In this study, a double-blind placebo-controlled approach was used to
assess the relation between hydration level and phonatory effort. Twel
ve adult, untrained voice users with normal voices participated as sub
jects. Each subject received a 4-hour hydration treatment, a 4-hour de
hydration treatment, and a 4-hour placebo (control) treatment. Followi
ng each treatment, phonatory effort was measured with a physiological
measure, phonation threshold pressure (PTP), and with a psychological
measure, direct magnitude estimation of perceived phonatory effort (DM
EPPE). Summarizing the results across these measures, the findings ind
icated an inverse relation between phonatory effort and hydration leve
l, but primarily for high-pitched phonation tasks. The findings for PT
Ps replicated those from an earlier study conducted without double-bli
nd experimental manipulations (Verdolini-Marston, Titze, & Druker, 199
0). Theoretical discussion focuses on the possible role of vocal fold
tissue viscosity for hydration and dehydration effects, although direc
t measures of tissue viscosity are lacking.