Piano Guidance
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Why do old people's voices get weak?

In some people, changes from aging cause the vocal fold muscles to weaken or lose muscle mass (atrophy). This can keep the vocal folds from closing all the way, making it harder to speak. This increased effort to talk causes the voice to tire more quickly.

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JoAnna Sloggy, MA, CCC-SLP

Written by JoAnna Sloggy, a speech language pathologist and singing-voice specialist at the UK Voice and Swallow Clinic. As you grow older, you may not be able to talk all day without your voice getting tired or hoarse. These vocal changes happen gradually and can cause multiple issues. Some find that to avoid straining their voice further, they start avoiding activities that they used to enjoy when these activities include a lot of talking. People often complain of vocal tiredness (fatigue), vocal quality changes (such as roughness, scratchiness or hoarseness), changes in how high or low your voice can go, and increased vocal “work” (effort). These changes can be due to aging changes of the voice, or presbyphonia. Vocal quality changes are a result of changes to the voice box (larynx) and the vocal cords (vocal folds) which is called presbylarynges. The vocal folds need to be able to completely close and vibrate evenly for efficient voicing. In some people, changes from aging cause the vocal fold muscles to weaken or lose muscle mass (atrophy). This can keep the vocal folds from closing all the way, making it harder to speak. This increased effort to talk causes the voice to tire more quickly. These vocal aging changes may even contribute to swallowing problems if the vocal fold gap grows large enough.

Diagnosis and treatment

This type of vocal change is usually diagnosed by an ear, nose and throat doctor (ENT) and a speech-language pathologist (SLP) who specializes in voice disorders. Once the vocal folds have been visualized and the diagnosis made, the primary way to restore the voice is to work with the voice SLP for specific vocal exercises designed to strengthen and rebalance the vocal folds and the surrounding musculature and other systems that work together for voice production. If the vocal atrophy is bad enough, you may be recommended to see the ENT for a procedure that uses fillers to plump up the vocal folds to help them close. This type of “voice lift” is performed by an ENT or laryngologist (an ENT with specialized training in treating voice disorders). You may need to see the SLP following the procedure for exercises to rebalance your throat muscles. Once you have reached the improvement in vocal quality that you are pleased with, voice exercises to maintain this level of improvement are suggested to keep your voice strong.

Tips to help keep your voice healthy as you age

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Who is the most famous woman in music?

Madonna is believed to have sold the most records among any female music artists in history, with 335 million records sold worldwide, recognized by the Guinness World Records and other major media outlets while the best-selling Latin artist of all time is Shakira with more than 80 million records sold.

Guinness World Records as the "Best-selling female recording artist of all time". Madonna is recognized byas the "Best-selling female recording artist of all time". The following is a list of the world's best-selling female music artists of all time. The criteria for inclusion are women whose claimed record sales have at least reached 75 million or more of their musical productions. Artists are listed in order of the number of records sold alongside available cross-referenced music recording certifications; the highest being for claims of at least 335 million records, and the lowest for claims of 75 million records. Since there is no official entity that certifies sales in their totality;[1] the artists' sales figure must have been published by a reliable source (news organizations and highly regarded music industry-related organization) such as Billboard, Rolling Stone, MTV, and VH1. Madonna is believed to have sold the most records among any female music artists in history, with 335 million records sold worldwide,[2][3] recognized by the Guinness World Records and other major media outlets while the best-selling Latin artist of all time is Shakira with more than 80 million records sold.[4]

Female artists by reputed sales [ edit ]

300 million or more records sold [ edit ]

Madonna Artist Country of origin Period of activity Genre(s) Estimated sales Madonna United States 1982–present Pop / dance / electronic 335 million[2][3]300 million

200 million to 299 million records [ edit ]

100 million to 199 million records [ edit ]

75 million to 99 million records [ edit ]

See also [ edit ]

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