Login to MyKarger

New to MyKarger? Click here to sign up.

Login with Facebook

Forgot your password?

Authors, Editors, Reviewers

For Manuscript Submission, Check or Review Login please go to Submission Websites List.

Submission Websites List

Institutional Login
(Shibboleth or Open Athens)

For the academic login, please select your country in the dropdown list. You will be redirected to verify your credentials.

Original Paper

Coordination between Posture and Phonation in Vocal Effort Behavior

Lagier A. · Vaugoyeau M. · Ghio A. · Legou T. · Giovanni A. · Assaiante C.

Author affiliations

Department of Otorhinolaryngology, Hôpital de la Timone, Marseille, France

Corresponding Author

Aude Lagier

Department of Othorhinolaryngology Hôpital de la Timone

264, rue Saint-Pierre

FR–13385 Marseille cedex 05 (France)

E-Mail aude.lagier@laposte.net

Related Articles for ""

Folia Phoniatr Logop 2010;62:195–202

Do you have an account?

Login Information

Contact Information

I have read the Karger Terms and Conditions and agree.


Background: Postural correlates of vocal effort are rarely described in the literature, while they are extensively dealt with in speech therapy. Objectives: This study aims at determining whether body movement is a side effect of vocal effort or an integral part of communication effort behavior. The answer to this question is mainly based on correlations between posture and phonation. Method: Twenty healthy subjects participated in this study. They had to communicate with a listener under 3 conditions requiring different levels of vocal effort. Results: The vocal parameters increased and confirmed that the subjects had made a vocal effort. The kinematic parameters (amplitude and duration of body movement) increased with vocal effort. Lastly, vocal and kinematic characteristics were significantly correlated. Conclusion: The close correlation of posture with vocal production shows that movement is not a mere consequence of vocal effort. Posture and voice are coordinated in communication behavior, and each body segment plays its specific role in the vocal effort behavior.

© 2010 S. Karger AG, Basel


  1. le Huche F: La voix: anatomie et physiologie des organes de la voix et de la parole. Paris, Masson, 1984.
  2. Wilson JV, Leeper HA: Changes in laryngeal airway resistance in young adult men and women as a function of vocal sound pressure level and syllable context. J Voice 1992;6:235–245.
    External Resources
  3. Huang DZ, Minifie FD, Kasuya H, Lin SX: Measures of vocal function during changes in vocal effort level. J Voice 1995;9:429–438.
  4. Sundberg J, Fahlstedt E, Morell A: Effects on the glottal voice source of vocal loudness variation in untrained female and male voices. J Acoust Soc Am 2005;117:879–885.
  5. Stathopoulos ET, Sapienza C: Respiratory and laryngeal measures of children during vocal intensity variation. J Acoust Soc Am 1993;94:2531–2543.
  6. Holmberg EB, Hillman RE, Perkell JS: Glottal airflow and transglottal air pressure measurements for male and female speakers in soft, normal, and loud voice. J Acoust Soc Am 1988;84:511–529.
  7. Pettersen V, Bjørkøy K, Torp H, Westgaard RH: Neck and shoulder muscle activity and thorax movement in singing and speaking tasks with variation in vocal loudness and pitch. J Voice 2005;19:623–634.
  8. Angsuwarangsee T, Morrison M: Extrinsic laryngeal muscular tension in patients with voice disorders. J Voice 2002;16:333–343.
  9. Cayreyre F, Akl L, Amy de la Bretèque B, Ouaknine M, Giovanni A: Increase in the abdominal respiratory movements during the sudden passage from a conversational voice to a loud voice. Rev Laryngol Otol Rhinol (Bord) 2005;126:347–351.
    External Resources
  10. Summers WV, Pisoni DB, Bernacki RH, Pedlow RI, Stokes MA: Effects of noise on speech production: acoustic and perceptual analyses. J Acoust Soc Am 1988;84:917–928.
  11. Schulman R: Articulatory dynamics of loud and normal speech. J Acoust Soc Am 1989;85:295–312.
  12. Watson PJ, Hughes D: The relationship of vocal loudness manipulation to prosodic F0 and durational variables in healthy adults. J Speech Lang Hear Res 2006;49:636–644.
  13. Hoit JD: Influence of body position on breathing and its implications for the evaluation and treatment of speech and voice disorders. J Voice 1995;9:341–347.
  14. Sundberg J, Leanderson R, von Euler C, Knutsson E: Influence of body posture and lung volume on subglottal pressure control during singing. J Voice 1991;5:283–291.
    External Resources
  15. Giovanni A, Akl L, Ouaknine M: Postural dynamics and vocal effort: preliminary experimental analysis. Folia Phoniatr Logop 2008;60:80–85.
  16. Bruno E, de Padova A, Napolitano B, Marroni P, Batelli R, Ottaviani F, Alessandrini M: Voice disorders and posturography: variables to define the success of rehabilitative treatment. J Voice 2009;23:71–75.
  17. Giovanni A, Assaiante C, Galmiche A, Vaugoyeau M, Ouaknine M, le Huche F: Vocal forcing and posture: experimental studies on normal subjects. Rev Laryngol Otol Rhinol (Bord) 2006;127:285–291.
  18. Dejonckere PH, Pépin F: Study of the Lombard effect by measuring equivalent sound level. Folia Phoniatr (Basel) 1983;35:310–315.
  19. Giovanni A, Robert D, Estublier N, Teston B, Zanaret M, Cannoni M: Objective evaluation of dysphonia: preliminary results of a device allowing simultaneous acoustic and aerodynamic measurements. Folia Phoniatr Logop 1996;48:175–185.
  20. Rothenberg M, Mahshie JJ: Monitoring vocal fold abduction through vocal fold contact area. J Speech Hear Res 1988;31:338–351.
  21. Morgan MD, Triana MA, Milroy TJ: The effect of auditory feedback on phonation threshold pressure measurement. J Voice 2004;18:46–55.
  22. Ternström S, Bohman M, Södersten M: Loud speech over noise: some spectral attributes, with gender differences. J Acoust Soc Am 2006;119:1648–1665.
  23. Södersten M, Ternström S, Bohman M: Loud speech in realistic environmental noise: phonetogram data, perceptual voice quality, subjective ratings, and gender differences in healthy speakers. J Voice 2005;19:29–46.
  24. Vilkman E, Alku P, Vintturi J: Dynamic extremes of voice in the light of time domain parameters extracted from the amplitude features of glottal flow and its derivative. Folia Phoniatr Logop 2002;54:144–157.
  25. Assaiante C, Amblard B: An ontogenic model for the sensorimotor organization of balance control in humans. Hum Mov Sci 1995;14:13–43.
  26. Munhall KG, Jones JA, Callan DE, Kuratate T, Vatikiotis-Bateson E: Visual prosody and speech intelligibility: head movement improves auditory speech perception. Psychol Sci 2004;15:133–137.
  27. Yardley L, Gardner M, Leadbetter A, Lavie N: Effect of articulatory and mental tasks on postural control. Neuroreport 1999;10:215–219.
  28. Dault MC, Yardley L, Frank JS: Does articulation contribute to modifications of postural control during dual-task paradigms? Cogn Brain Res 2003;16:434–440.

Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: May 11, 2010
Issue release date: June 2010

Number of Print Pages: 8
Number of Figures: 4
Number of Tables: 0

ISSN: 1021-7762 (Print)
eISSN: 1421-9972 (Online)

For additional information: https://www.karger.com/FPL

Copyright / Drug Dosage / Disclaimer

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.