Adapting Vocal Function Exercises for Voice Masculinization

Abstract

Purpose The aim of this clinical focus article is to discuss the role of gender-diverse vocal function exercises (VFEs) in the context of voice and communication therapy for transgender men. Current literature on behavioral intervention with this population is very limited, and we present gender-diverse VFEs as a reasonable intervention approach. Method We developed a protocol for VFEs specific to voice masculinization, and we present a case study in which this technique was used for a transmasculine client who had not undergone hormone replacement therapy. Results Clinical measurements (acoustic, perceptual, and client self-rating) were collected before and after a course of voice therapy. Findings demonstrate decreased habitual speaking pitch and improved voice-related quality of life at the end of therapy, indicating successful outcomes for voice masculinization. Conclusions The recommended protocol for gender-diverse VFEs allows the trans male client to efficiently strengthen and coordinate the subsystems of voice production, particularly in the lower limits of his range. This clinical focus article also describes the need for strong research evidence to support all treatment modalities for transmasculine therapy, and this protocol offers one avenue for future investigations.