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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

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Testimonial by Rosanna R., age 35

Heather has affected my life in the MOST POSITIVE way and I am forever grateful. My husband refers to her as the "sex doctor" so you can only imagine how happy he is with my therapy outcome.

After the birth of my son I suffered from "Vaginismus", however, at the time I just thought I was broken. My "broken vagina" affected me physically but it was an emotional struggle as well. Many women in my life also suffered with pain from sex after their babies were born so I knew I wasn't alone. They told me they "just got used to it" but I couldn't see myself living that way.

Sex wasn't just painful, it was literally impossible - IT DIDNT FIT!

Read more: Testimonial by Rosanna R.,...

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!

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Testimonial by A.B.

Before I was referred to Heather Jeffcoat I was living in a nightmare. I had been married to my husband for three years and I was suffering from Vaginismus. That all changed when I visited my OBGYN and she said she knew of someone with a great success rate. To be honest I was hesitant at first because my first doctor had already told me that all I needed to do was order dilators from the internet and I should overcome my problem. She was wrong because I had followed the book on how to use the dilators with absolutely no advancements in my condition. However, that all changed when I went in for my first visit and Heather took the time to explain my condition and how we were going to work together to overcome it.

I remember leaving her office with a glimmer of hope that I could live a normal life. As my sessions continued I began to see immediate results. With only four sessions and a strict dedication to my home programs I was cured of Vaginismus. In the beginning of this process I was made aware that my health insurance company might not cover the costs, which was disappointing but today I can say one hundred percent that it was the best money I ever spent. Now thanks to Heather I am finally enjoying my life to the fullest with my husband. Thank you Heather, I can’t begin to tell you how much I appreciate all that you have done for me. I will never forget it. Those who are suffering from these types of conditions don’t be afraid because she makes you feel so comfortable and the end result is worth it. Good luck to you all and I hope you experience the success I have.
-- A.B.

Testimonial by M.M.

My husband and I were married for 5 years and unable to have intercourse, but I never knew why. After numerous awful experiences at doctor’s offices (where many doctors told me I “just needed to relax”), a surgery that didn’t fix the problem, and a year of owning dilators that didn’t get me anywhere, someone finally referred me to Heather for Physical Therapy. I finally had answers and information from someone who knew exactly what I was dealing with!

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Testimonial by S.S., age 54

Heather is the best! I saw her today for terrible hip/groin pain. I was so impressed with the safety measures in place and felt completely safe . Thanks for the healing hands.

S.S., age 54

Testimonial by Fritzette H.

I went to Heather after the birth of my third child. It was lucky, really, that I was referred to her, because my doctor had referred me to a surgeon for a possible hysterectomy or pelvic wall rebuild. Thankfully, I went to Heather before undergoing either surgery, she was able to fix the problem. She has studied extensively in women's health--even written a book about it--and was able to diagnose my problem, suggest a course of treatment (6 weeks), and then follow through with said treatment. By the end, as she said, I was as good as gold. Boy, was it worth it! Though uncomfortable to talk about, much less write about, it is worth getting the word out there. If you have painful intercourse, especially after birth or other trauma, the treatment may be as simple as Physical Therapy (with Heather, of course). I highly recommend her.

-- Fritzette H., 3/24/16 via Yelp!

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