkow P, Wasko-Czopnik D, Dunajska K, Medras M, Paradowski L. The relationship between gastroesophageal reflux disease and the level of physical activity. Swiss Med Wkly. 2007;137(3334):465–70.

    PubMed  Google Scholar 

  52. Jozkow P, Wasko-Czopnik D, Medras M, Paradowski L. Gastroesophageal reflux disease and physical activity. Sports Med. 2006;36(5):385–91.

    Article  PubMed  Google Scholar 

  53. Bitnar P, Stovicek J, Andel R, et al. Leg raise increases pressure in lower and upper esophageal sphincter among patients with gastroesophageal reflux disease. J Bodyw Mov Ther. 2016;20(3):518–24.

    Article  CAS  PubMed  Google Scholar 

  54. Ravi N, Stuart RC, Byrne PJ, Reynolds JV. Effect of physical exercise on esophageal motility in patients with esophageal disease. Dis Esophagus. 2005;18(6):374–7.

    Article  CAS  PubMed  Google Scholar 

  55. van Nieuwenhoven MA, Brouns F, Brummer RJ. Gastrointestinal profile of symptomatic athletes at rest and during physical exercise. Eur J Appl Physiol. 2004;91(4):429–34.

    Article  PubMed  CAS  Google Scholar 

  56. Jaspersen D, Kulig M, Labenz J, et al. Prevalence of extraesophageal manifestations in gastro-esophageal reflux disease: an analysis based on the ProGERD study. Aliment Pharmacol Ther. 2003;17(12):1515–20.

    Article  CAS  PubMed  Google Scholar 

  57. Koufman JA. Laryngopharyngeal reflux 2002: a new paradigm of airway disease. Ear Nose Throat J. 2002;81(9 Suppl 2):2–6.

    PubMed  Google Scholar 

  58. Koufman JA. Laryngopharyngeal reflux is different from classic gastroesophageal reflux disease. Ear Nose Throat J. 2002;81(9 Suppl 2):7–9.

    PubMed  Google Scholar 

  59. Sataloff RT, Castell DO, Katz PO, Sataloff DM, Hawkshaw MJ. Reflux and other gastroenterologic conditions that may affect the voice. In: Sataloff RT. Professional voice: the science and art of clinical care. 4th ed. San Diego: Plural Publishing; 2017. p. 907–98.

    Google Scholar 

  60. Lechien JR, Saussez S, Harmegnies B, Finck C, Burns JA. Laryngopharyngeal reflux and voice disorders: a multifactorial model of etiology and pathophysiology. J Voice. 2017;31(6):733–52.

    Article  PubMed  Google Scholar 

  61. Del Giacco SR, Carlsen KH, Du Toit G. Allergy and sports in children. Pediatr Allergy Immunol. 2012;23(1):11–20.

    Article  PubMed  Google Scholar 

  62. Bonini M, Braido F, Baiardini I, et al. AQUA©: allergy questionnaire for athletes. Development and validation. Med Sci Sports Exerc. 2009;41(5):1034–41.

    Article  PubMed  Google Scholar 

  63. Kurowski M, Jurczyk J, Krysztofiak H, Kowalski ML. Exercise-induced respiratory symptoms and allergy in elite athletes: allergy and asthma in polish Olympic athletes (A2POLO) project within GA2LEN initiative. Clin Respir J. 2016;10(2):231–8.

    Article  PubMed  Google Scholar 

  64. Surda P, Putala M, Siarnik P, Walker A, Bernic A, Fokkens W. Rhinitis and its impact on quality of life in swimmers. Allergy. 2018;73(5):1022–31.

    Article  CAS  PubMed  Google Scholar 

  65. Grace M, Hunt D, Hourihane JO. The prevalence of grass pollen-related allergic rhinoconjunctivitis in Elite Amateur Irish Athletes. Ir Med J. 2016;109(8):448.

    CAS  PubMed  Google Scholar 

  66. Bougault V, Drouard F, Legall F, Dupont G, Wallaert B. Allergies and exercise-induced bronchoconstriction in a youth academy and reserve professional soccer team. Clin J Sport Med. 2017;27(5):450–6.

    Article  PubMed  Google Scholar 

  67. Alves A, Martins C, Delgado L, Fonseca J, Moreira A. Exercise-induced rhinitis in competitive swimmers. Am J Rhinol Allergy. 2010;24(5):e114–7.

    Article  PubMed  Google Scholar 

  68. Perrotta F, Simeon V, Bonini M, et al. Evaluation of allergic diseases, symptom control, and relation to infections in a Group of Italian Elite Mountain Bikers. Clin J Sport Med. 2020;30(5):465–9.

    PubMed  Google Scholar 

  69. Robson-Ansley P, Howatson G, Tallent J, et al. Prevalence of allergy and upper respiratory tract symptoms in runners of the London marathon. Med Sci Sports Exerc. 2012;44(6):999–1004.

    Article  PubMed  Google Scholar 

  70. Teixeira RN, dos Santos Leite G, Bonini M, et al. Atopy in elite endurance athletes. Clin J Sport Med. 2018;28(3):268–71.

    Article  PubMed  Google Scholar 

  71. Lin S, Lawrence WR, Lin Z, Francois M, Neamtiu IA, Lin Q, Csobod E, Gurzau ES. Teacher respiratory health symptoms in relation to school and home environment. Int Arch Occup Environ Health. 2017;90(8):725–39.

    Article  CAS  PubMed  Google Scholar 

  72. Ohlsson AC, Andersson EM, Södersten M, Simberg S, Barregård L. Prevalence of voice symptoms and risk factors in teacher students. J Voice. 2012;26(5):629–34.

    Article  PubMed  Google Scholar 

  73. Ebert CS, Pillsbury HC. Epidemiology of allergy. Otolaryngol Clin North Am. 2011;44(3):537–48.

    Article  PubMed  Google Scholar 

  74. Walker AC, Surda P, Rossiter M, Little SA. Nasal disease and quality of life in athletes. J Laryngol Otol. 2018;132(9):812–5.

    Article  CAS  PubMed  Google Scholar 

  75. Salem L, Dao VA, Shah-Hosseini K, Mester J, Mösges R, Vent J. Impaired sports performance of athletes suffering from pollen-induced allergic rhinitis: a cross-sectional, observational survey in German athletes. J Sports Med Phys Fitness. 2019;59(4):686–92.

    Article  PubMed  Google Scholar 

  76. Tokodi M, Csábi E, Kiricsi Á, et al. The effect of nasal provocation with a single-dose allergen on the physical and cognitive performance of patients with ragweed allergy. Physiol Int. 2017;104(4):334–43.

    Article  CAS  PubMed  Google Scholar 

  77. Krouse JH, Altman KW. Rhinogenic laryngitis, cough, and the unified airway. Otolaryngol Clin North Am. 2010;43(1):111–21.

    Article  PubMed  Google Scholar 

  78. Simberg S, Sala E, Tuomainen J, Rönnemaa AM. Vocal symptoms and allergy–a pilot study. J Voice. 2009;23(1):136–9.

    Article  PubMed  Google Scholar 

  79. Randhawa PS, Nouraei S, Mansuri S, Rubin JS. Allergic laryngitis as a cause of dysphonia: a preliminary report. Logoped Phoniatr Vocol. 2010;35(4):169–74.

    Article  PubMed  Google Scholar 

  80. Turley R, Cohen SM, Becker A, Ebert CS Jr. Role of rhinitis in laryngitis: another dimension of the unified airway. Ann Otol Rhinol Laryngol. 2011;120(8):505–10.

    Article  PubMed  Google Scholar 

  81. Hamdan AL, Sibai A, Youssef M, Deeb R, Zaitoun F. The use of a screening questionnaire to determine the incidence of allergic rhinitis in singers with dysphonia. Arch Otolaryngol Head Neck Surg. 2006;132(5):547–9.

    Article  PubMed  Google Scholar 

  82. Altman KW, Atkinson C, Lazarus C. Current and emerging concepts in muscle tension dysphonia: a 30-month review. J Voice. 2005;19(2):261–7.

    Article  PubMed  Google Scholar 

  83. Brook CD, Platt MP, Reese S, Noordzij JP. Utility of allergy testing in patients with chronic laryngopharyngeal symptoms: is it allergic laryngitis? Otolaryngol Head Neck Surg. 2016;154(1):41–5.

    Article  PubMed  Google Scholar 

  84. Grossman J. One airway, one disease. Chest. 1997;111(2):11S–6S.

    Article  CAS  PubMed  Google Scholar 

  85. Dworkin-Valenti JP, Sugihara E, Stern N, Naumann I, Bathula S, Amjad E. Laryngeal inflammation. Ann Otol Rhinol. 2015;2:1058–66.

    Google Scholar 

  86. Roth DF, Abbott KV, Carroll TL, Ferguson BJ. Evidence for primary laryngeal inhalant allergy: a randomized, double-blinded crossover study. Int Forum Allergy Rhinol. 2013;3(1):10–8.

    Article  PubMed  Google Scholar 

  87. Ansaranta M, Geneid A, Kauppi P, Malmberg LP, Vilkman E. Laryngeal mucosal reaction during bronchial histamine challenge test visualized by videolaryngostroboscopy. J Voice. 2017;31(4):470–5.

    Article  PubMed  Google Scholar 

  88. Belafsky PC, Peake J, Smiley-Jewell SM, Verma SP, Dworkin-Valenti J, Pinkerton KE. Soot and house dust mite allergen cause eosinophilic laryngitis in an animal model. Laryngoscope. 2016;126(1):108–12.

    Article  CAS  PubMed  Google Scholar 

  89. Penteado RZ, Silva NB, Montebello MI. Voice, stress, work and quality of life of soccer coaches and physical trainers. Codas. 2015;27(6):588–97.

    Article  PubMed  Google Scholar 

  90. Berglund B, Lindvall, T, Schwela DH; World Health Organization Occupational and Environmental Health Team. Guidelines for community noise. London: World Health Organization. Published April, 1999. Accessed 1 Oct 2020. https://apps.who.int/iris/handle/10665/66217.

  91. Cutiva LC, Burdorf A. Effects of noise and acoustics in schools on vocal health in teachers. Noise Health. 2015;17:17–22.

    Article  PubMed  PubMed Central  Google Scholar 

  92. Svec JG, Popolo PS, Titze IR. Measurement of vocal doses in speech: experimental procedure and signal processing. Logoped Phoniatr Vocol. 2003;28:181–92.

    Article  PubMed  Google Scholar 

  93. Titze IR, Svec JG, Popolo PS. Vocal dose measures: quantifying accumulated vibration exposure in vocal fold tissues. J Speech Lang Hear Res. 2003;46:919–32.

    Article  PubMed  Google Scholar 

  94. Fernanda Guidini R, Bertoncello F, Zanchetta S, Suzigan Dragone ML. Correlations between classroom environmental noise and teachers’ voice. Revista da Sociedade Brasileira de Fonoaudiologia. 2012;17(4):398–404.

    Google Scholar 

  95. Phadke KV, Abo-Hasseba A, Švec JG, Geneid A. Influence of noise resulting from the location and conditions of classrooms and schools in Upper Egypt on teachers’ voices. J Voice. 2019;33(5):802–e1.

    Article  PubMed  Google Scholar 

  96. de Medeiros AM, Barreto SM, Assunção AÁ. Voice disorders (dysphonia) in public school female teachers working in Belo Horizonte: prevalence and associated factors. J Voice. 2008;22(6):676–87.

    Article  PubMed  Google Scholar 

  97. Rabelo AT, Santos JN, Souza BO, Gama AC, de Castro Magalhães M. The influence of noise on the vocal dose in women. J Voice. 2019;33(2):214–9.

    Article  PubMed  Google Scholar 

  98. Huey RB, Eguskitza X. Limits to human performance: elevated risks on high mountains. J Exp Biol. 2001;204(Pt 18):3115–9.

    Article  CAS  PubMed  Google Scholar 

  99. Bergeron MF, Bahr R, Bartsch P, et al. International Olympic Committee consensus statement on thermoregulatory and altitude challenges for high-level athletes. Br J Sports Med. 2012;46:770–9.

    Article  CAS  PubMed  Google Scholar 

  100. Fulco CS, Beidleman BA, Muza SR. Effectiveness of preacclimatization strategies for high-altitude exposure. Exerc Sport Sci Rev. 2013;41:55–63.

    Article  PubMed  Google Scholar 

  101. Hackett PH, Roach RC. High-altitude illness. N Engl J Med. 2001;345:107–14.

    Article  CAS  PubMed  Google Scholar 

  102. Wilber RL, Stray-Gundersen J, Levine BD. Effect of hypoxic “dose” on physiological responses and sea-level performance. Med Sci Sports Exerc. 2007;39:1590–9.

    Article  PubMed  Google Scholar 

  103. Koehle MS, Cheng I, Sporer B. Canadian Academy of Sport and Exercise Medicine position statement: athletes at high altitude. Clin J Sport Med. 2014;24:120–7.

    Article  PubMed  Google Scholar 

  104. Racinais S, Oksa J. Temperature and neuromuscular function. Scand J Med Sci Sports. 2010;20(Suppl 3):1–18.

    Article  PubMed  Google Scholar 

  105. Oksa J, Rintamäki H, Mäkinen T, Martikkala V, Rusko H. EMG-activity and muscular performance of lower leg during stretch-shortening cycle after cooling. Acta Physiol Scand. 1996;157:1–8.

    Article  CAS  PubMed  Google Scholar 

  106. Bàràny M. ATPase activity of myosin correlated with speed of muscle shortening. J Gen Physiol. 1967;50:197–218.

    Article  PubMed Central  Google Scholar 

  107. Segal SS, Faulkner JA, White TP. Skeletal muscle fatigue in vitro is temperature dependent. J Appl Physiol. 1986;61:660–5.

    Article  CAS  PubMed  Google Scholar 

  108. Stephenson DG, Williams DA. Calcium-activated force responses in fast- and slow-twitch skinned muscle fibers of the rat at different temperatures. J Physiol. 1981;317:281–302.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  109. Bigland-Ritchie B, Donovan EF, Roussos CS. Conduction velocity and EMG power spectrum changes in fatigue of sustained maximal efforts. J Appl Physiol. 1981;51:1300–5.

    Article  CAS  PubMed  Google Scholar 

  110. Blomstrand E, Bergh U, Essen-Gustavsson B, Ekblom B. Influence of low muscle temperature on muscle metabolism during intense dynamic exercise. Acta Physiol Scand. 1984;120:229–36.

    Article  CAS  PubMed  Google Scholar 

  111. Khodaee M, Ansari M. Common ultramarathon injuries and illnesses: race day management. Am Coll Sports Med. 2012;11(6):290–7.

    Google Scholar 

  112. Tanner K, Roy N, Merrill RM, Elstad M. The effects of three nebulized osmotic agents in the dry larynx. J Speech Lang Hear Res. 2007;50(3):635–46.

    Article  PubMed  Google Scholar 

  113. Tanner K, Fujiki RB, Dromey C, Merrill RM, Robb W, Kendall KA, Hopkin JA, Channell RW, Sivasankar MP. Laryngeal desiccation challenge and nebulized isotonic saline in healthy male singers and nonsingers: effects on acoustic, aerodynamic, and self-perceived effort and dryness measures. J Voice. 2016;30(6):670–6.

    Article  PubMed  Google Scholar 

  114. Tanner K, Nissen SL, Merrill RM, Miner A, Channell RW, Miller KL, Elstad M, Kendall KA, Roy N. Nebulized isotonic saline improves voice production in Sjögren’s syndrome. Laryngoscope. 2015;125(10):2333–40.

    Article  CAS  PubMed  Google Scholar 

  115. Wolkoff P. Indoor air humidity, air quality, and health–an overview. Int J Hyg Environ Health. 2018;221(3):376–90.

    Article  PubMed  Google Scholar 

  116. Coris EE, Ramirez AM, Van Durme DJ. Heat illness in athletes. Sports Med. 2004;34(1):9–16.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Otolaryngology – Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon

    Abdul-Latif Hamdan

  2. Adjunct Professor, Department of Otolaryngology – Head and Neck Surgery, Drexel University College of Medicine, Philadelphia, PA, USA

    Abdul-Latif Hamdan

  3. Department of Otolaryngology – Head and Neck Surgery, Drexel University College of Medicine, Philadelphia, PA, USA

    Robert Thayer Sataloff & Mary J. Hawkshaw

  4. Lankenau Institute for Medical Research, Wynnewood, PA, USA

    Robert Thayer Sataloff

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Correspondence to Abdul-Latif Hamdan .

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Hamdan, AL., Sataloff, R.T., Hawkshaw, M.J. (2021). Vocal Health Risk Factors in Sports Occupational Voice Users. In: Voice Disorders in Athletes, Coaches and other Sports Professionals. Springer, Cham. https://doi.org/10.1007/978-3-030-69831-7_5

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  • DOI: https://doi.org/10.1007/978-3-030-69831-7_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-69830-0

  • Online ISBN: 978-3-030-69831-7

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