Voice Handicap Index (VHI) and VHI-10 Link to VHI Link to VHI-10 Value of >11 on VHI-10 is considered abnormal. Arffa RE, Krishna P, Gartner-schmidt J, Rosen CA. Normative values for the Voice Handicap Index-10. J Voice. 2012;26(4):462-5. Rosen CA, Lee AS, Osborne J, Zullo T, Murry T. Development and validation of the voice handicap index-10. Laryngoscope. 2004;114(9):1549-56. https://pubs.asha.org/doi/10.1044/1058-0360.0603.66