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The Aging Voice Part 1: The Impact, Causes, and Treatment for Presbyphonia

presented by Edie Hapner

Accreditation Check:

This course, with Edie Hapner, introduces students to the prevalence of presbyphonia, and discusses it’s impact on an aging population in the United States and around the world. The course begins by explaining why presbyphonia matters, both at an individual level and within the context of changing demographics in the United States and around the world. Edie Hapner then explores the effect of aging on the voice, and introduces evidence-based treatment modalities for presbyphonia.

Meet Your Instructor

  • Edie Hapner, PhD, CCC-SLP

    Edie R. Hapner is a Professor in the Rick and Tina Caruso Department of Otolaryngology Head and Neck Surgery at the University of Southern California and a founding member of the USC Voice Center, an interprofessional team treating persons with disorders of voice and swallowing. Dr. Hapner has authored over 33 peer reviewed articles on voice and voice disorders, four book chapters, and is the co-editor of Voice Disorders, Clinical Case Studies. She is the author of Training and Implementation of FEES, a DVD training program for clinicians. Dr. Hapner served on the Coordinating Committee of Special Interest Group 3, Voice and Voice Disorders, for seven years. She served as both the Coordinator and Associate Coordinator of SIG 3 during her tenure. She was the Chair of the SIG 3 Reimbursement Committee between 2006 and 2009 and served as a member of the Member Advisory Group (MAG) to ASHA's Health Economics & Advocacy Team. Dr. Hapner was an ASHA appointed member of the National Advisory Committee to the Educational Testing Service. She served as the ASHA appointed member of the American Academy of Otolaryngology's committee for the development of evidence-based guidelines for the treatment of dysphonia. She served as an ASHA site visitor through the Council on Academic Accreditation. She was the Florida Association of Speech-Language Pathologists and Audiologists Vice President for Convention Planning and was a member of the Illinois Speech-Language-Hearing Association's Convention Committee. Dr Hapner received an honors award from the American Academy of Otolaryngology Head and Neck Surgery in 2013 and remains an engaged member of the AAOHNS. Dr. Hapner cherishes three very special awards: GSHA's Clinician of the Year; The University of Missouri's Education Program Alumnae of the Year; and the Clinical Scholar's designation of the AAOHNS. Her passion is her work with A Voice For Hope, a nonprofit organization whose mission is the prevention of head and neck cancer through early identification screening programs. She is the coordinator for multiple large-scale community-based free head and neck cancer screenings at sporting events, specifically NASCAR events around the county.

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Chapters & Learning Objectives

  1. Why Does Presbyphonia Matter?

    1. Why Does Presbyphonia Matter?

    Why is it important for speech language pathologists to be aware of and able to treat the aging voice? This chapter will explain the demographic changes that are making concerns around the aging voice more prevalent in the United States and around the world.

  2. Sarcopenia and the Voice

    2. Sarcopenia and the Voice

    The second chapter of this course will provide important background about what happens to the voice during the aging process, including physical changes to the vocal folds, respiratory changes, and neurological changes.

  3. Treatment Modalities

    3. Treatment Modalities

    This chapter will provide the participant with a framework for treatment modalities that are available to speech language pathologists for treating the aging voice.

  4. Injection Augmentation Approach

    4. Injection Augmentation Approach

    Among the modalities available for speech language pathologists to employ in treating the aging voice, injection augmentation is an important option. This chapter will provide background on the efficacy and use cases for injection augmentation.

  5. Bilaterial Thyroplasty

    5. Bilaterial Thyroplasty

    This chapter will describe the bilateral thyroplasty process and describes its efficacy and it’s place within the presbyphonia treatment modality hierarchy.

  6. Pharmacological Interventions and Emerging Research

    6. Pharmacological Interventions and Emerging Research

    The final chapter of instruction of this course will introduce the participant to emerging techniques, including interventions that incorporate medications to improve complaints related to the aging voice.

  7. Learning Assessment

    7. Learning Assessment

    Test your knowledge with a series of case-based questions.