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The Aging Voice: What Actually Happens and What You Can Do About It
Your voice changes as you age—but 85% of people who get the right help actually improve. This episode covers what really happens to your voice over time and what you can do about it.
We break down presbyphonia (age-related voice changes): vocal fold atrophy, tissue stiffness, cartilage calcification, respiratory decline, and hormonal effects. Then we cover Vocal Function Exercises—the intervention with the strongest research evidence—including the exact protocol and dosage.
Practical guidance for aging singers, voice teachers working with older students, and choir directors managing ensembles where the average age keeps climbing.
What you'll learn: → Why voices get breathy, lose range, and fatigue faster → The physiology behind vocal fold bowing and glottal insufficiency → Vocal Function Exercises: the 4-exercise protocol with specific pitches → How 6-12 weeks of practice produces measurable improvement → Repertoire and rehearsal adaptations for aging voices
00:00 Introduction
01:55 What actually happens to aging voices
09:22 How this affects your singing
11:22 Vocal Function Exercises: the evidence
17:03 Practical advice for singers, teachers, & choir directors
21:12 The bottom line
PRIMARY RESEARCH BIBLIOGRAPHY
Angadi V, Croake D, Stemple J. Effects of Vocal Function Exercises: A Systematic Review. Journal of Voice. 2019;33(1):124.e13-124.e34.
Angerstein W. Vocal Changes and Laryngeal Modifications in the Elderly (Presbyphonia and Presbylarynx). Laryngorhinootologie. 2018;97(11):772-776.
Belsky MA, Shelly S, Rothenberger SD, et al. Phonation Resistance Training Exercises (PhoRTE) With and Without Expiratory Muscle Strength Training (EMST) For Patients With Presbyphonia: A Noninferiority Randomized Clinical Trial. Journal of Voice. 2021.
Crawley BK, Dehom S, Thiel C, et al. Assessment of Clinical and Social Characteristics That Distinguish Presbylaryngis From Pathologic Presbyphonia in Elderly Individuals. JAMA Otolaryngology—Head & Neck Surgery. 2018;144(7):566–571.
Desjardins M, Halstead L, Simpson A, Flume P, Bonilha HS. Respiratory Muscle Strength Training to Improve Vocal Function in Patients with Presbyphonia. Journal of Voice. 2022;36(3):344-360.
Mau T, Jacobson BH, Garrett CG. Factors associated with voice therapy outcomes in the treatment of presbyphonia. The Laryngoscope. 2010;120(6):1181-1187.
Stemple JC, Lee L, D'Amico B, Pickup B. Efficacy of vocal function exercises as a method of improving voice production. Journal of Voice. 1994;8(3):271-278.
Ziegler A, Abbott KV, Johns M, Klein A, Hapner ER. Preliminary data on two voice therapy interventions in the treatment of presbyphonia. Laryngoscope. 2014;124(8):1869-1876.
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By Josh Manuel | VoSciYour voice changes as you age—but 85% of people who get the right help actually improve. This episode covers what really happens to your voice over time and what you can do about it.
We break down presbyphonia (age-related voice changes): vocal fold atrophy, tissue stiffness, cartilage calcification, respiratory decline, and hormonal effects. Then we cover Vocal Function Exercises—the intervention with the strongest research evidence—including the exact protocol and dosage.
Practical guidance for aging singers, voice teachers working with older students, and choir directors managing ensembles where the average age keeps climbing.
What you'll learn: → Why voices get breathy, lose range, and fatigue faster → The physiology behind vocal fold bowing and glottal insufficiency → Vocal Function Exercises: the 4-exercise protocol with specific pitches → How 6-12 weeks of practice produces measurable improvement → Repertoire and rehearsal adaptations for aging voices
00:00 Introduction
01:55 What actually happens to aging voices
09:22 How this affects your singing
11:22 Vocal Function Exercises: the evidence
17:03 Practical advice for singers, teachers, & choir directors
21:12 The bottom line
PRIMARY RESEARCH BIBLIOGRAPHY
Angadi V, Croake D, Stemple J. Effects of Vocal Function Exercises: A Systematic Review. Journal of Voice. 2019;33(1):124.e13-124.e34.
Angerstein W. Vocal Changes and Laryngeal Modifications in the Elderly (Presbyphonia and Presbylarynx). Laryngorhinootologie. 2018;97(11):772-776.
Belsky MA, Shelly S, Rothenberger SD, et al. Phonation Resistance Training Exercises (PhoRTE) With and Without Expiratory Muscle Strength Training (EMST) For Patients With Presbyphonia: A Noninferiority Randomized Clinical Trial. Journal of Voice. 2021.
Crawley BK, Dehom S, Thiel C, et al. Assessment of Clinical and Social Characteristics That Distinguish Presbylaryngis From Pathologic Presbyphonia in Elderly Individuals. JAMA Otolaryngology—Head & Neck Surgery. 2018;144(7):566–571.
Desjardins M, Halstead L, Simpson A, Flume P, Bonilha HS. Respiratory Muscle Strength Training to Improve Vocal Function in Patients with Presbyphonia. Journal of Voice. 2022;36(3):344-360.
Mau T, Jacobson BH, Garrett CG. Factors associated with voice therapy outcomes in the treatment of presbyphonia. The Laryngoscope. 2010;120(6):1181-1187.
Stemple JC, Lee L, D'Amico B, Pickup B. Efficacy of vocal function exercises as a method of improving voice production. Journal of Voice. 1994;8(3):271-278.
Ziegler A, Abbott KV, Johns M, Klein A, Hapner ER. Preliminary data on two voice therapy interventions in the treatment of presbyphonia. Laryngoscope. 2014;124(8):1869-1876.