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Phonation Resistance Training Exercises and Inspiratory Muscle Strength Training Improve Voice in Older Adults With Presbyphonia: A Single-Subject Experimental Study.

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Qualitative Analysis of Speech-Language Pathologists' Voice Evaluation Practices and Perspectives.

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Survey of Voice-Focused Speech-Language Pathologists' Usage of the Consensus Auditory Perceptual Evaluation of Voice (CAPE-V).

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Updated: May 16, 2025

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Development and Rationale for the Consensus Auditory-Perceptual Evaluation of Voice-Revised (CAPE-Vr).

Gail B Kempster1, Kathleen F Nagle2, Nancy Pearl Solomon3

  • 1Rush University, Chicago, IL.

Journal of Voice : Official Journal of the Voice Foundation
|April 1, 2025
PubMed
Summary

The Consensus Auditory-Perceptual Evaluation of Voice-Revised (CAPE-Vr) updates a widely used clinical tool to improve voice evaluation. This revised protocol addresses identified issues, enhancing clarity and accuracy in auditory-perceptual voice assessments.

Keywords:
CAPE-V—CAPE-Vr—Voice quality—Assessment—Voice evaluation.

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Area of Science:

  • Speech-Language Pathology
  • Otolaryngology
  • Voice Science

Background:

  • The Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) is a clinical tool used for over 20 years.
  • Issues with administration and interpretation have emerged over time, impacting its utility.

Purpose of the Study:

  • To revise the CAPE-V based on literature, clinical experience, and survey data.
  • To introduce the CAPE-V-Revised (CAPE-Vr) with an updated protocol, rating form, and instructions.

Main Methods:

  • Modified the rating form by removing severity labels and clarifying scale directions.
  • Updated stimuli, rating options for pitch, loudness, resonance, and added a nasality category.
  • Included sections for vocal inconsistencies, instabilities, overall impression, and recording/rating conditions.

Main Results:

  • The CAPE-Vr incorporates changes to enhance clarity and address previous limitations.
  • Updated instructions align with the revised rating form for better protocol adherence.

Conclusions:

  • The CAPE-Vr aims to mitigate common errors and problems encountered with the original CAPE-V.
  • This revised tool provides a clearer and more effective method for auditory-perceptual voice evaluation.