Lastly, it is much more difficult for those using alaryngeal speech to vary their pitch, which particularly the social functioning of those speaking a tonal language.
This especially affects the social functioning of those speaking a tonal language. Lastly, it is much more difficult for those using alaryngeal speech to vary their pitch.
Lastly, it is much more difficult for those using alaryngeal speech to vary their pitch. This especially affects the social functioning of those speaking a tonal language.
Lastly, it is much more difficult for those using alaryngeal speech to vary their pitch. This especially affects the social functioning of those speaking a tonal language.