{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:02:00Z","timestamp":1777874520229,"version":"3.51.4"},"reference-count":98,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000055","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jvoice.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Voice"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.jvoice.2026.02.012","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T12:49:07Z","timestamp":1774010947000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Examining the Effect of Volitionally Altering Fundamental Frequency on Measures Associated With Vocal Hyperfunction"],"prefix":"10.1016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9477-8352","authenticated-orcid":false,"given":"Nichole","family":"Houle","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel E.","family":"D\u00edaz C\u00e1diz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cara E.","family":"Stepp","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jvoice.2026.02.012_bib1","series-title":"Voice and communication therapy for the transgender\/gender diverse client: a comprehensive clinical guide","author":"Adler","year":"2018"},{"key":"10.1016\/j.jvoice.2026.02.012_bib2","first-page":"901","article-title":"On the relation between subglottal pressure and fundamental frequency in phonation","volume":"85","author":"Titze","year":"1989","journal-title":"J\u00a0Acoust\u00a0Soc\u00a0Am"},{"key":"10.1016\/j.jvoice.2026.02.012_bib3","first-page":"707","article-title":"Vertical Laryngeal Position During Continuous and Discrete Vocal Frequency Change","volume":"18","author":"Shipp","year":"1975","journal-title":"J\u00a0Speech\u00a0Hear\u00a0Res"},{"key":"10.1016\/j.jvoice.2026.02.012_bib4","first-page":"251","article-title":"Aerodynamic analysis of male-to-female transgender voice","volume":"20","author":"Gorham-Rowan","year":"2006","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib5","first-page":"117","article-title":"Endoscopic and stroboscopic presentation of the larynx in male-to-female transsexual persons","volume":"26","author":"Palmer","year":"2012","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib6","first-page":"3320","article-title":"Voice Function in Gender-Diverse People Assigned Female at Birth: Results From a Participant-Centered Mixed-Methods Study and Implications for Clinical Practice","volume":"62","author":"Azul","year":"2019","journal-title":"J\u00a0Speech\u00a0Lang\u00a0Hear\u00a0Res"},{"key":"10.1016\/j.jvoice.2026.02.012_bib7","first-page":"195","article-title":"Assessment and treatment of musculoskeletal tension in hyperfunctional voice disorders","volume":"10","author":"Roy","year":"2008","journal-title":"Int\u00a0J\u00a0Speech-Lang\u00a0Pathol"},{"key":"10.1016\/j.jvoice.2026.02.012_bib8","first-page":"108","article-title":"Pattern recognition in muscle misuse voice disorders:How I do it","volume":"11","author":"Morrison","year":"1997","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib9","first-page":"2254","article-title":"An Updated Theoretical Framework for Vocal Hyperfunction","volume":"29","author":"Hillman","year":"2020","journal-title":"Am\u00a0J\u00a0Speech-Lang\u00a0Pathol"},{"key":"10.1016\/j.jvoice.2026.02.012_bib10","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1044\/2019_JSLHR-19-00057","article-title":"Toward a Consensus Description of Vocal Effort, Vocal Load, Vocal Loading, and Vocal Fatigue","volume":"63","author":"Hunter","year":"2020","journal-title":"J Speech Lang Hear Res"},{"key":"10.1016\/j.jvoice.2026.02.012_bib11","first-page":"254","article-title":"Vocal fatigue and its relation to vocal hyperfunction","volume":"10","author":"Solomon","year":"2008","journal-title":"Int\u00a0J\u00a0Speech-Lang\u00a0Pathol"},{"key":"10.1016\/j.jvoice.2026.02.012_bib12","first-page":"447","article-title":"The irritable larynx syndrome","volume":"13","author":"Morrison","year":"1999","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib13","first-page":"302","article-title":"Muscular tension dysphonia","volume":"12","author":"Morrison","year":"1983","journal-title":"J Otolaryngol"},{"key":"10.1016\/j.jvoice.2026.02.012_bib14","first-page":"144","article-title":"Functional dysphonia","volume":"11","author":"Roy","year":"2003","journal-title":"Curr\u00a0Opin\u00a0Otolaryngol\u00a0Head Neck Surg"},{"key":"10.1016\/j.jvoice.2026.02.012_bib15","first-page":"1574","article-title":"Supporting Well-Being in Gender-Diverse People: A Tutorial for Implementing Conceptual and Practical Shifts Toward Culturally Responsive, Person-Centered Care in Speech-Language Pathology","volume":"31","author":"Azul","year":"2022","journal-title":"Am\u00a0J\u00a0Speech-Lang\u00a0Pathol"},{"key":"10.1016\/j.jvoice.2026.02.012_bib16","first-page":"1507","article-title":"Relative Fundamental Frequency Distinguishes Between Phonotraumatic and Non-Phonotraumatic Vocal Hyperfunction","volume":"60","author":"Heller Murray","year":"2017","journal-title":"J\u00a0Speech\u00a0Lang\u00a0Hear\u00a0Res"},{"key":"10.1016\/j.jvoice.2026.02.012_bib17","first-page":"539","article-title":"Spectral- and Cepstral-Based Acoustic Features of Dysphonic, Strained Voice Quality","volume":"121","author":"Lowell","year":"2012","journal-title":"Ann\u00a0Otol\u00a0Rhinol\u00a0Laryngol"},{"key":"10.1016\/j.jvoice.2026.02.012_bib18","first-page":"299","article-title":"Perceptual evaluation of voice quality and its correlation with acoustic measurements","volume":"18","author":"Bhuta","year":"2004","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib19","article-title":"Auditory-perceptual Parameters as Predictors of Voice Acoustic Measures","author":"Nguyen","year":"2023","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib20","first-page":"1643","article-title":"The relationship between acoustical and perceptual measures of vocal effort","volume":"144","author":"McKenna","year":"2018","journal-title":"J\u00a0Acoust\u00a0Soc\u00a0Am"},{"key":"10.1016\/j.jvoice.2026.02.012_bib21","first-page":"144","article-title":"Aerodynamic and acoustic features of vocal effort","volume":"28","author":"Rosenthal","year":"2014","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib22","first-page":"742","article-title":"Quantifying dysphonia severity using a spectral\/cepstral-based acoustic index: Comparisons with auditory-perceptual judgements from the CAPE-V","volume":"24","author":"Awan","year":"2010","journal-title":"Clin\u00a0Linguist\u00a0Phon"},{"key":"10.1016\/j.jvoice.2026.02.012_bib23","first-page":"20","article-title":"The Relationship Between Cepstral Peak Prominence and Selected Parameters of Dysphonia","volume":"16","author":"Heman-Ackah","year":"2002","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib24","first-page":"393","article-title":"Predictive Value and Discriminant Capacity of Cepstral- and Spectral-Based Measures During Continuous Speech","volume":"27","author":"Lowell","year":"2013","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib25","first-page":"825","article-title":"Estimating dysphonia severity in continuous speech: Application of a multi-parameter spectral\/cepstral model","volume":"23","author":"Awan","year":"2009","journal-title":"Clin\u00a0Linguist\u00a0Phon"},{"key":"10.1016\/j.jvoice.2026.02.012_bib26","first-page":"769","article-title":"Acoustic correlates of breathy vocal quality","volume":"37","author":"Hillenbrand","year":"1994","journal-title":"J\u00a0Speech\u00a0Lang\u00a0Hear\u00a0Res"},{"key":"10.1016\/j.jvoice.2026.02.012_bib27","first-page":"1283","article-title":"The Relationship Between Relative Fundamental Frequency and a Kinematic Estimate of Laryngeal Stiffness in Healthy Adults","volume":"59","author":"McKenna","year":"2016","journal-title":"J\u00a0Speech\u00a0Lang\u00a0Hear\u00a0Res"},{"key":"10.1016\/j.jvoice.2026.02.012_bib28","article-title":"A Scoping Literature Review of Relative Fundamental Frequency (RFF) in Individuals with and without Voice Disorders","volume":"12","author":"McKenna","year":"2022","journal-title":"Appl\u00a0Sci"},{"key":"10.1016\/j.jvoice.2026.02.012_bib29","first-page":"1220","article-title":"The Impact of Vocal Hyperfunction on Relative Fundamental Frequency During Voicing Offset and Onset","volume":"53","author":"Stepp","year":"2010","journal-title":"J\u00a0Speech\u00a0Lang\u00a0Hear\u00a0Res"},{"key":"10.1016\/j.jvoice.2026.02.012_bib30","first-page":"1002","article-title":"Exploring the Clinical Utility of Relative Fundamental Frequency as an Objective Measure of Vocal Hyperfunction","volume":"59","author":"Roy","year":"2016","journal-title":"J\u00a0Speech\u00a0Lang\u00a0Hear\u00a0Res"},{"key":"10.1016\/j.jvoice.2026.02.012_bib31","first-page":"1260","article-title":"Effects of Voice Therapy on Relative Fundamental Frequency During Voicing Offset and Onset in Patients With Vocal Hyperfunction","volume":"54","author":"Stepp","year":"2011","journal-title":"J\u00a0Speech\u00a0Lang\u00a0Hear\u00a0Res"},{"key":"10.1016\/j.jvoice.2026.02.012_bib32","first-page":"3897","article-title":"Perceptual and Acoustic Assessment of Strain Using Synthetically Modified Voice Samples","volume":"63","author":"Park","year":"2020","journal-title":"J\u00a0Speech\u00a0Lang\u00a0Hear\u00a0Res"},{"key":"10.1016\/j.jvoice.2026.02.012_bib33","first-page":"2159","article-title":"Glottal aerodynamic measures in women with phonotraumatic and nonphonotraumatic vocal hyperfunction","volume":"60","author":"Espinoza","year":"2017","journal-title":"J\u00a0Speech\u00a0Lang\u00a0Hear\u00a0Res"},{"key":"10.1016\/j.jvoice.2026.02.012_bib34","doi-asserted-by":"crossref","unstructured":"Kuo J., Holmberg E.B., Hillman R.E. Discriminating speakers with vocal nodules using aerodynamic and acoustic features. 1999:77\u201380\u2009vol.1.","DOI":"10.1109\/ICASSP.1999.758066"},{"key":"10.1016\/j.jvoice.2026.02.012_bib35","first-page":"1349","article-title":"Clinical Cutoff Scores for Acoustic Indices of Vocal Hyperfunction That Combine Relative Fundamental Frequency and Cepstral Peak Prominence","volume":"65","author":"Kapsner-Smith","year":"2022","journal-title":"J\u00a0Speech\u00a0Lang\u00a0Hear\u00a0Res"},{"key":"10.1016\/j.jvoice.2026.02.012_bib36","first-page":"229","article-title":"Supraglottic activity: evidence of vocal hyperfunction or laryngeal articulation?","volume":"43","author":"Stager","year":"2000","journal-title":"J\u00a0Speech\u00a0Lang\u00a0Hear\u00a0Res"},{"key":"10.1016\/j.jvoice.2026.02.012_bib37","first-page":"403","article-title":"Anterior-Posterior and medial compression of the supraglottis: signs of nonorganic dysphoniaor normal postures?","volume":"17","author":"Behrman","year":"2003","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib38","first-page":"395","article-title":"Incidence of supraglottic activity in males and females: a preliminary report","volume":"17","author":"Stager","year":"2003","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib39","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1097\/00005537-200103000-00015","article-title":"The Clinical Features of Functional Dysphonia","volume":"111","author":"Sama","year":"2001","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2026.02.012_bib40","first-page":"143.e1","article-title":"Impact of Instructed Laryngeal Manipulation on Acoustic Measures of Voice\u2013Preliminary Results","volume":"37","author":"Madill","year":"2023","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib41","first-page":"708","article-title":"Phonational Range in the Modal and Falsetto Registers","volume":"15","author":"Colton","year":"1972","journal-title":"J\u00a0Speech\u00a0Hear\u00a0Res"},{"key":"10.1016\/j.jvoice.2026.02.012_bib42","article-title":"Cause-effect relationship between vocal fold physiology and voice production in a three-dimensional phonation model","volume":"139","author":"Zhang","year":"2016","journal-title":"J\u00a0Acoust\u00a0Soc\u00a0Am"},{"key":"10.1016\/j.jvoice.2026.02.012_bib43","first-page":"2614","article-title":"Mechanics of human voice production and control","volume":"140","author":"Zhang","year":"2016","journal-title":"J\u00a0Acoust\u00a0Soc\u00a0Am"},{"key":"10.1016\/j.jvoice.2026.02.012_bib44","first-page":"545","article-title":"Normative Voice Data for Younger and Older Adults","volume":"27","author":"Goy","year":"2013","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib45","first-page":"476","article-title":"A Comparison of Habitual and Derived Optimal Voice Fundamental Frequency Values in Normal Young Adult Speakers","volume":"55","author":"Britto","year":"1990","journal-title":"J\u00a0Speech Hear\u00a0Disord"},{"key":"10.1016\/j.jvoice.2026.02.012_bib46","first-page":"282","article-title":"Patterns of fundamental frequency for three types of voice samples","volume":"9","author":"Murry","year":"1995","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib47","article-title":"Updated Acoustic Normative Data through the Lifespan: A Scoping Review","author":"Kent","year":"2023","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib48","first-page":"283","article-title":"Dominance and the evolution of sexual dimorphism in human voice pitch","volume":"27","author":"Puts","year":"2006","journal-title":"Evol\u00a0Human Behav"},{"key":"10.1016\/j.jvoice.2026.02.012_bib49","article-title":"The frequency range of the voice fundamental in the speech of male and female adults","author":"Traunm\u00fcller","year":"1995","journal-title":"Unpublished manuscript"},{"key":"10.1016\/j.jvoice.2026.02.012_bib50","first-page":"208","article-title":"Have women's voices lowered across time? A cross sectional study of Australian women's voices","volume":"12","author":"Pemberton","year":"1998","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib51","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1002\/lary.22482","article-title":"Position of the hyoid and larynx in people with muscle tension dysphonia","volume":"122","author":"Lowell","year":"2012","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2026.02.012_bib52","first-page":"373","article-title":"Objective Assessment of Vocal Hyperfunction","volume":"32","author":"Hillman","year":"1989","journal-title":"J\u00a0Speech\u00a0Lang\u00a0Hear\u00a0Res"},{"key":"10.1016\/j.jvoice.2026.02.012_bib53","first-page":"663.e1","article-title":"Do Phonatory Aerodynamic and Acoustic Measures in Connected Speech Differ Between Vocally Healthy Adults and Patients Diagnosed with Muscle Tension Dysphonia?","volume":"35","author":"Belsky","year":"2021","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib54","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1288\/00005537-198805000-00003","article-title":"Vocal fatigue and dysphonia in the professional voice user: Bogart-bacall syndrome","volume":"98","author":"Koufman","year":"1988","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2026.02.012_bib55","first-page":"395","article-title":"Efficacy of a Behaviorally Based Voice Therapy Protocol for Vocal Nodules","volume":"15","author":"Holmberg","year":"2001","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib56","first-page":"733","article-title":"Immediate Effects of Humming on Computed Electroglottographic Parameters in Patients With Muscle Tension Dysphonia","volume":"28","author":"Ogawa","year":"2014","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib57","first-page":"582","article-title":"Revisiting the pitch controversy: Changes in speaking fundamental frequency (SFF) after management of functional dysphonia","volume":"19","author":"Roy","year":"2005","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib58","first-page":"333","article-title":"Extrinsic Laryngeal Muscular Tension in Patients with Voice Disorders","volume":"16","author":"Angsuwarangsee","year":"2002","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib59","first-page":"321","article-title":"Manual circumlaryngeal therapy for functionaldysphonia: An evaluation of short- and long-term treatment outcomes","volume":"11","author":"Roy","year":"1997","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib60","first-page":"159","article-title":"Effects of lung volume on vertical larynx position during phonation","volume":"12","author":"Iwarsson","year":"1998","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib61","first-page":"1368","article-title":"Voice and Speech Changes in Transmasculine Individuals Following Circumlaryngeal Massage and Laryngeal Reposturing","volume":"31","author":"Dahl","year":"2022","journal-title":"Am\u00a0J\u00a0Speech-Lang\u00a0Pathol"},{"key":"10.1016\/j.jvoice.2026.02.012_bib62","first-page":"169","article-title":"Formant frequency changes following manual circumlaryngeal therapy for functional dysphonia: evidence of laryngeal lowering?","volume":"9","author":"Roy","year":"2001","journal-title":"J\u00a0Med\u00a0Speech Lang\u00a0Pathol"},{"key":"10.1016\/j.jvoice.2026.02.012_bib63","first-page":"751","article-title":"A Preliminary Comparison of Laryngeal Manipulation and Postural Treatment on Voice Quality in a Prospective Randomized Crossover Study","volume":"29","author":"Kennard","year":"2015","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib64","series-title":"Voice and articulation drillbook","author":"Fairbanks","year":"1960"},{"key":"10.1016\/j.jvoice.2026.02.012_bib65","doi-asserted-by":"crossref","first-page":"93","DOI":"10.5005\/jp-journals-10001-1448","article-title":"Gender affirming voice care: A literature review","volume":"12","author":"Chang","year":"2021","journal-title":"Int\u00a0J\u00a0Head Neck Surg"},{"key":"10.1016\/j.jvoice.2026.02.012_bib66","first-page":"124","article-title":"Consensus Auditory-Perceptual Evaluation of Voice: Development of a Standardized Clinical Protocol","volume":"18","author":"Kempster","year":"2009","journal-title":"Am\u00a0J\u00a0Speech-Lang\u00a0Pathol"},{"key":"10.1016\/j.jvoice.2026.02.012_bib67","first-page":"14","article-title":"Establishing Validity of the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V)","volume":"20","author":"Zraick","year":"2011","journal-title":"Am\u00a0J\u00a0Speech-Lang\u00a0Pathol"},{"key":"10.1016\/j.jvoice.2026.02.012_bib68","first-page":"125","article-title":"Can ambulatory biofeedback help a transgender woman speak at a higher pitch?","volume":"47","author":"Morsomme","year":"2022","journal-title":"Logop\u00a0Phoniatr\u00a0Vocol"},{"key":"10.1016\/j.jvoice.2026.02.012_bib69","first-page":"887","article-title":"Recommended protocols for instrumental assessment of voice: American Speech-Language-Hearing Association expert panel to develop a protocol for instrumental assessment of vocal function","volume":"27","author":"Patel","year":"2018","journal-title":"Am\u00a0J\u00a0Speech-Lang\u00a0Pathol"},{"key":"10.1016\/j.jvoice.2026.02.012_bib70","first-page":"5","article-title":"Impact of Vocal Effort on Respiratory and Articulatory Kinematics","volume":"65","author":"Abur","year":"2022","journal-title":"J\u00a0Speech\u00a0Lang\u00a0Hear\u00a0Res"},{"key":"10.1016\/j.jvoice.2026.02.012_bib71","unstructured":"Boersma P., Weenink D. Praat: doing phonetics by computer [Computer program]. Accessed 12\/13\/2017, Version 6.0.36. \u3008http:\/\/www.praat.org\/\u3009."},{"key":"10.1016\/j.jvoice.2026.02.012_bib72","first-page":"183","article-title":"Normalization of vowels by vocal-tract length and its application to vowel identification","volume":"25","author":"Wakita","year":"1977","journal-title":"IEEE Trans\u00a0Acoust\u00a0Speech\u00a0Signal Process"},{"key":"10.1016\/j.jvoice.2026.02.012_bib73","first-page":"540","article-title":"Toward improved ecological validity in the acoustic measurement of overall voice quality: Combining continuous speech and sustained vowels","volume":"24","author":"Maryn","year":"2010","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib74","first-page":"311","article-title":"Acoustic correlates of breathy vocal quality: Dysphonic voices and continuous speech","volume":"39","author":"Hillenbrand","year":"1996","journal-title":"J\u00a0Speech\u00a0Lang\u00a0Hear\u00a0Res"},{"key":"10.1016\/j.jvoice.2026.02.012_bib75","first-page":"3184","article-title":"Refining algorithmic estimation of relative fundamental frequency: Accounting for sample characteristics and fundamental frequency estimation method","volume":"146","author":"Vojtech","year":"2019","journal-title":"J\u00a0Acoust\u00a0Soc\u00a0Am"},{"key":"10.1016\/j.jvoice.2026.02.012_bib76","first-page":"513.e1","article-title":"Voice-Vibratory Assessment With Laryngeal Imaging (VALI) Form: Reliability of Rating Stroboscopy and High-speed Videoendoscopy","volume":"31","author":"Poburka","year":"2017","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.02.012_bib77","first-page":"276","article-title":"Interrater reliability: the kappa statistic","volume":"22","author":"McHugh","year":"2012","journal-title":"Biochem\u00a0Med"},{"key":"10.1016\/j.jvoice.2026.02.012_bib78","first-page":"1829","article-title":"Relationship Between Tasked Vocal Effort Levels and Measures of Vocal Intensity","volume":"64","author":"Hunter","year":"2021","journal-title":"J\u00a0Speech\u00a0Lang\u00a0Hear\u00a0Res"},{"key":"10.1016\/j.jvoice.2026.02.012_bib79","article-title":"Data from: Perceptual Voice Qualities Database (PVQD)","author":"Walden","year":"2020","journal-title":"Mendeley Data, V1"},{"key":"10.1016\/j.jvoice.2026.02.012_bib80","first-page":"1","article-title":"Fitting Linear Mixed-Effects Models Using lme4","volume":"67","author":"Bates","year":"2015","journal-title":"J\u00a0Stat\u00a0Softw"},{"key":"10.1016\/j.jvoice.2026.02.012_bib81","unstructured":"RStudio: Integrated Development for R. PBC; 2020. Accessed July 17, 2017. \u3008http:\/\/www.rstudio.com\/\u3009."},{"key":"10.1016\/j.jvoice.2026.02.012_bib82","first-page":"1326","article-title":"Effects of Fundamental Frequency, Vocal Intensity, Sample Duration, and Vowel Context in Cepstral and Spectral Measures of Dysphonic Voices","volume":"63","author":"Sampaio","year":"2020","journal-title":"J\u00a0Speech\u00a0Lang\u00a0Hear\u00a0Res"},{"key":"10.1016\/j.jvoice.2026.02.012_bib83","article-title":"Emmeans: Estimated marginal means. Aka Least-squares Means","volume":"1","author":"Lenth","year":"2018","journal-title":"R Package Version"},{"key":"10.1016\/j.jvoice.2026.02.012_bib84","doi-asserted-by":"crossref","first-page":"2815","DOI":"10.21105\/joss.02815","article-title":"effectsize: Estimation of effect size indices and standardized parameters","volume":"5","author":"Ben-Shachar","year":"2020","journal-title":"J\u00a0Open Source Softw"},{"key":"10.1016\/j.jvoice.2026.02.012_bib85","unstructured":"Kassambara A. rstatix R package. See \u3008https:\/\/cranr-project\u3009 org\/web\/packages\/rstatix\/index html. 2020;"},{"key":"10.1016\/j.jvoice.2026.02.012_bib86","unstructured":"The R Stats Package. Version 3.6.2."},{"key":"10.1016\/j.jvoice.2026.02.012_bib87","doi-asserted-by":"crossref","unstructured":"Ben-Shachar M.S., Makowski D., Ludecke D. Compute and interpret indices of effect size. CRAN. 12\/14\/2021 2020;","DOI":"10.32614\/CRAN.package.effectsize"},{"key":"10.1016\/j.jvoice.2026.02.012_bib88","first-page":"1699","article-title":"Physiologic and acoustic differences between male and female voices","volume":"85","author":"Titze","year":"1989","journal-title":"J\u00a0Acoust\u00a0Soc\u00a0Am"},{"key":"10.1016\/j.jvoice.2026.02.012_bib89","first-page":"44","article-title":"Glottal configuration associated with fundamental frequency and vocal register","volume":"12","author":"Murry","year":"1998","journal-title":"J\u00a0Voice."},{"key":"10.1016\/j.jvoice.2026.02.012_bib90","first-page":"818.e1","article-title":"The Impact of Phonation Mode and Vocal Technique on Vocal Fold Closure in Young Females With Normal Voice Quality. Article","volume":"26","author":"De Bodt","year":"2012","journal-title":"J\u00a0Voice."},{"key":"10.1016\/j.jvoice.2026.02.012_bib91","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1055\/s-2004-830440","article-title":"Sex-Related Differences in Ratings of Perceived Exertion and Estimated Time Limit","volume":"26","author":"Garcin","year":"2005","journal-title":"Int J Sports Med"},{"key":"10.1016\/j.jvoice.2026.02.012_bib92","article-title":"Sex differences in the effort indicators during cardiopulmonary resuscitation manoeuvres on manikins","volume":"22","author":"L\u00f3pez-Gonz\u00e1lez","year":"2015","journal-title":"Eur\u00a0J\u00a0Emerg\u00a0Med"},{"key":"10.1016\/j.jvoice.2026.02.012_bib93","doi-asserted-by":"crossref","DOI":"10.3390\/healthcare10112295","article-title":"Experiences of Transgender Women with Speech Feminization Training: A Qualitative Study","volume":"10","author":"Leyns","year":"2022","journal-title":"Healthcare"},{"key":"10.1016\/j.jvoice.2026.02.012_bib94","first-page":"1","article-title":"Effects of speech therapy for transgender women: A systematic review","author":"Leyns","year":"2021","journal-title":"Int\u00a0J\u00a0Transgender Health"},{"key":"10.1016\/j.jvoice.2026.02.012_bib95","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1002\/lary.28932","article-title":"Voice and Stroboscopic Characteristics in Transgender Patients Seeking Gender-Affirming Voice Care","volume":"131","author":"Young","year":"2021","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2026.02.012_bib96","doi-asserted-by":"crossref","first-page":"1988","DOI":"10.1097\/01.mlg.0000179174.32345.41","article-title":"Voice disorders in the general population: prevalence, risk factors, and occupational impact","volume":"115","author":"Roy","year":"2005","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2026.02.012_bib97","first-page":"144","article-title":"An Interdisciplinary Approach to Gender Affirming Voice Training","volume":"16","author":"Conroy","year":"2022","journal-title":"Voice\u00a0Speech Rev"},{"key":"10.1016\/j.jvoice.2026.02.012_bib98","first-page":"22","article-title":"Comparison of acoustic and perceptual measures of voice in male-to-female transsexuals perceived as female versus those perceived as male","volume":"14","author":"Gelfer","year":"2000","journal-title":"J\u00a0Voice"}],"container-title":["Journal of Voice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199726000688?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199726000688?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T19:55:57Z","timestamp":1777578957000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0892199726000688"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":98,"alternative-id":["S0892199726000688"],"URL":"https:\/\/doi.org\/10.1016\/j.jvoice.2026.02.012","relation":{},"ISSN":["0892-1997"],"issn-type":[{"value":"0892-1997","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Examining the Effect of Volitionally Altering Fundamental Frequency on Measures Associated With Vocal Hyperfunction","name":"articletitle","label":"Article Title"},{"value":"Journal of Voice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jvoice.2026.02.012","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Voice Foundation. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}