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A voice disorder is characterized by the abnormal production and/or absence of vocal quality, pitch, loudness, resonance, and/or duration, which is inappropriate for an individual’s age, sex and/or culture.

A comprehensive voice evaluation includes an analysis of the student’s respiration, phonation and resonance as well as data collected from observation, interview and/or case history regarding the student’s vocal quality and appropriate use of voice throughout the day. The evaluation must also include a physical examination of the oral structure and a medical exam conducted by an appropriate medical professional (e.g., otolaryngologist).

The Communication Rating Scale: Voice outlines the primary variables of voice production measured during an assessment for voice disorder. Students for whom this rating scale is appropriate are those who may have vocal nodules, vocal fold thickening or other conditions of the laryngeal mechanism which cause noticeable differences in pitch, quality, loudness and resonance.

The components that must be assessed to determine if a student has a voice disorder and is eligible for special education and related services, as listed on the Communication Rating Scale: Voice are:

1. pitch;

2. loudness;

3. quality;

4. resonance;

5. vocal abuse/misuse;

6. physical condition/medical findings;

7. adverse effect of the voice disorder on educational performance.

The medical examination may include evaluation of the vocal folds through indirect laryngoscopy, videoendoscopy and/or videostroboscopy.

KEG-R Work Group, Various Members. (2002). Kentucky Eligibility Guidelines-Revised for Students with Speech or Language Impairment. Frankfort: Division of Exceptional Children Services; Office of Special Instructional Services; Kentucky Department of Education.


  • Voice Homework

    Thus far I don't have any students who are in need of voice therapy.


    Assignments will be posted as the need arises.

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