Are Indoor Cycling Instructors Riding Their Way to Vocal Injury? Acute Effects of a Single Class on Measures of Voice Production

J Voice. 2022 Sep;36(5):695-700. doi: 10.1016/j.jvoice.2020.07.034. Epub 2020 Aug 26.

Abstract

Objective/hypothesis: There is an increased need for vocal education programs in group fitness instructors due to the reported risk of phonotraumatic injury in this population. Most research has focused on aerobics class instructors with limited research detailing the vocal demand response of cycling instruction, specifically. We hypothesized that instruction of a single indoor cycling class would produce evidence of acute vocal fold edema manifested by worsening of acoustic and self-perceptual voice measures and changes in ratings of laryngeal appearance.

Study design: Prospective Cohort study.

Methods: Acoustic and self-perceptual voice measures that were potentially sensitive to laryngeal edema were collected from ten cycling instructors (Mean age: 31 ± 6.14 years, 3M and 7F) before and after instruction of a typical 45-minute cycling class. Two laryngologists then rated pairs of laryngeal exams from five instructors (Mean age: 30 ± 6.22 years, 1M and 4F) on the measure of vocal fold edema using a 10-inch Visual Analogue Scale. Paired t-test comparisons were completed on normalized data to compare pre- and postinstruction.

Results: Majority of acoustic and self-perceptual measures significantly worsened following cycling instruction but the magnitude of change in these measures were small. In terms of laryngeal appearance, no measurable change in vocal fold edema was observed at both time points.

Conclusion: The vocal demand response to a single cycling class may be insufficient to cause significant vocal fold edema in our cycling instructors. Future research is required to determine the effects of repeated cycling instruction.

Keywords: Cycling instructors—Fitness—Voice—Vocal demand.

MeSH terms

  • Adult
  • Edema
  • Humans
  • Prospective Studies
  • Vocal Cords
  • Voice Disorders* / diagnosis
  • Voice Disorders* / epidemiology
  • Voice Disorders* / etiology
  • Voice Quality
  • Voice* / physiology
  • Young Adult