In a voice assessment, both subjective and objective measures should be captured for a comprehensive view of the client’s voice problem. These measures may be captured by pen and paper (low tech) or with a computer (high tech). This course will explore: 1) perceptual, acoustic, aerodynamic, and movement voice measures, and 2) free low and high tech Internet resources that can be used to collect the measures in both children and adults. The content of this course is for all speech-language pathologists in private practice, schools, and medical settings. Information from this course can be applied to Current Procedural Terminology (CPT) codes for Behavioral and Qualitative Assessment of Voice (CPT 92524) and acoustic and aerodynamic analysis during Laryngeal Function Studies (CPT 92520). Offered for 0.2 ASHA CEUs – 2 contact hours.
The content of this online CE course does not focus exclusively on any specific proprietary product or service. Presenter financial and non-financial disclosures may be found in the Presenter & Disclosures area.
Video PowerPoint presentation with author narration & downloadable handout.
Elizabeth U. Grillo, PhD, CCC-SLP, is an associate professor in the Department of Communication Sciences and Disorders at West Chester University of Pennsylvania (WCU). After earning a bachelor's of music in voice performance from Indiana University, she pursued a career change to speech-language pathology by earning an M.S. at Teachers College Columbia University and a Ph.D. at the University of Pittsburgh. Her clinical expertise is in voice disorders and in medical speech-language pathology. Currently, her research related to voice is addressing aerodynamic measures, the Global Voice Prevention and Therapy Model, apps, and telepractice. Her research has been supported by grants at WCU and an R15 from the National Institute on Deafness and Other Communication Disorders (NIDCD) of the National Institutes of Health. Her work has been disseminated through peer-reviewed publications and presentations at local, state, and national conferences.
Financial — Elizabeth Grillo is an employee of West Chester University (WCU); receives a salary. Pilot work of the Global Voice Prevention and Therapy Model (GVTM) was funded by a WCU Faculty Professional Development Grant. Dr. Grillo’s work related to telepractice is funded through the NIDCD, grant number R15DC014566.
Financial — Elizabeth Grillo is a presenter of online CE courses sponsored by Northern Speech Services; receives royalties.
Nonfinancial — Elizabeth Grillo is the developer of the Global Voice Prevention and Therapy Model (GVPTM).
This program is offered for 0.2 ASHA CEUs (Intermediate Level; Professional Area).
ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of ASHA CEUs is noted above. Note that 0.1 ASHA CEU = 1 contact hour = equals 1 CEE.
ASHA CE Registry: During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.
ASHA CEUs: Attendees must meet at least one of the following conditions in order to be eligible to earn ASHA CEUs:
If an attendee is not an ASHA member or CCC holder but meets any of the above criteria, they may inform the ASHA CE Registry of their eligibility by visiting this site.
Licensing Boards: Most state licensing boards DO accept CEUs earned online (usually classified as home-study credits). Some state boards do, however, place a limit to the number of credits that can be earned via home study/online courses. For the most current information, we suggest that you contact your licensing board or agency to verify acceptance policies and/or any credit limits related to home-study courses prior to registering for this course.
Additional accrediting agencies by which Northern Speech is an approved CE provider:
Course Completion Timeframe: You have unlimited time to complete this online course. You may log off and log on as you wish in order to complete all sections of this course.
Content Access: Access to course materials and content does not expire, even after completing the post test. You may continue to review course material by logging into your NSS account, clicking the My Online Courses tab, and then viewing your desired course.
Certificate of Completion: On successful completion of the post test (80%), a certificate will be immediately available for download and/or printing. This certificate will include your name, date of completion (based on Eastern Time Zone, USA/Canada), and number of contact hours (CEUs / CEEs). Please note that CEUs are awarded on the date of successful test completion, not the date of course enrollment. Please ensure that you successfully complete the post test prior to any licensure renewal dates.
ASHA CE Registry Submission: During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.
Purchase Orders: Purchase orders are NOT accepted when registering for online courses. Payment must be made online in the form of a credit or debit card payment.
What is an Online Course? Our Online Courses consist of video, audio, and/or text content and are offered for ASHA CEUs. Unlike a webinar, which requires participants to be logged on and at a computer at specific times, our Online Courses are available to you at any time, from any device, via your NorthernSpeech.com online account. You may work at your own pace and start and stop your course as you wish. Your course will conclude with a short post test. On successful completion of the post test (>80%), a printable certificate of completion is presented to you.
Receiving CEUs: Northern Speech is an ASHA CE Provider and our online courses are registered with ASHA and offered for ASHA CEUs. Please note that successful completion of the online post test is required prior to the awarding of CEUs. Please contact your state licensing board for acceptance policies related to CEUs earned online.
Registering for an online course: You may browse all online courses by clicking the Continuing Education tab above, then Online Courses. Once you find a course, click Enroll Now, and you will be asked to either log into your existing Northern Speech account or create a new online account. Once you’ve entered your account information and provided your credit card payment, your course will be immediately available to you.
Accessing your purchased course or returning to a purchased course: You will be able to access your online course by logging into your Northern Speech account and then clicking the My Online Courses tab on your profile screen. Click the course you would like to start or to resume. From there, proceed through the course sections until you are ready to complete the post test. You do not have to complete your course all at once. You may log on and off as you wish.
Testing requirements: Each online course concludes with a post test consisting of multiple choice or true & false questions. Scores of 80% or greater are required for successful course completion and awarding of CEUs. You may revisit course materials and retest as needed to achieve a passing score.
Number of CEUs offered: We offer courses from 1 to 21 contact hours. Each course will note the number of CEUs offered. Please note that 0.1 CEU = 1 contact hour = 1 CEE.
State licensing boards and online CEUs: NSS is an ASHA CE Provider and most state licensing boards DO accept ASHA CEUs earned online (usually classified as home-study credits). Some boards do, however, place a limit to the number of CEUs that can be earned via home study/online courses. For the most current information, we suggest that you contact your licensing board or agency to verify acceptance policies and/or any CEU limits related to home-study courses prior to enrolling in an online course.
Course formats: Our course formats include: text, audio, video, and PowerPoint with author narration. Each course will note the format on the course description page.
Course handouts: Most of our online courses provide a link to download the accompanying handout as a PDF file.
Group discounts: Groups of 3 or more are eligible for a 20% discount on each registration on most of our online courses. To receive this discount, registrations need to be processed together via the "Group Rates" tab on the Online Course of your choice.
Computer requirements: For our online courses to function best, we recommend that you update your computer to include the newest version of your Internet browser (Safari, Chrome, Firefox, Edge, Internet Explorer, etc.) and newest version of your computer's operating system. Also a high-speed Internet connection is recommended (cable or DSL). Speakers or headphones will be required for many of our courses as many contain audio components.
Course Cancellation Policy: A purchased online course can be exchanged, refunded, or transferred to another individual if contact is made with NSS (via phone or email) within 30 days of purchase and the course materials have not been viewed or downloaded.
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"Dr. Grillo did an excellent job of explaining the minimum data set of subjective and objective measures that should be included in a voice evaluation and emphasizing the importance of pre and post therapy data collection that is focused on the patient, not just standard norms. Excellent course!" – B.R. (Apr. 2020)
"I found the free and low-tech voice measures to be the most beneficial to me in my daily practice. I really enjoyed the clinical application practice with being able to use the free software suggested." – F.C. (Mar. 2020)
"The application of PRAAT software and use of apps to generate acoustic measures was most helpful. I liked the explanation of how to use free resources when expensive instrumentation is not available." – K.A. (Feb. 2020)
"I liked that the course was practical to private practice. The low tech methods of obtaining measurements for voice evaluation were excellent." – A.G. (Feb. 2020)
"The low tech and free options available, the SIG 3 recommendations for acoustic measures were beneficial. I liked the examples and demonstrations on how to access and use the free and low tech options like Wave Surfer and Praat." – T.C. (Jan. 2020)
"I enjoyed going over the free resources available and how to utilize them, as well as where to find more detailed information (i.e., PDF 'beginner's guides'). I also appreciated the emphasis on research articles that can be referenced at a later date, in support of EBP. This course actually covered more than I was anticipating." – B.R.A. (Dec. 2019)
"I liked how the presenter went through an entire voice evaluation from interview to recommendations. Felt like I understood the whole process instead of just one area." – T.W. (Nov. 2019)
"I will definitely utilize the free apps that were introduced to me in this course." – J.K. (Oct. 2019)
"I liked the clear description of SIG 3 minimum requirements for Voice Assessment." – M.S.S. (Sept. 2019)
"I liked the explanation of measurement apps and the overview of voice." – S.C. (Aug. 2019)
"The low tech assessment measures were most helpful." – P.S. (July 2019)
"This was an excellent speaker!!! I liked the free and low-cost resources, including websites and apps; presenter did an excellent job of explaining how to use apps and giving voice examples." – S.T. (June 2019)
"Going over how to take inexpensive measures for voice assessment at the bedside was most beneficial. Extremely practical." – M.D. (May 2019)
"I came away from the course feeling that I had learned valuable information that I could implement in my practice at work. Informative handouts and helpful normative data." – K.T. (Mar. 2019)
"This was an extremely comprehensive course which covered all aspects of a voice evaluation." – H.G. (Mar. 2019)
"The online resources and apps for free assessment of vocal function were most helpful. The course was so practical and useable in therapy." – K.P. (Feb. 2019)
"I found the entire course extremely informative and useful. The detailed showing of the PRAAT was probably my favorite part. Very organized. Very well explained. The presenter is excellent!" – C.O. (Jan. 2019)
"I enjoyed the thorough, detailed description of voice evaluation process. I liked the resources that were provided. Very thorough course!" – M.C. (Dec. 2018)
"This is an excellent course that encompasses extremely practical, research-based information that is presented in an easy to understand format. The presenter demonstrates a thorough knowledge of the content and conveys that content in a manner that is clear, concise, and natural. This is one of the best voice courses that I have ever experienced. " –M.L. (November 2018)
"The inclusion of resources that clinicians can access later for practice was fabulous. I also really appreciated the demonstration of how to use some of the tools that were introduced in the course." –A.D. (November 2018)
"I particularly liked the step by step directions for using PRAAT." – A.M. (Oct. 2018)
"I liked the practical demonstrations of assessments procedures, the links to online studies and scholarly articles, and free/low-cost technology demos. All topics were covered to my great satisfaction!" – D.H.J. (Sept. 2018)
"Clear and concise, very practical. Going over how to use Praat in order to collect voice measures was especially helpful." – C.N. (July 2018)
"I liked the online format with self-pacing. The methods for utilizing high tech at a low cost." – S.T. (May 2018)
"The discussion on low tech options and referrals needed was most beneficial." – T.C.W. (Dec. 2017)
"I liked the low tech options for voice evaluations - especially the apps for iPhones." – J.D. (Nov. 2017)
"Going over the stimulability techniques was helpful. I liked the free resources that were talked about." – M.M. (Aug. 2017)
"I thought it was all useful. Very practical that can be applied immediately!" – M.G. (July 2017)
"I learned about a few more measurements that may be helpful in DX and treating. I liked the convenience and models." – J.B. (June 2017)
"I appreciated the specific examples as to how to obtain measures with praat and waveform as well as the visuals and handouts." – K.G. (May 2017)
"Excellent information - very practical and easy to apply to my practice." – L.D. (Feb. 2017)
"The free applications and online supports will be very helpful." – L.B. (Jan. 2017)
"I found the free perceptual and acoustic measures most beneficial. I liked obtaining practical information to apply in a school based setting." – L.K. (Jan. 2017)
"I loved the low-tech options for measurement and how to easy to follow the course was." – N.T. (Dec. 2016)
"Going over how to use PRAAT and WaveSurfer, deeper specifics of evaluation, and CPP was all really useful. I liked the volume of information presented." – L.M. (Oct. 2016)
"This was wonderful! Great refresher, and I really enjoyed the examples of practical use of the acoustic measures in the assessment process." – L.G. (Oct. 2016)
"I loved the free and low tech measures to assess voice as well as how applicable this material is to the real world." – B.F. (Sept. 2016)
"I liked the way it was structured by the components of the assessment as well as references to free apps." – G.M.W. (Aug. 2016)
"The resources for free objective measurement tools was really helpful. I like that the course feels truly intermediate: not dumbed down or for beginning clinicians." – R.F. (Aug. 2016)
"Learning how to use PRAAT and the step-by-step descriptions using PRAAT was most beneficial." – C.R. (Aug. 2016)
"I appreciated the systematic approach to voice assessment and the low and hi tech assessment tools." – C.G. (Aug. 2016)
"I liked 1) learning about the free smartphone apps to use and how to then use PRAAT to analyse the data & 2) the review of the subjective scales (VHI) to provide to patients - very helpful." – L.C. (Aug. 2016)
"I like the course's recent, up to date information." – L.B. (July 2016)
"I enjoyed the intro to Praat and WaveSurfer. I liked seeing the screens as the speaker accessed them on WaveSurfer and Praat." – R.G. (July 2016)
"This course offered a variety of free and low cost resources that I can use right away." - J.D. (July 2016)
"Great to have new and free tools for the tool box!" – K.P. (June 2016)
"The low tech/free options to complete acoustic assessment along with tutorial were excellent. I like that this course will transfer over to functional practice." – A.K. (May 2016)
"I appreciated the voice assessment of children and the handouts and free voice measures available through the Internet. As a school SLP, I was not familiar with some of the technical language - would have been helpful to have more thorough explanations on handout." – T.F. (May 2016)
"I liked the review of the objectives and the highlights at the end of the presentation." – J.O. (May 2016)
"Very informative, lots of great resources - thank you! I appreciated all of the applications that are free = how awesome!" – K.J. (May 2016)
"I enjoyed realizing that there are tools that are free and available to use to determine pre and post therapy progress. Also to not have to spend a fortune to get better outcomes for the client and to not always have to refer to a university setting. I liked that the course was very practical, had great handouts (wonderful slides) and the instructor was easy to listen to." – P.C. (Apr. 2016)
"Up to date, clear, well-paced, organized...a great addition to the field. Dr. Grillo is helping to spread the love of voice diagnosis to the SLPs in the trenches, with free or inexpensive high tech and low tech methods." – S.S. (Mar. 2016)
"The information was presented in a clear format, the information was current, practical information that I can start applying working with my current patients." – J.M. (Mar. 2016)
"Excellent examples and demonstration of the various tools available." – K.P. (Mar. 2016)