The Brain and the Voice in Speech and Song

Fig. 1

FIG. 1.-Front view of the thorax showing the breastbone, to which on either side are attached the (shaded) rib cartilages. The remainder of the thoracic cage is formed by the ribs attached behind to the spine, which is only seen below. The lungs are represented filling the chest cavity, except a little to the left of the breastbone, below where the pericardium is shown (black). It can be seen that the ribs slope forwards and downwards, and that they increase in length from above downwards, so that if elevated by the muscles attached to them, they will tend to push forward the elastic cartilages and breastbone and so increase the antero-posterior diameter of the chest; moreover, the ribs being elastic will tend to give a little at the angle, and so the lateral diameter of the chest will be increased.

The bellows consists of the lungs enclosed in the movable thorax. The latter may be likened to a cage; it is formed by the spine behind and the ribs, which are attached by cartilages to the breastbone (sternum) in front (vide fig. 1). The ribs and cartilages, as the diagram shows, form a series of hoops which increase in length from above downwards; moreover, they slope obliquely downwards and inwards (vide fig. 2). The ribs are jointed behind to the vertebrae in such a way that muscles attached to them can, by shortening, elevate them; the effect is that the longer ribs are raised, and pushing forward the breastbone and cartilages, the thoracic cage enlarges from before back; but being elastic, the hoops will give a little and cause some expansion from side to side; moreover, when the ribs are raised, each one is rotated on its axis in such a way that the lower border tends towards eversion; the total effect of this rotation is a lateral expansion of the whole thorax. Between the ribs and the cartilages the space is filled by the intercostal muscles (vide fig. 2), the action of which, in conjunction with other muscles, is to elevate the ribs. It is, however, unnecessary to enter into anatomical details, and describe all those muscles which elevate and rotate the ribs, and thereby cause enlargement of the thorax in its antero-posterior and lateral diameters. There is, however, one muscle which forms the floor of the thoracic cage called the diaphragm that requires more than a passing notice (vide fig. 2), inasmuch as it is the most effective agent in the expansion of the chest. It consists of a central tendinous portion, above which lies the heart, contained in its bag or pericardium; on either side attached to the central tendon on the one hand and to the spine behind, to the last rib laterally, and to the cartilages of the lowest six ribs anteriorly, is a sheet of muscle fibres which form on either side of the chest a dome-like partition between the lungs and the abdominal cavity (vide fig. 2). The phrenic nerve arises from the spinal cord in the upper cervical region and descends through the neck and chest to the diaphragm; it is therefore a special nerve of respiration. There are two-one on each side supplying the two sheets of muscle fibres. When innervation currents flow down these nerves the two muscular halves of the diaphragm contract, and the floor of the chest on either side descends; thus the vertical diameter increases. Now the elastic lungs are covered with a smooth pleura which is reflected from them on to the inner side of the wall of the thorax, leaving no space between; consequently when the chest expands in all three directions the elastic lungs expand correspondingly. But when either voluntarily or automatically the nerve currents that cause contraction of the muscles of expansion cease, the elastic structures of the lungs and thorax, including the muscles, recoil, the diaphragm ascends, and the ribs by the force of gravity tend to fall into the position of rest. During expansion of the chest a negative pressure is established in the air passages and air flows into them from without. In contraction of the chest there is a positive pressure in the air passages, and air is expelled; in normal quiet breathing an ebb and flow of air takes place rhythmically and subconsciously; thus in the ordinary speaking of conversation we do not require to exercise any voluntary effort in controlling the breathing, but the orator and more especially the singer uses his knowledge and experience in the voluntary control of his breath, and he is thus enabled to use his vocal instrument in the most effective manner.

Fig. 2

Adapted from Quain's "Anatomy" by permission of Messrs. Longmans, Green & Co.

FIG. 2.-Diagram modified from Quain's "Anatomy" to show the attachment of the diaphragm by fleshy pillars to the spinal column, to the rib cartilages, and lower end of the breastbone and last rib. The muscular fibres, intercostals, and elevators of the ribs are seen, and it will be observed that their action would be to rotate and elevate the ribs. The dome-like shape of the diaphragm is seen, and it can be easily understood that if the central tendon is fixed and the sheet of muscle fibres on either side contracts, the floor of the chest on either side will flatten, allowing the lungs to expand vertically. The joints of the ribs with the spine can be seen, and the slope of the surface of the ribs is shown, so that when elevation and rotation occur the chest will be increased in diameter laterally.

Fig. 3

FIG 3.-Diagram after Barth to illustrate the changes in the diaphragm, the chest, and abdomen in ordinary inspiration b-b', and expiration a-a', and in voluntary inspiration d-d' and expiration c-c', for vocalisation In normal breathing the position of the chest and abdomen in inspiration and expiration is represented respectively by the lines b and a; the position of the diaphragm is represented by b' and a'. In breathing for vocalisation the position of the chest and abdomen is represented by the lines d and e, and the diaphragm by d' and c'; it will be observed that in voluntary costal breathing d-d the expansion of the chest is much greater and also the diaphragm d' sinks deeper, but by the contraction of the abdominal muscles the protrusion of the belly wall d is much less than in normal breathing b.

A glance at the diagram (fig. 3) shows the changes in the shape of the thorax in normal subconscious automatic breathing, and the changes in the voluntary conscious breathing of vocalisation. It will be observed that there are marked differences: when voluntary control is exercised, the expansion of the chest is greater in all directions; moreover, by voluntary conscious effort the contraction of the chest is much greater in all directions; the result is that a larger amount of air can be taken into the bellows and a larger amount expelled. The mind can therefore bring into play at will more muscular forces, and so control and regulate those forces as to produce infinite variations in the pressure of the air in the sound-pipe of the vocal instrument. But the forces which tend to contract the chest and drive the air out of the lungs would be ineffective if there were not simultaneously the power of closing the sound-pipe; this we shall see is accomplished by the synergic action of the muscles which make tense and approximate the vocal cords. Although the elastic recoil of the lungs and the structure of the expanded thorax is the main force employed in normal breathing and to some extent in vocalisation (for it keeps up a constant steady pressure), the mind, by exercising control over the continuance of elevation of the ribs and contraction of the abdominal muscles, regulates the force of the expiratory blast of air so as to employ the bellows most efficiently in vocalisation. Not only does the contraction of the abdominal muscles permit of control over the expulsion of the air, but by fixing the cartilages of the lowest six ribs it prevents the diaphragm drawing them upwards and inwards (vide fig. 2). The greatest expansion is just above the waistband (vide fig. 3). We are not conscious of the contraction of the diaphragm; we are conscious of the position of the walls of the chest and abdomen; the messages the mind receives relating to the amount of air in the bellows at our disposal come from sensations derived from the structures forming the wall of the chest and abdomen, viz. the position of the ribs, their degree of elevation and forward protrusion combined with the feeling that the ribs are falling back into the position of rest; besides there is the feeling that the abdominal muscles can contract no more-a feeling which should never be allowed to arise before we become conscious of the necessity of replenishing the supply of air. This should be effected by quickly drawing in air through the nostrils without apparent effort and to as full extent as opportunity offers between the phrases. By intelligence and perseverance the guiding sense which informs the singer of the amount of air at his disposal, and when and how it should be replenished and voluntarily used, is of fundamental importance to good vocalisation. Collar-bone breathing is deprecated by some authorities, but I see no reason why the apices of the lungs should not be expanded, and seeing the frequency with which tubercle occurs in this region, it might by improving the circulation and nutrition be even beneficial. The proper mode of breathing comes almost natural to some individuals; to others it requires patient cultivation under a teacher who understands the art of singing and the importance of the correct methods of breathing.

The more powerfully the abdominal muscles contract the laxer must become the diaphragm muscle; and by the law of the reciprocal innervation of antagonistic muscles it is probable that with the augmented innervation currents to the expiratory centre of the medulla there is a corresponding inhibition of the innervation currents to the inspiratory centre (vide fig. 18, page 101). These centres in the medulla preside over the centres in the spinal cord which are in direct relation to the inspiratory and expiratory muscles. It is, however, probable that there is a direct relation between the brain and the spinal nerve centres which control the costal and abdominal muscles independently of the respiratory centres of the medulla oblongata (vide fig. 18). The best method of breathing is that which is most natural; there should not be a protruded abdomen on the one hand, nor an unduly inflated chest on the other hand; the maximum expansion should involve the lower part of the chest and the uppermost part of the abdomen on a level of an inch or more below the tip of the breastbone; the expansion of the ribs should be maintained as long as possible. In short phrases the movement may be limited to an ascent of the diaphragm, over which we have not the same control as we have of the elevation of the ribs; but it is better to reserve the costal air, over which we have more voluntary control, for maintaining a continuous pressure and for varying the pressure.