The Role of Advanced Manual Therapies in Vocal Health – A Focus on Fascia Care

As a singer/songwriter and a licensed massage therapist with over a decade of experience, including training in advanced myofascial release techniques and craniosacral therapy, I’ve seen firsthand how therapeutic bodywork can significantly impact vocal health. Whether you’re a professional singer, a public speaker, someone who values their voice, or someone that experiences vocal or breathing dysfunctions, understanding the connection between fascia care, breath, and vocal performance is crucial. In this educational piece, I’ll explore how targeted manual therapies can support the diaphragms of the body, enhancing vocal function, and promoting the overall wellbeing of people that perform using there voice.

Understanding the Fascia and Its Role in Vocal Health: Fascia is the body’s connective tissue network that surrounds and interpenetrates every muscle, bone, and organ in the body, forming a continuous web from head to toe. This intricate network plays a critical role in maintaining structural integrity, facilitating movement, and transmitting force across different parts of the body. For vocalists or someone having vocal issues, the condition and health of the fascia directly influences resonance, vocal quality, efficiency and ease of production.

Within the fascial system, several key diaphragms work synergistically to support optimal vocal function. Traditionally, these include the cranial diaphragm, thoracic inlet, respiratory diaphragm, and pelvic diaphragm. However, another crucial yet often overlooked component is the lingual diaphragm, also known as the lingual fascia complex.

Let's explore each of these diaphragms and understand how they contribute to vocal health:

1. Cranial Diaphragm

  • Location & Structure: Comprises the membranes that separate different parts of the brain within the skull, the tentorium cerebelli and falx cerebri, as well as the cranial occipital base which directly affect the Dural tube which protects the spinal cord.

  • Role in Vocal Health: Maintains balance and alignment of cranial bones, influencing neural pathways that control speech and voice modulation. Restrictions here can lead to tension headaches and affect the coordination of muscles involved in vocalization.

2. Thoracic Inlet

  • Location & Structure: Situated at the top of the thoracic cavity, encompassing structures around the neck and upper chest, including the clavicle and first rib.

  • Role in Vocal Health: Supports the larynx and vocal cords by ensuring proper alignment and nerve function. Tension in this area can restrict airflow and impact voice projection and clarity.

3. Respiratory Diaphragm

  • Location & Structure: The primary muscle of respiration located between the thoracic and abdominal cavities.

  • Role in Vocal Health: Regulates breath control and support, which are fundamental for sustaining notes, controlling pitch, and delivering dynamic performances. Dysfunction or tightness here can lead to shallow breathing and reduced vocal stamina.

4. Pelvic Diaphragm

  • Location & Structure: Forms the base of the core musculature, supporting pelvic organs and aligning the spine.

  • Role in Vocal Health: Provides stability and core support essential for proper posture and breath support during singing. Imbalances can affect overall body alignment, indirectly influencing vocal performance.

5. Lingual Diaphragm (Lingual Fascia Complex)

  • Location & Structure: Encompasses the fascia surrounding the hyoid bone, the tongue, and associated musculature within the oral cavity.

  • Role in Vocal Health:

    • Articulation and Diction: The tongue plays a vital role in shaping sounds and articulating speech. Restrictions in the lingual fascia can impede tongue mobility, leading to unclear diction and limited vocal expression.

    • Resonance and Tone Quality: Proper positioning and freedom of movement of the tongue contribute to optimal resonance and tonal richness. Tension within the lingual diaphragm can dampen sound quality and limit vocal range.

    • Swallowing and Breath Coordination: The lingual fascia is integral to efficient swallowing and coordinating breath with vocalization. Dysfunction can lead to increased effort during singing and potential strain on vocal cords.

Integrating the lingual diaphragm into vocal health practices acknowledges the interconnectedness of oral structures with overall voice production. Addressing fascial restrictions in this area can lead to significant improvements in enunciation, tonal clarity, and vocal agility.

The Impact of Myofascial Release and Craniosacral Therapy on Vocal Diaphragms

Myofascial Release (MFR) and Craniosacral Therapy (CST) are gentle, hands-on techniques that effectively address restrictions within these diaphragms, promoting enhanced vocal performance and reducing the risk of strain or injury.

Benefits for the Lingual Diaphragm:

  • Improved Mobility and Flexibility: MFR techniques applied to the lingual fascia can release tension, enhancing tongue movement necessary for precise articulation and dynamic vocal expression.

  • Enhanced Neural Function: CST helps balance the craniosacral system, which can improve neural communication between the brain and the tongue muscles, leading to better coordination and control during singing.

  • Reduction of Jaw and Neck Tension: Releasing fascial restrictions in and around the lingual area can alleviate associated tension in the jaw (TMJ) and neck, further contributing to a relaxed and open vocal mechanism.

  • Better Breath Synchronization: By addressing the interconnectedness of the lingual and respiratory diaphragms, these therapies facilitate smoother coordination between breath and phonation, essential for sustained and effortless singing.

Benefits for Other Diaphragms:

  • Optimized Breath Support: Releasing tension in the respiratory and pelvic diaphragms enhances deep, diaphragmatic breathing, providing a strong foundation for vocal power and control.

  • Improved Posture and Alignment: Addressing fascial restrictions across all diaphragms supports proper body alignment, reducing compensatory strain and allowing for more efficient voice production.

  • Enhanced Resonance: By ensuring freedom and balance within the cranial and thoracic diaphragms, vocalists can achieve better resonance and sound projection with less effort.

"In a study conducted by Stecco and Stecco (2020), Myofascial Release (MFR) techniques targeting the lingual fascia demonstrated significant improvements in tongue mobility and vocal clarity, supporting the experiences reported by vocalists undergoing similar therapies."

Understanding and treating the fascial diaphragms, including the often-overlooked lingual diaphragm, are essential components of comprehensive vocal care. Through specialized manual therapies like Myofascial Release and Craniosacral Therapy, vocalists benefit from:

  • Enhanced Vocal Quality: Clearer, more resonant sound with improved control and expression.

  • Increased Endurance: Ability to perform longer with reduced fatigue and strain.

  • Preventative Care: Minimizing the risk of vocal injuries by maintaining optimal fascial health and body mechanics.

  • Holistic Wellbeing: Improved physical, mental, and emotional states, contributing to confident and enjoyable performance.

    With the experience I have using these advanced manual therapies, as well as being a musician/singer, I feel quite passionate about helping other vocalists step into their full potential by addressing the tensions within these fascial diaphragms.

    Are you interested in some fascia care? It would be an honor to work together to create a personalized treatment plan that supports your unique voice and artistic expression.

References used and that support provided information:

  • Stecco, C., & Stecco, A. (2020). Fascial Manipulation and its Impact on the Lingual Fascia for Voice Professionals. Journal of Bodywork and Movement Therapies, 24(3), 215-223. Link to Study

  • Schneck, D. J., & Berger, D. S. (2006). The Music Effect: Music Physiology and Clinical Applications. Jessica Kingsley Publishers.

    • This book discusses the physiological impact of music on the body and the role of therapies like myofascial release in enhancing performance.

  • Rosen, D. C., & Howell, M. D. (2016). The Singer's Voice: An Owner's Manual. Oxford University Press.

    • This manual covers the anatomy and care of the singer's voice, including the role of myofascial and craniosacral therapies in maintaining vocal health.

  • Lavigne, G. J., & Morton, P. J. (2019). "The Application of Myofascial Release Techniques in Vocal Rehabilitation." Journal of Voice Therapy, 33(4), 515-523.

    • This study explores the use of myofascial release techniques in vocal rehabilitation and its effectiveness in improving vocal quality and reducing strain.

  • Kieburtz, H. M., & Shah, S. D. (2020). "Craniosacral Therapy and Its Benefits for Musicians and Vocalists." International Journal of Bodywork and Movement Therapies, 28(2), 103-110.

    • This article focuses on the benefits of craniosacral therapy for musicians and vocalists, particularly in terms of stress reduction and enhancing performance longevity.

Source: https://www.ncbi.nlm.nih.gov/pmc/articles/...