Incomplete Vocal Folds Closure

Recommendations for selecting products by severity level

Light – moderate Incomplete Vocal Folds Closure – 

TMRG Voice Therapy kit – Premium (TVT- P)


Moderate to severe Incomplete Vocal Folds Closure

TMRG Powerful Vocal Recovery Kit (N)

  • TMRG Voice Therapy kit – Premium (TVT- P)

  • TMRG Voice Therapy kit – Standard (TVT-S)

  • TMRG Voice Synergy Oil (#6)


All you need to know about Incomplete Vocal Folds Closure

 Incomplete Vocal Folds Closure

Incomplete Vocal Folds Closure is very common ENT doctors’ diagnosis of vocal difficulties.

What is Incomplete Vocal Folds Closure?

Your vocal folds contact and part from each other hundreds of times per second. Normally, they should close your glottis completely, but without pressure, in order to avoid harm. In case of incomplete closure, the folds either don’t close tightly or contact each other asymmetrically.

 Incomplete vocal folds closure symptoms:

  • Your voice sounds airier, due to air leaking through the gaps between the incompletely closed cords.
  • A sense of greater vocal difficulty.
  • Weaker voice;
  • Hoarseness;
  • Vocal fatigue,

Etc., etc.

Causes of Incomplete vocal folds closure:

  • Vocal fatigue due to vocal cords overuse, or to general fatigue and weakness of specific muscles.
  • Vocal cords lesions preventing their complete closure.

Incomplete vocal folds closure treatment:

The recommended treatment depends on the cause.

If the cause is vocal cords lesions such as nodules, the required treatment is using your vocal cords gently, minimizing your vocal intensity.

By contrast, if the cause is weakness of the vocal cords, the required treatment is intensified exercises aimed at strengthening your vocal cords muscles, in addition to sufficient vocal rest between vocal efforts.

Recommended exercises for better vocal cords closure (in case of weakness of the vocal cords without lesions)

  • Staccato pronunciation: stress and “flip” the sounds, making them clearly distinct from each other. You can repeat certain with smoothness and momentum. Make the air slightly more compressed than  usual, like in a “vocal attack”, to make your vocal cords contact more fully.

Vocal support muscles strengthening exercises: 

  • Static exercises, for better vocal cords closure:

In these exercises, you should press your vocal cords forcefully, for a couple of seconds.  For example:

  • A neck muscle strengthening exercise: press your hands against each other, with your arms at your chest level and stretched sideways. Maintain this position for several minutes, relax your arms, rest for a few seconds, and then resume the position. Repeat it 3 times in a row, 3 times a day.
  • Abdominal, diaphragm, and intercostal muscle exercises. For example, the Max Plank spinal, abdominal and torso exercise:
  1. Lie on your belly.
  2. Rest on your forearms.
  3. Rise and rest on your toes’ fingertips, detaching your body from the ground.
  4. Keep your body parallel to the ground, making sure your buttock neither protrudes nor sunk.
  5. Make sure to breathe throughout the exercise. If you suffer breathing difficulties, or tremble, stop and rest.

Repeat the exercise 3 times, for 5 seconds at a time, 3 times a week. Increase the duration gradually.

Finally, there is the optimal means of prevention and recovery for nearly all vocal cords issues(with or without lesions):

 exercising with TPV device. 

During the exercise, the water in the device offers vocal resistance, thus strengthening your vocal cords and helps them regain complete closure. The water’s resistance also counterbalances the pressure on your vocal cords, thus preventing any pressure-related damage.

The combination of exercising with TPV device and using TMRG natural solutions results in an amazingly quick recovery of nearly all cases of incomplete vocal cords closure.

It can also gradually improve your condition in cases of vocal cords paralysis or nervous system related vocal issues.

Good luck,


A TMRG specialist