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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 T.C.

While pregnant with my twins, Heather took care with keeping me on my feet and pain free. She saved my back, my sanity and the holidays! I would recommend her to every “mom” looking to stay on her feet during pregnancy and post-partum.

-- T.C.

Testimonial by J.H.

My last appointment with Heather was over 6 years ago but I still think of her every day. I don’t take for granted that I can easily get out of bed, care for my two active and busy young boys, run, play tennis, clean my house, or sit at a desk for several hours at a time. None of these tasks were easy for me before meeting Heather. Eight years ago my car was struck from behind by a tractor trailer that was estimated to have been speeding. I spent 3 years working with different PTs and Drs trying to heal and move on with my life. When I became pregnant and the hormone relaxin that “relaxes” all the joints of the body and the additional weight gain erased all my progress and I was suddenly in a lot of pain again. My OB sent me to Heather for one last try.

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Testimonial by M.M.

A personal journey and testimonial from one of my patients:

My husband and I were married for 5 years before we were able to have intercourse due to my vaginismus. There was nothing traumatic in my past but for some reason, even though I wanted sex, I mentally avoided "that area" of my body and didn't even admit to myself that there was a problem for a long time, even though I was never able to put tampons in. Once I finally opened my eyes up to the fact that I had a problem, I had a surgery that was supposed to fix the issue.

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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 Carolina J.

I had tried Pelvic Floor Physical Therapy before (with another PT) and I had a really bad (painful) experience. A friend of mine and fellow patient, told me about Heather, Laureen and Femina PT (née Fusion Wellness & Physical Therapy) and I decided to try again. I am so happy I did! Femina PT have, literally, changed my life. I was able to do again things I couldn't do for over 10 years!! Their bedside manners are impeccable, their knowledge and understanding make me feel comfortable to recommend this place to anyone in pain. Specially if you have Endometriosis. 100% recommended!!

-- Carolina J., 12/28/16 via Yelp!

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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