In Support of the Exceptional Voice

Abstract

Purpose The human voice is an exceptionally versatile instrument that is capable of complex communicative and emotive behaviors. Typically, these behaviors are sufficient for daily communication activities; however, elite vocal athletes have higher vocal demands and arguably enhanced vocal capabilities. The current definition of a voice disorder is a change in quality, pitch, and loudness of the voice that draws attention to the speaker. In this article, we suggest that this definition does not provide an adequate description of voice problems of elite vocal athletes. Conclusion As a result, the current clinical system of evaluation and intervention may fail to meet the needs of the exceptional voice when even a subtle decline in vocal quality may affect performance. Under the current definition of a voice disorder, these vocal changes may not qualify for vocal rehabilitation supported by 3rd-party payers. To address this issue, we offer a definition of the exceptional voice, propose expansion of the current voice production continuum to include high-level vocal performers, and provide recommendations for the rehabilitation and habilitation of the exceptional voice.