Carrie Underwood‘sscary falllast November not only affected her face but greatly impacted her ability to do what she loves — sing.

The fall, which required Underwood, 35, to getmore than 40 stitches, occurred around the same time she was recording her sixth albumCry Pretty.

During arecent interview with Vulture, the “Before He Cheats” singer opened up about how the accident took a toll on her mentally and physically.

“Going into the studio for the first time, it was a mind game: ‘Do I sound the same? Is my diction the same? Does my mouth move the same as it did before?” Underwood recounted.

“I would sing something and then look at David [Garcia] and be like, ‘Did that all come out clearly?’ My m’s and b’s and p’s were kind of the issue. And he was like, ‘I thought it sounded great,'” the Grammy award winner said of her producer.

While it was difficult for Underwood to initially accept that her injury had an effect on her vocals, she’s now come to accept it.

“Things change just as you get older; muscles change. I kind of expect I’m not always going to sound like I’m 22 coming off ofAmerican Idol. Hopefully, I get better,” Underwood, who recently announced she and her husbandMike Fisherareexpecting their second child, added.

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52nd Academy Of Country Music Awards - Arrivals

In November 2017, just a few days after hosting the CMA Awards, Underwood fell on the steps outside of her home, a rep for the singer told PEOPLE in a statement.

Carrie Underwood.Rex/Shutterstock

CMT Artists of the Year, Arrivals, Nashville, USA - 17 Oct 2018

In addition to suffering the abrasions to her face, Underwood also broke her wrist.

For a while after her fall, Underwood kept a relatively low profile telling fans “I may not look the same.”

However, she is now back to her country best. In June, Underwood and Fisher made their first red carpet appearance together since the accident at the CMT Awards whereshe won her 18th CMT Award.

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2018 CMT Music Awards - Arrivals

Underwood was also selected asCMTs Artist of the Yearin October and scored an American Music Award forFavorite Country Female Artistalso in October— in addition to releasingCry Prettyin September.

Underwood and Brad Paisley will co-host Wednesday’s CMA Awards, airing at 8 p.m. EST on ABC.

source: people.com