“…Further, the small number of voices studied has limited the number of dimensions that may be extracted from a set of data, so that half or more of the variance in the underlying ratings may remain unexplained ͑Murry et Nieboer et al, 1988͒. Other sampling restrictions further limit the generalizability of previous studies. Many published reports have used normal voices ͑e.g., Matsumoto et al, 1973;Walden et al, 1978;Murry and Singh, 1980;Gelfer, 1993͒, but pathologic voices have been studied very little. Many studies that did examine pathologic voices included only a single disordered population ͓e.g., tracheoesophageal speakers ͑Nieboer et al., 1988͒, hoarse voices ͑Isshiki andTakeuchi, 1970; an exception is Hammarberg et al, 1980͔ or focused on specific aspects of voice quality ͑Kreiman et al, 1994͒.…”