“…Negative changes in voice quality were observed after high-pitched phonation, but no changes were noted resulting from a high-intensity level. In contrast, Gelfer et al, 7 Hill et al, 8 Stemple et al, 9 and Vilkman et al 10 documented an increase in habitual F o after prolonged reading tasks at a high vocal intensity. In the studies conducted by Stemple et al 9 and Vilkman et al, 10 subjects had difficulty matching their pretest levels of minimum pitch, which can be interpreted as an increase in phonatory threshold.…”