Vocal Unloading with Manual Therapy for the Larynx & Voice for Healthcare Professionals

Vocal Unloading with Manual Therapy for the Larynx & Voice for Healthcare Professionals 

Instructor: Annie Strauch, APA Musculoskeletal and Sports Physiotherapist

Course Description

I am very excited to host Annie Strauch, a Performance Medicine Physical Therapist near Melbourne, Australia, for four intense days, July 20, 21, 22, & 23, 2023, cost $2600.

One of her many unique talents is, Vocal Physiotherapy, Evaluation and Treatment is individualized to reflect the individuality of voice production, and each person’s vocal demands and goals.

Vocal physiotherapy is for all voice users, both professional and amateur, and those with vocal issues. Most commonly, Vocal Physiotherapy is beneficial for singers, actors, people experiencing voice quality issues, increased effort with vocalization, pain with vocalization, tongue tension, and throat pain of a muscular origin. Treatment is regularly in conjunction with their vocal coach, Ear Nose, and Throat (ENT) or voice therapist. Those diagnosed with a voice issue, such as dysphonia, by their ENT specialist or speech pathologist, are often referred for vocal physiotherapy. Treatment will have a team approach with their Physical Therapist working together with the referring ENT or speech pathologist.

Freedom Physical Therapy Services and Performance Medicine is pleased to announce a Vocal Physiotherapy (known as Vocal Unloading®) tour to the USA.


Do you have patients who lose their voice, complain of throat pain, or have swallowing issues?
Do you understand the relationship between the larynx, neck and TMJ and how this can impact the voice and throat?
Are any of your patients singers who are reporting vocal fatigue?
Discover how Vocal Physical Therapy can assist you to assess and manage laryngeal dysfunction – the missing link.
Over four practical days, this course will cover the three primary modules to introduce you to Vocal Unloading®; manual therapy that unloads the musculoskeletal components of the larynx & voice, providing you with assessment and treatment skills that are immediately applicable in your daily clinical practice. These modules will help you understand the clinical rationale and clinical implications of voice and larynx dysfunction and importantly,

    About the Instructor

    Annie Strauch (B. Phty (Hons), M. Phty(Musc), M.Phty(Sports), APAM) is a titled APA Musculoskeletal and Sports Physiotherapist. She is the Australian pioneer of Vocal Physiotherapy, physiotherapy treatment of the professional voice, and dysfunctional voice. She works in a multidisciplinary team in conjunction with ENT specialists, speech pathologists, and vocal coaches. She has presented the Vocal Physiotherapy concepts nationally at Speech Pathology, ENT and voice teacher conferences, and internationally at the Voice Foundation (USA) and the International Congress of Voice Teachers.

    Annie is an expert in dance physio, sports physio, and vocal unloading/vocal physiotherapy. Annie’s passion for performance physiotherapy developed on London’s West End, where she managed performers in over 30 productions. She manages the dance physio for Australian theatre productions providing performance optimization, treatment, and movement development.

    Course Modules

    MODULE ONE: Foundations of Voice

    This is a two day practical introduction to Vocal Unloading® for manual therapists. After this module you will have a deeper understanding of the anatomy, physiology and
    biomechanics of the laryngeal mechanism and how the voice is produced. The practical sessions will allow you to apply this knowledge to assess the larynx and perilaryngeal region and learn
    what the clinical implications of your findings may be to guide your treatment choices. Practical technique sessions will teach you how to use unique manual techniques to treat and
    manage your clinical findings and alleviate voice and throat disorders. Learn how to apply these techniques to not only the voice but also to the upper quadrant.

    Module One Objectives

    Upon completion of this course, participants will
    be able to:

    • Define the anatomy of the larynx
    • Define basic vocal fold physiology
    • Define basic voice disorders and the medical assessment
    • Explain speech pathology input into voice disorders
    • Understand laryngeal manual therapy research
    • Explain the maladaptive voice cycle
    • Explain the neuromuscular cycle breaker in voice use
    • Demonstrate basic laryngeal assessment skills
    • Demonstrate basic laryngeal palpation skills
    • Demonstrate basic laryngeal manual techniques
    • Describe appropriate basic techniques formuscle tension dysphonia

    MODULE TWO: The Challenging Larynx

    On day 3, module two allows you to further develop your vocal manual therapy skills and understand pathological throat syndromes such as chronic cough, irritable larynx syndrome and Vocal Cord Dysfunction.
    You will consolidate your knowledge in understanding the anatomy of the floor of the mouth, tongue and suprahyoid and infrahyoid musculature in the context of the larynx rather than the TMJ.

    Module Two Objectives

    Upon completion of The Challenging Larynx participants will be able to:

    • Define the anatomy of the larynx, tongue, floor of mouth
    • Define the aging process of the larynx & vocal folds
    • Define the most common throat pain syndromes & their management
    • Consider pathobiological mechanisms of pain in the context of throat pain & chronic cough
    • Demonstrate excellent laryngeal assessment skills
    • Demonstrate tongue palpation & treatment techniques
    • Explain the neuromuscular cycle breaker in voice use
    • Understand the use of laryngeal manual techniques in the context throat pain syndromes

    MODULE THREE: The Performance Voice

    On this practical day you will learn how to “tune up” the performance voice. Your practical sessions will support you to become confident in understanding the Performance Voice – how to increase a singer’s vocal range, increase quality, decrease effort and increase their joy in singing.

    Module Three Objectives

    Upon completion of The Performance Voice
    participants will be able to:

    • Define the most common voice styles & voice types
    • Define the most common singing pedagogies
    • Explain the laryngeal position in various singing styles
    • Demonstrate singing voice assessment & palpation skills
    • Explain the neuromuscular cycle breaker in
    • voice use
    • Understand the use of laryngeal manual techniques in the context of treating the Performance voice

    Day 1

    7:30am Registration

    8:00am Essentials of Voice Production

    9:00am Perilaryngeal & laryngeal anatomy

    10:00am Voice Disorders: speech therapy & ENT t

    11:00am Break

    11:15 am Foundations of Vocal Unloading

    12:00 pm Subjective & objective assessment

    1:00 pm Lunch

    1:30 pm Palpation & assessment techniques

    3:00 pm Break

    3:15 pm Treatment techniques

    5:00 pm Adjourn

    Day 2

    8:00am Q & A regarding Day 1

    8:30am Assessment technique review

    9:30am Treatment technique review

    10:30am Break

    10:45am Muscle Tension Dysphonia

    11:30am Laryngeal technique review

    12:30pm Lunch

    1:00pm Management strategies

    2:00pm Case Studies

    3:00pm Break

    3:15pm Case studies & practical application

    5:00pm Adjourn


    Day 3

    8:00am The pathological voice & throat syndromes

    11:00am Break

    11:15am Oropharyngeal anatomy : Tongue

    12:00pm Palpation of the tongue

    1:00pm Lunch

    1:30pm Tongue techniques

    2:30pm Break

    2:45pm Case studies

    3:45pm Technique workshop

    5:00pm Adjourn

    Day 4

    8:00am The Performance Voice

    10:00am Break

    10:15am The Singer’s Oropharynx

    11:00am Soft palate palpation & techniques

    12:30pm Lunch

    1:00pm Case studies

    2:30pm Break

    2:45pm Singers treatment workshop

    5:00pm Adjourn

    General Information

    What sort of clothing should I wear?

    Please wear comfortable clothing. Females, please wear a low backed singlet so that your upper torso can be seen for assessment of the upper thoracic and chest region and

    Is there pre-reading?

    Approximately six weeks before the course, pre-reading will be sent via email. Pre-reading involves a few journal articles and short videos to familiarize yourself with this space.
    The upper cervical spine and TMJ knowledge is presumed and recommended.

    Registration Details

    Level: Advanced (must have good knowledge and understanding of TMD and Cervical Spine)
    Target Audience: PTs, OTs, Dentists, MDs, Speech Pathologist, Massage Therapists, Chiropractors
    CEUs: 32 CEU
    Price: $2600

    Upcoming TMJ Courses

    Date Location Host  Registration 
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