Which of the following is not typically included in CAPE-V perceptual assessments?

• A. Roughness
• B. Breathiness
• C. Strain
• D. Tremor

Answer: (D)

CAPE-V focuses on a concise set of perceptual voice quality attributes that listeners rate along a standardized scale. The descriptors it uses—roughness, breathiness, and strain—capture common perceptual differences in how the voice sounds when glottal closure is incomplete, air escapes, or the phonation feels pressed or tense. In addition, clinicians rate overall severity and perceptual aspects like pitch and loudness, all within one streamlined framework. Tremor, while it can be observed as a motor irregularity in some cases, is not one of the standard CAPE-V perceptual categories. It’s a more specific, sometimes neurological, sign that isn’t captured as a separate CAPE-V descriptor. If tremor is present, it would typically be noted separately or explored with other tools, not as a dedicated CAPE-V rating.