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Your Trusted Vocal Health Provider for Vocal Performers & Professional Singers

Exceptional Voices require Exceptional Care.

Vocal athletes are artists who are trained or skilled in vocal performance requiring vocal strength, agility, and stamina.

You are an exceptional voice user who is working at the top of your craft and your livelihood (and the livelihood of those who work for/with you) depend on your ability to consistently perform at the highest level. 

When your voice is your instrument, even the subtlest change to certain characteristics of your voice can threaten, damage, or even end your vocal career. You are acutely aware of the stakes and the demand to perform your job consistently and well. 

Blue Grass Voice Care Performance experts
The experts at Bluegrass Voice Care work with Booking Agents, Music Producers, Performing Artists when vocal performance demands expert attention.

Our Clients

What is a Voice Disorder?

People who use their voices in a professional or vocally demanding environment are more likely to notice a voice change due to the need for their voice to function at an optimal level. Normal voicing requires a balance between the three subsystems of voice production: respiration, phonation, and resonance. The relative and efficient balance of these subsystems is critical to maintain efficiency and ease of production.

A disturbance to any one of the subsystems will often result in some form of compensation from the other two and can cause a physiologic and performance imbalance. This imbalance can disrupt the efficiency of the vocal mechanism and may lead to a voice disorder.

A voice disorder exists when your vocal quality, pitch, and loudness differ from those of a similar age, gender, cultural background, and geographic location or when either the structure, the function, or both of laryngeal mechanism (voice box) no longer meet the voicing requirement established by the speaker.


how you filter the energized sound source by using your vocal tract, other resonating spaces, and the lips, teeth, and tongue to enhance certain frequencies or damp other resulting in your identifiable vocal sound.  


is the vibration of your vocal folds within your larynx (or voicebox) that creates an energized sound source.  


your breath is the driving force, or power behind your voice production that sets the vocal folds into vibration.

How are voice problems diagnosed? 

Hoarseness and vocal changes that last longer than 2 weeks should be evaluated by an Otolaryngologist who specializes in voice disorders (Laryngologist). During your appointment, your ENT will perform a laryngeal assessment and visualize your vocal folds with a camera to assist with the diagnosis. Your ENT may recommend medication, surgery, voice therapy, or a combination of these options. The team at Bluegrass Voice Care will work with your medical provider to provide comprehensive treatment of your voice problems.  

About 10-20% of children and 7% of adults have a voice disorder at any given time. Professional voice users have a higher incident of voice disorders (~15%) due to the increased vocal demand.

The overall prevalence of self-reported dysphonia (or voice problems) in singers was 46.09% and 35% in actors.

Blue Grass Voice Care Performance experts
A laryngeal stroboscopic exam is an important part of the diagnostic procedure. The ENT will diagnosis the laryngeal pathology and the voice specialist SLP will assess how the diagnosis is impacting the functional capabilities of the voice. This is beneficial for treatment planning and provides the referral for therapeutic services. 

Signs of voice problems:

  • Hoarseness, raspiness, or vocal changes that last longer than 2 weeks
  • Decreased upper range
  • A hole in your range
  • Pitch breaks
  • Increased tension while using voice
  • Changes to your passaggio
  • Increased vocal warmup time needed
  • Vocal fatigue
  • Longer than usual recovery time
  • Increased breathiness
  • Increased throat clearing
  • Laryngeal irritation or pain
  • Increased effort need to sing or talk
  • Weak vocal quality
  • Difficulty with volume dynamics
  • Voice loss
  • New difficulty singing on pitch
Bluegrass Voice Care specializes in treatment of the following vocal disorders/symptoms:
  • Benign Vocal Fold Lesions (nodules, cysts, polyps)
  • Vocal rehabilitation following a Vocal Fold Hemorrhage
  • Primary or Secondary Muscle Tension Dysphonia
  • Age-Related Vocal Changes (Presbylaryngis/Presbyphonia)
  • Hoarseness
  • Improving Vocal Loudness
  • Improving Vocal Clarity and Clarity of Speech
  • Fluency (Stuttering)
  • Paradoxical Vocal Cord Motion/Vocal Cord Dysfunction
  • Parkinson’s Related Voice Changes
A Message from our President

Vocal rehabilitation for the exceptional voice should be as uniquely structured in a manner consistent with your individual vocal demands that facilitates the continuation of maximum performance in your style with minimal vocal costs. 

At Bluegrass Voice Care we work in affiliation with your voice team (ENT/Laryngologist, Vocal Coach, and others) to provide multi-disciplinary care.   

We provide highly specialized voice care for professional voice users who place the highest demand on their vocal mechanism because we believe exceptional voices require exceptional care. 


JoAnna Sloggy, PhD CCC-SLP

President & CEO of Bluegrass Voice Care LLC

We are a telehealth practice.

Telehealth offers an effective virtual treatment option with the potential to reach a broad range of patients. Recent studies have found that treatment outcomes via telepractice delivery are comparable to face-to-face therapy and an effective mode of service delivery. With telehealth, you can be seen from the convenience and comfort of your home without having to travel to a clinic for your appointment. You will need a reliable internet connection and a computer, tablet, or smartphone. You will use a secure telehealth video platform to connect with your provider.
Bluegrass Voice Care Staff


Bluegrass Voice Care LLC featured rehabilitation and training methods are systematic and specialized to your individual vocal abilities, vocal needs, and performance demands. Our focus is on teaching you how to optimize and maintain your vocal health and hygiene, and how to increase your vocal stamina, range, and quality while working to improve laryngeal health and balance with the goal of returning to performing. We combines our collective artistic expertise with scientific understanding of vocal physiology to help you reach maximal results.

Dr. JoAnna Sloggy, PhD, CCC-SLP


Dr. Sloggy has worked with singers on all levels; from upcoming stars to grammy nominated singers and Broadway performers. She also provides individual voice coaching for religious leaders, professional speakers, and executives.

Dr. Sloggy received a BA in Music from Methodist University, studying voice and piano, a MA in Communication Sciences and Disorders from the University of Memphis. She received a PhD in Rehabilitation Sciences at the University of Kentucky under the mentorship of Dr. Joseph Stemple where her research focus was on the aging Elite Vocal Athlete.
Dr. Sloggy completed her clinical fellowship in 2012 specializing in voice and swallowing disorders at the University of Kentucky Voice & Swallow Clinic where she worked as a voice pathologist/Singing Voice Specialist for 10 years, providing evaluations and treatment for voice and upper airway disorders and has extensive training and experience with voice in both the classical and CCM genres and vocal pedagogy. She has performed extensive as a musical theater performer and maintained a private vocal studio. She also served as an Adjunct Professor teaching Voice Disorders to undergraduate and masters students at East Kentucky University and has lectured on voice and taught voice therapy/vocal health workshops at national conferences, universities and corporations.
Dr. Sloggy is certified in multiple techniques, including LSVT, Speak Out!, and Somatic VoiceworkTM The Lovetri Method. She is a member of the National Association of Teachers of Singing (NATS) and the American Speech Language Hearing Association (ASHA) and holds her certificate of clinical competence. She is licensed for medical speech pathology services in TN, KY, SC, NC, and OR.

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