--- title: Voice Problems and How to Improve Them description: Learn how voice is created and some of the common problems that can affect it. image: https://blog.chsc.org/hubfs/Girl%20yelling-2.jpg --- - CHSC Services & Programs - Speech-Language & Literacy - [Services for Adults](https://www.chsc.org/speech-language/speech-language-services-for-adults/) - [Services for Children](https://www.chsc.org/speech-language/speech-language-literacy-services-for-children/) - [Contract Services](https://www.chsc.org/speech-language/community-contract-services-speech-language-literacy/) - [Project ELLA](https://www.chsc.org/speech-language/project-ella/) - Hearing Services - [Hearing Evaluations and Testing](https://www.chsc.org/hearing-services/hearing-evaluations-and-testing/) - [Hearing Aids & Other Hearing Services](https://www.chsc.org/hearing-services/hearing-aids-other-hearing-services/) - [Early Intervention Service](https://www.chsc.org/hearing-services/early-intervention-service/) - Language Interpreting - 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CHSC Services & Programs - Speech-Language & Literacy - [Services for Adults](https://www.chsc.org/speech-language/speech-language-services-for-adults/) - [Services for Children](https://www.chsc.org/speech-language/speech-language-literacy-services-for-children/) - [Contract Services](https://www.chsc.org/speech-language/community-contract-services-speech-language-literacy/) - [Project ELLA](https://www.chsc.org/speech-language/project-ella/) - Hearing Services - [Hearing Evaluations and Testing](https://www.chsc.org/hearing-services/hearing-evaluations-and-testing/) - [Hearing Aids & Other Hearing Services](https://www.chsc.org/hearing-services/hearing-aids-other-hearing-services/) - [Early Intervention Service](https://www.chsc.org/hearing-services/early-intervention-service/) - Language Interpreting - [Language Interpreting Options](https://www.chsc.org/language-interpreting-services/american-sign-language-interpreting-services/) - [American Sign Language Interpreting](https://www.chsc.org/language-interpreting-services/american-sign-language-interpreting/) - [Spoken Language Interpreting](https://www.chsc.org/language-interpreting-services/spoken-language-interpreting/) - [Book an American Sign Language Interpreter](https://www.chsc.org/language-interpreting-services/book-an-american-sign-language-interpreter/) - Community Center for the Deaf & Hard of Hearing - [Welcome to CCDHH](https://www.chsc.org/community-services/welcome-to-ccdhh/) - [Vocational Rehabilitation Services](https://www.chsc.org/community-services/vocational-rehabilitation-services/) - [Support Services and Advocacy](https://www.chsc.org/community-services/support-services-and-advocacy/) - [Ohio Clinician Mental Health Training](https://www.chsc.org/community-services/ohio-clinician-mental-health-training/) - [American Sign Language (ASL) Classes](https://www.chsc.org/community-services/american-sign-language-asl-classes/) - Locations - [University Circle](https://www.chsc.org/contact/main-center-university-circle-location) - [Broadview Heights](https://www.chsc.org/contact/broadview-heights-location) - [Lyndhurst](https://www.chsc.org/contact/lyndhurst-location) - [Westlake](https://www.chsc.org/contact/westlake-location) - [Community Center for the Deaf & Hard of Hearing](https://www.chsc.org/contact/community-center-for-the-deaf-hard-of-hearing) - Giving Back - [Ways to Give](https://www.chsc.org/giving/ways-to-give/) - [Corporate Philanthropy](https://www.chsc.org/giving/ways-to-give/corporate-philanthropy/) - [Fundraising & Events](https://www.chsc.org/giving/ways-to-give/fundraising-events/) - About Us - [About CHSC](https://www.chsc.org/about/about-chsc/) - [Board of Directors](https://www.chsc.org/about/board-of-directors/) - [Leadership](https://www.chsc.org/about/leadership/) - [CHSC Staff](https://www.chsc.org/about/chsc-staff/) - [Join the CHSC Team](https://www.chsc.org/about/careers/) - [New Partners of CHSC](https://www.chsc.org/about/new-partners-of-chsc/) - [Volunteer at CHSC](https://www.chsc.org/about/volunteer/) - [News & Events](https://www.chsc.org/about/events-calendar/) - [Blog](https://www.chsc.org/about/chsc-blog/) - [Strategic Plan](https://wwwchsc.org/about/strategic-plan/) - [Community Partners](https://www.chsc.org/about/community-partners/) - [Our History](https://www.chsc.org/about/our-history/) - [Ask CHSC](https://www.chsc.org/ask-chsc/) # Communication Matters # Voice Problems and How to Improve Them [Michelle Foye, MA CCC-SLP](https://blog.chsc.org/blog/author/michelle-foye-ma-ccc-slp) | Posted on May 10, 2018 **![Girl yelling-2](https://blog.chsc.org/hs-fs/hubfs/Girl%20yelling-2.jpg?width=225&name=Girl%20yelling-2.jpg)How do we produce voice?** The sound of your voice is affected by the size and shape of your larynx, throat and mouth. Abnormalities in the size and shape of these structures or with the airway (trachea) can affect voice quality. Voice problems can be the result of trauma as well. To produce voice, air is drawn into the lungs, usually through the nose. The lungs expand when they fill with air, and then we gradually release the air through the trachea and mouth. We control the flow of air with muscles of the diaphragm, ribcage and larynx (voice box). As air passes through the trachea, it passes between the vocal folds. Just after we breathe air in, muscles in the larynx close the vocal folds to help keep the air in the lungs. As air pressure builds, the air pushes against the vocal folds, causing them to open. The interaction of muscle tension (closing the vocal folds) and air pressure (opening the vocal folds) causes a vibration of the vocal folds. This vibration creates sound. That sound is shaped by the size and shape of our vocal folds, throat (pharynx) and mouth. **Phonation** refers to the production of voice. Each person’s voice is unique to him or her. Our voices are as identifiable as a fingerprint. The first voiced sound we often hear from an infant is a cry. Generally, in infancy, cries can be differentiated and parents learn the meanings of different cries for hunger, pain/discomfort, etc. As infants grow, they begin to coo, exploring the use of their voices and learning what sounds they can make. Eventually, by listening to others and decoding the language around them, they begin to shape their voices by producing various vowels and consonants that initially make up babble and “baby-talk” and later become real words. [**Find our speech development chart for children ages 0-5 years here.**](https://blog.chsc.org/blog/your-childs-speech-development-birth-to-5-years-) **What are some common voice problems?** There are certain voice problems associated with congenital problems with the airway or central nervous system. Other voice problems are associated with the structures of the mouth, nose and other structures in the throat such as tonsils and adenoids. Still other voice problems are the result of misuse of the voice. When the airway is compromised or obstructed, a child may not be able to produce voice (phonate). Oftentimes, these problems require surgery. This is also true of problems with the larynx itself. Vocal fold paralysis accounts for 10 percent of all laryngeal problems. One or both vocal folds can be paralyzed. This paralysis is typically the result of damage or lesion to the nerves that stimulate the muscles of the larynx to move and is considered a problem of the central nervous system. Unilateral (one-sided) vocal fold paralysis can sometimes be managed with surgery. There are also devices that can be used to generate sound when the vocal folds cannot. Children sometimes develop problems with voice without any type of physical or neurological problems. Like adults, children can develop vocal nodules (small bumps on the vocal folds) that make the voice hoarse or breathy. Misusing the voice by talking in an unnatural manner, screaming harshly or making certain noises such as truck and car sounds can lead to changes in voice quality. This in turn can affect how easy or difficult it is to understand what the child says. [![Learn More About Speech-Language Therapies](https://no-cache.hubspot.com/cta/default/3275645/12fbbd10-1754-4811-adb7-e9690e681e28.png)](https://cta-redirect.hubspot.com/cta/redirect/3275645/12fbbd10-1754-4811-adb7-e9690e681e28) Tags: [Speech](https://blog.chsc.org/blog/topic/speech), [Language](https://blog.chsc.org/blog/topic/language), [Communication](https://blog.chsc.org/blog/topic/communication), [Voice](https://blog.chsc.org/blog/topic/voice) ## Comments ### Blog Categories - [Communication (122)](https://blog.chsc.org/blog/topic/communication) - [Speech (89)](https://blog.chsc.org/blog/topic/speech) - [Language (74)](https://blog.chsc.org/blog/topic/language) - [Hearing (54)](https://blog.chsc.org/blog/topic/hearing) - [talking (47)](https://blog.chsc.org/blog/topic/talking) - [Hearing Loss (43)](https://blog.chsc.org/blog/topic/hearing-loss) - [Audiology (41)](https://blog.chsc.org/blog/topic/audiology) - [Learning (34)](https://blog.chsc.org/blog/topic/learning) - [Hard of Hearing (33)](https://blog.chsc.org/blog/topic/hard-of-hearing) - [Hearing Aids (33)](https://blog.chsc.org/blog/topic/hearing-aids) - [Support (33)](https://blog.chsc.org/blog/topic/support) - [Voice (33)](https://blog.chsc.org/blog/topic/voice) - [toddler (31)](https://blog.chsc.org/blog/topic/toddler) - [Hearing Aid (28)](https://blog.chsc.org/blog/topic/hearing-aid) - [Stroke (19)](https://blog.chsc.org/blog/topic/stroke) - [Hearing Loss Prevention (17)](https://blog.chsc.org/blog/topic/hearing-loss-prevention) - [Caregiving (16)](https://blog.chsc.org/blog/topic/caregiving) - [literacy (16)](https://blog.chsc.org/blog/topic/literacy) - [Brain Injury (15)](https://blog.chsc.org/blog/topic/brain-injury) - [Deaf (15)](https://blog.chsc.org/blog/topic/deaf) - [Speech therapy (15)](https://blog.chsc.org/blog/topic/speech-therapy) - [reading (14)](https://blog.chsc.org/blog/topic/reading) - [Stuttering (13)](https://blog.chsc.org/blog/topic/stuttering) - [Teens (13)](https://blog.chsc.org/blog/topic/teens) - ["ears" (11)](https://blog.chsc.org/blog/topic/ears) - [Communication Access (11)](https://blog.chsc.org/blog/topic/communication-access) - [Stroke recovery (11)](https://blog.chsc.org/blog/topic/stroke-recovery) - [ASL (10)](https://blog.chsc.org/blog/topic/asl) - [American Sign Language (10)](https://blog.chsc.org/blog/topic/american-sign-language) - [Interpreting (7)](https://blog.chsc.org/blog/topic/interpreting) - ["tinnitus" (6)](https://blog.chsc.org/blog/topic/tinnitus) - [ASL Interpreter (6)](https://blog.chsc.org/blog/topic/asl-interpreter) - [Wilson Reading Program (6)](https://blog.chsc.org/blog/topic/wilson-reading-program) - [Aphasia (5)](https://blog.chsc.org/blog/topic/aphasia) - [Early Intervention (5)](https://blog.chsc.org/blog/topic/early-intervention) - [Ear Anatomy (3)](https://blog.chsc.org/blog/topic/ear-anatomy) - [Ear Pain (3)](https://blog.chsc.org/blog/topic/ear-pain) - [Primary Progressive Aphasia (3)](https://blog.chsc.org/blog/topic/primary-progressive-aphasia) - [Reading Summer Camp (3)](https://blog.chsc.org/blog/topic/reading-summer-camp) - [earplugs (3)](https://blog.chsc.org/blog/topic/earplugs) - [Autism (2)](https://blog.chsc.org/blog/topic/autism) - [Cochlear Implants (2)](https://blog.chsc.org/blog/topic/cochlear-implants) - [Deafness (2)](https://blog.chsc.org/blog/topic/deafness) - [Donations (2)](https://blog.chsc.org/blog/topic/donations) - [Donors (2)](https://blog.chsc.org/blog/topic/donors) - [Ear Wax (2)](https://blog.chsc.org/blog/topic/ear-wax) - [Medicare (2)](https://blog.chsc.org/blog/topic/medicare) - [Wills (2)](https://blog.chsc.org/blog/topic/wills) - [planned giving (2)](https://blog.chsc.org/blog/topic/planned-giving) - [tantrum (2)](https://blog.chsc.org/blog/topic/tantrum) - [Accent Modification (1)](https://blog.chsc.org/blog/topic/accent-modification) - [Baby Sign Language (1)](https://blog.chsc.org/blog/topic/baby-sign-language) - [Cleft Lip (1)](https://blog.chsc.org/blog/topic/cleft-lip) - [Cleft palate (1)](https://blog.chsc.org/blog/topic/cleft-palate) - [Dyslexia (1)](https://blog.chsc.org/blog/topic/dyslexia) - [Face masks (1)](https://blog.chsc.org/blog/topic/face-masks) - [R speech therapy (1)](https://blog.chsc.org/blog/topic/r-speech-therapy) - [baby (1)](https://blog.chsc.org/blog/topic/baby) - [dbhc (1)](https://blog.chsc.org/blog/topic/dbhc) - [hearing test (1)](https://blog.chsc.org/blog/topic/hearing-test) - [mental health (1)](https://blog.chsc.org/blog/topic/mental-health) - [ultrasound (1)](https://blog.chsc.org/blog/topic/ultrasound) - [ultrasound speech therapy (1)](https://blog.chsc.org/blog/topic/ultrasound-speech-therapy) see all ### Authors - [Cleveland Hearing & Speech Center (32)](https://blog.chsc.org/blog/author/cleveland-hearing-speech-center) - [Bridgid M. Whitford Au.D, CCC-A (25)](https://blog.chsc.org/blog/author/bridgid-m-whitford-au-d-ccc-a) - [Sharon Dundee (21)](https://blog.chsc.org/blog/author/sharon-dundee) - [Michelle Foye, MA CCC-SLP (13)](https://blog.chsc.org/blog/author/michelle-foye-ma-ccc-slp) - [Alicia Verhovitz, M.A., CCC-SLP (10)](https://blog.chsc.org/blog/author/alicia-verhovitz-m-a-ccc-slp) - [Megan Ahlman, M.A. CCC-SLP (9)](https://blog.chsc.org/blog/author/megan-ahlman-m-a-ccc-slp) - [Lauren Masuga, M.A., CCC-SLP (5)](https://blog.chsc.org/blog/author/lauren-masuga-m-a-ccc-slp) - [Linda Lange, Assistant Director of Speech Language & Learning Services (4)](https://blog.chsc.org/blog/author/linda-lange-assistant-director-of-speech-language-learning-services) - [Akilah Porter, Marketing Coordinator (4)](https://blog.chsc.org/blog/author/akilah-porter-marketing-coordinator) - [Tracy Biller, M.A., CCC-SLP Speech-Language Pathologist; Adult Services Coordinator (4)](https://blog.chsc.org/blog/author/tracy-biller-m-a-ccc-slp-speech-language-pathologist-adult-services-coordinator) - [Akilah Porter (3)](https://blog.chsc.org/blog/author/akilah-porter) - [Rachel Lester, BS, Audiology Intern (3)](https://blog.chsc.org/blog/author/rachel-lester-bs-audiology-intern) - [Rebecca Mental, Ph.D., CCC-SLP Director of Speech, Language, and Learning Services (3)](https://blog.chsc.org/blog/author/rebecca-mental-ph.d.-ccc-slp-director-of-speech-language-and-learning-services) - [Jennell C. Vick, Ph.D., CCC-SLP (3)](https://blog.chsc.org/blog/author/jennell-c.-vick-ph.d.-ccc-slp) - [Stephanie Vondra, M.A., CCC-SLP (2)](https://blog.chsc.org/blog/author/stephanie-vondra-m.a.-ccc-slp) - [Michelle Foye, M.A., CCC-SLP, Director of Speech Language & Learning Services (2)](https://blog.chsc.org/blog/author/michelle-foye-m-a-ccc-slp-director-of-speech-language-learning-services) - [Kacey Riga, M.A., CCC-SLP (2)](https://blog.chsc.org/blog/author/kacey-riga-m-a-ccc-slp) - [Chana Feinstein, M.A., CCC-SLP (2)](https://blog.chsc.org/blog/author/chana-feinstein-m-a-ccc-slp) - [Michelle Kurfiss M.A. CCC-SLP (2)](https://blog.chsc.org/blog/author/michelle-kurfiss-m-a-ccc-slp) - [Casey Ring, CCDHH Learning Center Manager (1)](https://blog.chsc.org/blog/author/casey-ring-ccdhh-learning-center-manager) - [Samantha Taylor (1)](https://blog.chsc.org/blog/author/samantha-taylor) - [Dalit Burgess, Coordinator of School Services, Senior Speech-Language Pathologist (1)](https://blog.chsc.org/blog/author/dalit-burgess-coordinator-of-school-services-senior-speech-language-pathologist) - [Rebecca Mental, Ph.D., MPH, CCC-SLP (1)](https://blog.chsc.org/blog/author/rebecca-mental-ph-d-mph-ccc-slp) - [Jordan Brian, Sign Language Interpreter (1)](https://blog.chsc.org/blog/author/jordan-brian-sign-language-interpreter) - [Dalit Burgess, M.S., CCC-SLP, Senior Speech-Language Pathologist; Coordinator of Professional and School Services (1)](https://blog.chsc.org/blog/author/dalit-burgess-m-s-ccc-slp-senior-speech-language-pathologist-coordinator-of-professional-and-school-services) - [Maria O’Neil Ruddock, Psy.D. (1)](https://blog.chsc.org/blog/author/maria-oneil-ruddock-psy-d) - [Jennell Vick, Ph.D., CCC-SLP (1)](https://blog.chsc.org/blog/author/jennell-vick-ph-d-ccc-slp) - [Michelle Parker-Armstrong, Office Coordinator for CCDHH (1)](https://blog.chsc.org/blog/author/michelle-parker-armstrong-office-coordinator-for-ccdhh) - [Jonathan Plessner, CCC-SLP (1)](https://blog.chsc.org/blog/author/jonathan-plessner-ccc-slp) - [Elizabeth Divis, M.A. CCC-SLP (1)](https://blog.chsc.org/blog/author/elizabeth-divis-m-a-ccc-slp) - [Sarita Cornwall, Support Services & Community Outreach Specialist (1)](https://blog.chsc.org/blog/author/sarita-cornwall-support-services-community-outreach-specialist) - [Ruth Clark, MA., CCC-A (1)](https://blog.chsc.org/blog/author/ruth-clark-ma-ccc-a) - [Carol Theil, CCC-SLP (1)](https://blog.chsc.org/blog/author/carol-theil-ccc-slp) - [Jerry Hayes, PsyD and Maria O’Neil Ruddock, PsyD (1)](https://blog.chsc.org/blog/author/hayes-oneil) - [Angela Gartner, Editor, NEO Parent Magazine (1)](https://blog.chsc.org/blog/author/angela-gartner-editor-neo-parent-magazine) - [Reprinted with permission from the Annie E. Casey Foundation (1)](https://blog.chsc.org/blog/author/reprinted-with-permission-from-the-annie-e-casey-foundation) - [Anne M. Calic MA CCC-SLP (1)](https://blog.chsc.org/blog/author/anne-m-calic-ma-ccc-slp) - [Jessica Blakeman CCC-SLP, Speech-Language Pathologist, (1)](https://blog.chsc.org/blog/author/jessica-blakeman-ccc-slp-speech-language-pathologist) - [Rebecca Mental, Ph.D., CCC-SLP, Director of Research and Jonathan Plessner, M.A., CCC-SLP, Speech-Language Pathologist (1)](https://blog.chsc.org/blog/author/rebecca-mental-ph-d-ccc-slp-director-of-research-and-jonathan-plessner-m-a-ccc-slp-speech-language-pathologist) - [Debbie Dey (1)](https://blog.chsc.org/blog/author/debbie-dey) - [Casey Ring, Learning Center Manager (1)](https://blog.chsc.org/blog/author/casey-ring-learning-center-manager) - [Kellie Vaughan, M.A., CCC-SLP (1)](https://blog.chsc.org/blog/author/kellie-vaughan-m-a-ccc-slp) - [Dr. Jennell C. Vick (1)](https://blog.chsc.org/blog/author/dr-jennell-c-vick) see all [Request an Appointment](https://share.hsforms.com/1H4Q3P8MbSnma6-uuosE5Qg1y7i5) [Please Donate Your support means so much](https://transactions.chsc.org/CampaignForm/CHSC/Cleveland+Hearing+and+Speech+Center) [Book an Interpreter](http://www.chsc.org/american-sign-language-interpreting-services/interpreting-services-for-individuals/) ### SUBSCRIBE TO OUR NEWSLETTER Receive CHSC news and events and other important communication updates directly to your inbox. - [![Facebook](https://blog.chsc.org/hubfs/CHSC-Nov2017/Images/facebook.svg)](https://www.facebook.com/clevelandhearingandspeechcenter) - [![X](https://blog.chsc.org/hubfs/CHSC-Nov2017/Images/x.svg)](https://twitter.com/clevehearspeech) - [![LinkedIn](https://blog.chsc.org/hubfs/CHSC-Nov2017/Images/linkedin.svg)](https://www.linkedin.com/company/cleveland-hearing-%26-speech-center/) - [![YouTube](https://blog.chsc.org/hubfs/CHSC-Nov2017/Images/youtube.svg)](https://www.youtube.com/user/chscdevelopment?feature=watch) - [![Flickr](https://blog.chsc.org/hubfs/CHSC-Nov2017/Images/flickr.svg)](https://www.flickr.com/photos/clevelandhearingandspeech) ##### Menu - [Audiology](http://www.chsc.org/audiology) - [Hearing Aids](http://www.chsc.org/hearing-aids) - [Speech & Language](http://www.chsc.org/speech-language) - [ASL Interpreting](http://www.chsc.org/american-sign-language-interpreting-services) - [Community Center (CCDHH)](http://www.chsc.org/community-center-for-the-deaf-hard-of-hearing) - [Resources](http://www.chsc.org/resources) - [About](http://www.chsc.org/about/about-chsc) - [Giving](http://www.chsc.org/giving) - [Events](http://www.chsc.org/ways-to-give/fundraising-events) - [Contact](http://www.chsc.org/contact) - [Schedule an Appointment](http://www.chsc.org/contact) - [Donate](https://transactions.chsc.org/CampaignForm/CHSC/Cleveland+Hearing+and+Speech+Center) ![CARF](https://blog.chsc.org/hubfs/CHSC-Nov2017/Images/carf-logo.png) ##### Accreditations and Affiliations - [Commission on Accreditation of Rehabilitation Facilities](http://carf.org) - [Certified Medicare and Medicaid Provider](https://www.cms.gov/) - [National Association of Speech and Hearing Centers](http://www.nashc.net/) - [Registry of Interpreters for the Deaf](http://www.rid.org/) - [Case Western Reserve University](https://case.edu/) - [United Way of Greater Cleveland](https://www.unitedwaycleveland.org/) ##### Contact Information 11635 Euclid Ave. Cleveland, OH 44106 Voice: (216) 231-8787 Appt: (216) 325-7570 Fax: (216) 231-7141 [info@chsc.org](mailto:info@chsc.org) ![CARF](https://blog.chsc.org/hubfs/CHSC-Nov2017/Images/carf-logo.png) - [Corporate Information](http://www.chsc.org/corporate-information) - [HIPAA](http://www.chsc.org/hipaa-cleveland-hearing-speech-center) - [Privacy Policy](http://www.chsc.org/privacy-policy) - [Terms & Conditions](http://www.chsc.org/terms-and-conditions) - 501c3 Non-Profit © 2017 Cleveland Hearing & Speech Center. 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