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Voice Science Guides

Evidence-based guides on acoustic voice analysis for speech-language pathologists

May 10, 202614 min readJorge C. Lucero

Acoustic Voice Assessment via Telehealth: What Survives the Compression

Medicare telehealth for SLP services is extended through 2027—but can clinicians trust acoustic measurements collected over Zoom or Teams? Evidence shows F0 survives platform transmission while CPPS, HNR, and SPL measures degrade. Learn why asynchronous recording outperforms live capture and how to build a defensible telepractice acoustic protocol.

TelehealthTelepracticeRecording ProtocolClinical Workflow
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May 9, 202615 min readJorge C. Lucero

MPT and DSI: A Clinical Implementation Guide

Maximum Phonation Time and the Dysphonia Severity Index are two of the most widely used objective voice measures—but small protocol differences and cross-system variability can produce misleading values. Learn the correct recording protocol, normative ranges, the Wuyts DSI formula, what each component measures, and the limitations clinicians need to know.

MPTDSIClinical ProtocolVoice Assessment
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May 8, 202616 min readJorge C. Lucero

CAPE-V and GRBAS for the Acoustic Era: Reconciling Perceptual and Acoustic Voice Assessment

No acoustic parameter "is" a CAPE-V dimension—but different parameters predict different ratings. Learn which measures track Severity, Breathiness, Roughness, and Strain, why one global index cannot replace four perceptual ratings, and how to use acoustic analysis to support (not substitute) clinical judgment.

CAPE-VGRBASPerceptual AssessmentClinical Guide
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March 27, 202618 min readJorge C. Lucero

Formant Analysis for Voice Clinicians: Beyond F0

Master vocal tract resonances for clinical practice. Learn F1/F2/F3 interpretation, gender-affirming voice therapy applications, resonant voice mechanisms, vowel space area for dysarthria, Praat settings by speaker type, and when formant analysis adds value.

FormantsGender-AffirmingResonanceDysarthriaAcoustic Analysis
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March 5, 202616 min readJorge C. Lucero

Vocal Biomarkers for Cognitive Screening: What SLPs Need to Know

The voice reveals more than voice quality—emerging research shows acoustic biomarkers can detect early cognitive impairment with up to 89% accuracy. Learn which parameters matter, current validation status, and what this means for speech pathologists as AI-driven screening approaches clinical deployment.

Vocal BiomarkersCognitive ScreeningAIEmerging Research
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February 20, 2026 min readJorge C. Lucero

Spectrogram Reading for SLPs: A Visual Guide to Voice Quality

The spectrogram is the most powerful visual tool in voice assessment—but many clinicians find it intimidating. Learn wideband vs narrowband analysis, Titze's voice signal typing (Types 1-4), and how to read harmonic patterns, breathiness, roughness, and pathology indicators.

SpectrogramVisual AnalysisClinical GuideVoice Signal Typing
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January 20, 202612 min readJorge C. Lucero

The Implicit Question: What AI Voice Analysis Actually Measures

Traditional acoustic measures ask explicit questions. AI models ask implicit ones—learned from data, encoded in training. As AI enters clinical voice assessment, understanding what question a model is actually asking becomes the central challenge.

AIPhilosophyMeasurementClinical AI
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January 20, 202618 min readJorge C. Lucero

Gender-Affirming Voice Therapy: Why Pitch Is Only Part of the Story

F0 explains only 42% of perceived gender—resonance, intonation, and speech patterns account for the rest. Learn evidence-based pitch targets (180 Hz threshold), why formants require 20% elevation, hormone effects, WPATH SOC-8 guidelines, and how to track progress with acoustic measures.

Gender-AffirmingVoice TherapyF0 TargetsFormants
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January 8, 202616 min readJorge C. Lucero

Jitter and Shimmer: What They Really Tell You (And What They Don't)

Traditional perturbation measures aren't obsolete—but they have critical limitations. Learn when jitter and shimmer are valid, when they fail (severe dysphonia), why ASHA now recommends CPP as primary, and how Praat vs MDVP give different values.

JitterShimmerTraditional MeasuresClinical Guide
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Educational Content: Articles on this pages are provided for educational purposes to support evidence-based clinical practice. Content is not intended as medical advice. Clinical decisions should be made by qualified healthcare professionals based on individual patient assessment.