This phrase is usually synonymous with phonation in phonetics, but in speech pathology encompasses secondary articulation as well.
VoQS symbols are normally combined with curly braces that span a section of speech, just as with prosody notation in the extended IPA (extIPA).
[2] They indicate an airstream mechanism, phonation or secondary articulation across a stretch of speech.
The airstream mechanism is the process for generating the flow of air required for speech.
The four primary phonation types, other than voiceless, each receive a distinct letter: Modifications are made with diacritics.
For illustration here, diacritics are combined with the letter 'V' for modal voice, as that is the default assumption.