- Original article
- Open Access
The effect of voice hygiene advices on Imams’ voice during Ramadan
The Egyptian Journal of Otolaryngology volume 33, pages94–102(2017)
Professional voice users are a group of people using their voice for earning of their income. One such important profession is that of the Imams of mosques who excessively recite Quran, especially during Ramadan. This excessive reciting during Ramadan puts them in a great risk for vocal problems. The Imams need an assessment and management for their voice to protect them from the expected voice disorders.
The aim of this study was to assess the voice of Imams before and after Ramadan and to study the effect of following the voice hygiene advices during Ramadan on their voice.
This was a cross-sectional study conducted to assess the voice of Imams before and after Ramadan.
Patients and methods
The study included 34 Imams. They were divided into two groups: the first group included 17 Imams who received voice hygiene advices before Ramadan, and the second group included 17 Imams who did not receive voice hygiene advices (the control group). All candidates were subjected to two types of assessment: examination using the VHI (the Arabic modification of voice handicapped index) and multidimensional voice program.
The group that received voice hygiene advices showed better scores of multidimensional voice program and VHI compared with the control group voice parameters, and some parameters were significantly better or toward normal in post-Ramadan compared with pre-Ramadan assessment.
Conclusion and recommendation
Voice hygiene advices should be given to a wide scale of Imams as a protective tool for their voices. Voice hygiene advices should be included in any program of voice therapy.
Mitchell SA. Medical problems of professional voice users. Compr Ther 1996; 22(4):231–238.
Koufman JA, Blalock PD. Vocal fatigue and dysphonia in the professional voice user: Bogart-Bacall syndrome. Laryngoscope 1988; 98(5): 493–498.
Amir-Moezzi A. Spirituality and Islam. ISBN 9781845117382. London: Tauris; 2008; 103.
Rarnalingam, R. Care of the professional voice. Help Health Library 1997. [Accessed 19 April 2003].
Kotby MN. The accent method of voice therapy. San Diego: Singular Publishing Group; 1995.
Malki KH, Mesallam TA, Farahat M, Bukhari M, Murry T. Validation and cultural modification of Arabic voice handicap index. Eur Arch Otorhinolaryngol 2010; 267(11):1743–1751.
Brazilian Society of Otorhinolaryngology; Brazilian Academy of Laryngology and Voice. Voice and work: a matter of health and worker’s rights. 3th National Consensus on Professional Voice; 13–14 August 2004; Rio de Janeiro.
Timmermans B, De Bodt MS, Wuyts FL, Boudewijns A, Clement G, Peeters A, Van de Heyning PH. Poor voice quality in future elite vocal performers and professional voice users. J Voice 2002; 16(3): 372–382.
Vilkman E. Occupational safety and health aspects of voice and speech professions. Folia Phoniatr Logop 2004; 56(4):220–253.
Herrington-Hall BL, Lee L, Stemple JC, Niemi KR, McHone MM. Description of laryngeal pathologies by age, sex, and occupation in a treatment-seeking sample. J Speech Hear Disord 1988; 53(1): 57–64.
Couch S, Zieba D, Van der Linde J, Van der Merwe A. Vocal effectiveness of speech-language pathology students: before and after voice use during service delivery. S Afr J Commun Disord 2015; 62(1);E1–E17.
Eastwood C, Madill C, Mccabe P. The behavioural treatment of muscle tension voice disorders: a systematic review. Int J Speech Lang Pathol 2015; 17(3):287–303.
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Abdelhamid, A., Al-Khoufi, A. The effect of voice hygiene advices on Imams’ voice during Ramadan. Egypt J Otolaryngol 33, 94–102 (2017). https://doi.org/10.4103/1012-5574.199401
- multidimensional voice program
- voice hygiene advices