title: Evaluation of Singing Vocal Health in Yakshagana Singers.
abstract: BACKGROUND
  Yakshagana, a popular traditional folk art from Karnataka, India, includes singing and dancing. Yakshagana singer or Bhagavata plays an important role in singing and conducting the performance. The present study aims to assess the singing vocal health using Singing Voice Handicap Index-10 (SVHI-10) in these singers and to compare between those who report voice problem and those who do not.
  
  
  METHODS
  A cross-sectional study was carried out on 26 Bhagavata using demographic questionnaire and SVHI-10 in the Kannada language. Descriptive statistics was used to summarize the data. Independent sample t test was used to compare the responses for demographic variables between the two groups of singers with and without voice problems. The difference in scores of SVHI-10 between the two groups was analyzed using Pearson's chi-square test.
  
  
  RESULTS
  Of the Bhagavata, 38% reported to have experienced voice problems, which affected their singing, with higher total SVHI-10 score (31.2 ± 5.7) compared with those who did not report any problems (16.81 ± 9.56). A statistically significant difference between the groups was noted in the emotional domain and total scores.
  
  
  CONCLUSIONS
  The present study provides preliminary information on the voice handicap reported by Bhagavata. The singers reporting voice problems scored higher on SVHI-10. A healthy singing voice is essential for Yakshagana singers, and voice problems can have a significant impact on their performance and livelihood. Hence, results of the present study indicate the need to understand these singers' voice problems and their impact more comprehensively, and educate them about voice care.
authors.affiliation: Department of Speech and Hearing, School of Allied Health Sciences, Manipal University, Manipal, Karnataka, India.
authors.forename: Dhanshree R
authors.initials: DR
authors.lastname: Gunjawate
authors.affiliation: Department of Speech and Hearing, School of Allied Health Sciences, Manipal University, Manipal, Karnataka, India. Electronic address: vrajaithal@manipal.edu.
authors.forename: Venkataraja U
authors.initials: VU
authors.lastname: Aithal
authors.affiliation: Department of Speech and Hearing, School of Allied Health Sciences, Manipal University, Manipal, Karnataka, India.
authors.forename: Usha
authors.initials: U
authors.lastname: Devadas
authors.affiliation: Department of Statistics, Manipal University, Manipal, Karnataka, India.
authors.forename: Vasudeva
authors.initials: V
authors.lastname: Guddattu
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D004644:Emotions; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D007194:India; D008297:Male; D008875:Middle Aged; D016272:Occupational Health; D009790:Occupations; D063346:Singing; D011795:Surveys and Questionnaires; D014832:Voice Disorders / Q000175:diagnosis / Q000503:physiopathology* / Q000517:prevention & control / Q000523:psychology; D014833:Voice Quality
keywords: Bhagavata; Singing Voice Handicap Index-10; Yakshagana; vocal health; voice problems