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Woman singing Photo by Josh Rocklage on Unsplash

Did you know that when you sing you are not only using your vocal chords, but also the lungs, the diaphragm, the abdominal muscles, and also the pelvic floor?


It’s no surprise that the body is all connected, as in it’s one whole unit, but it’s easy to forget that an activity like singing is a dynamic and complex way we use our bodies. In a 2018 literature review, voice researchers Emerich Gordon & Reed refer to this YouTube video by osteopathic practitioner Roger Fiammetti which beautifully shows how the simple act of breathing involves not just the lungs, but the muscular system from the face and neck down to the bottom of our pelvic floor and the perineum, the video also outlines how the body has four diaphragms which help regulate air and fluid pressure throughout the body.

In fact, look at the structural similarities of the vocal chords and the pelvic floor:

Vocal Chords

pelvic floor pic

Researchers in the physical medicine realm (pelvic floor therapists, OBGYNs, respiratory medicine) as well as singers and voice scientists are interested in how the pelvic floor can improve your singing, and also how singing can help you heal your pelvic floor.

Bedekar (2012), a women’s health physiotherapist in the UK created a pilot study to show if singing could be used as the main pelvic floor exercise for women who had symptoms of pelvic floor weakness. The study participants were taught how to correctly fire a pelvic floor contraction while doing a simple singing practice like scales, with both short and long pelvic floor muscle contractions while holding a note. After the participants got the technique down, they were told to sing using the pelvic floor muscle exercises for a minimum of 15 minutes a day, five times a week for 3 weeks. This allocation of time was to be divided up according to each individual’s convenience. After the trial period most of the participants showed an improvement in their pelvic floor strength.

Wanting to weave together the findings in the importance of pelvic floor muscle’s role in breathing, posture, and regulation of intraabdominal pressure, Emerich Gordon & Reed conducted a literature review (2018) which aimed to show the connection between these disciplines and how incorporating the pelvic floor in voice coaching and voice science could help improve singing for many professionals.

What both researchers found was a connection that could be utilized to help people reach their goals of healthier pelvic floors and better singing ability.

Pelvic Floor Therapy for You

The licensed therapists at Femina PT are always taking great courses that help us learn more about the pelvic floor and how it functions in the body, including a course last year about this very topic, taught be Susan Clinton with the Pelvic Guru institute. We can incorporate fun stuff like singing to help you connect with your pelvic floor, if that helps you stay motivated and interested in your therapy. The bottom line is helping you get better in a way that is tailored to you.

References

Bedekar, N. (2012). Pelvic floor muscles activation during singing: A pilot study. Journal of Association Chartered Physiotherapists in Women’s Health. 110:27-32

Han, D., Ha, M. (2015). Effect of PFM exercises on pulmonary function. Journal of Physical Therapy Science. 27: 3233-3235

Emerich Gordon, K. A., & Reed, O. (2018). The Role of the Pelvic Floor in Respiration: A Multidisciplinary Literature Review. Journal of Voice. doi:10.1016/j.jvoice.2018.09.024

Fiammetti R. La Respiration Totale. 2010. https://www.youtube.com/embed/vokWBNmMOCg

What Our Patients Have to Say

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Testimonial by R.H.

No one could tell me why I was having pain during sex--sharp pain, not just uncomfortable, pain. I was referred to Heather Jeffcoat after researching several different options. I had seen a specialist who told me physical therapy would not help and my only option was surgery. I really didn't want to go that route, so when we got a referral, I decided to try it--it can't hurt, I thought. I am so glad I did. She diagnosed the problem right away, which was a relief in itself.

To know why I was having pain eased my mind immensely. And to hear that she could fix it without surgery was another relief. She said she could fix the problem in 6 weeks. I think it was actually 4 for me. She was very methodical, and treated me as an intelligent human being capable of participating in my own recovery. I would absolutely recommend her to anyone. She did not try to prolong my session numbers, she worked hard to accommodate my schedule (and the fact that I had to bring a baby to sessions), and she was completely honest the entire time. It is so hard to find someone with these characteristics, much less a professional who is so good at what she does. She has my highest respect.

-- R.H.

Testimonial by Mary L.

I started seeing Heather to treat my Interstitial Cystitis in November 2016. At this time, I was extremely miserable, in constant pain, and felt as though no one was listening or understood what was going on with my body. I have just finished my last appointment and I can honestly say that my life has completely changed for the better because of Heather and her team of PTs! I live almost completely pain free, and when I do have flare ups, I am able to treat them at home on my own. I am so grateful that this office was recommended to me a honestly cannot recommend them enough!

Read more: Testimonial by Mary L.

Testimonial by R.M., Age 40

I can’t speak highly enough of the theapists at Femina Physical Therapy and how much they have helped me grow, discover, and love my body. I had had painful sex for my entire life, and didn’t know that there was anything that could be done about it. It was at the point where my husband and I were not having sex for MONTHs, because it was just too frustrating, and I hated feeling like I was the ONLY woman out there who had this problem, especially at my age. I finally brought it up to my doctor because I was turning 40 and my husband and I were barely having enough sex to conceive. And she brought up pelvic floor, PT. I didn’t even know this was a “thing”.

Read more: Testimonial by R.M., Age 40

Testimonial by P.M.

I was hopeful but frankly skeptical when the doctor treating me for Interstitial Cystitis recommended that I go to Heather for physical therapy. Medication and diet helped control my IC symptoms, but I had never heard of physical therapy being used to treat IC. The education and treatment I received from Heather was a revelation. She explained that the pain I experienced with IC had helped create a cycle of muscle guarding which affected the entire pelvic area. I had no idea of the amount of tension being held there. No wonder my husband and I had not been able to have sexual intercourse for years!

Read more: Testimonial by P.M.

Testimonial by S.B.

As someone who suffered the debilitating physical and emotional effects of vaginismus (as well as a complicated history of back injuries) for more than 15 years, I thought a "normal" life was just a fantasy. Then I found Heather.

Read more: Testimonial by S.B.

Testimonial by A.W., age 32

I wanted to let you know that my pelvic floor held strong and gave me no trouble whatsoever in my trail race this morning (12 miles)! In a way, I felt like I ran better than ever because my core feels so rock solid from all the exercises you have me doing. That was especially valuable on the technical downhill - I just flew down the trail because I had confidence in my balance and form. Thank you for helping me get back to doing what I love.

-- A.W., age 32
(completed Post-partum Renewal Program using the InTone biofeedback/stim unit)

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