This course, with Edie Hapner, outlines evidence-based interventions for persons experiencing presbyphonia. The course begins by providing an overview of a treatment modality framework that includes both non-invasive and more invasive measures that the allied health team can employ. Special attention is given to translating evaluation data into the most effective intervention for each individual case. Intervention approaches including vocal exercise approaches, and exuberant therapies such as LSVT and PhoRTE will be described and demonstrated via videos of patients.
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.
The first chapter of this course will outline key considerations for voice therapy for the aging voice, including principles of overload, reversibility and maintenance, and evidence-based practice.
The second chapter of this course details exuberant approaches to therapy, and describes their effectiveness based on the research literature.
This chapter will provide a framework for using vocal exercise as an intervention for presbyphonia, including the concepts steps needed in applying vocal function exercise.
The final instructional chapter of this course will describe additional exercises and approaches that have gained attention in the research literature, and describe new devices and approaches that are being evaluated.
Edie Hapner discusses issues in presbyphonia evaluation and treatment with a practicing SLP, and the co-developer of the PhoRTE exuberant therapy approach, Dr. Aaron Ziegler.
Test your knowledge with a series of case-based questions.