Phonation Resistance Training Exercises
NEW ADVANCED PHORTE® ONLINE COURSE COMING SOON
Updates and Advances for the PhoRTE®-Approved Practitioner
ASHA CEUs will be offered (Intermediate, Professional)
Must have completed Introduction to PhoRTE® Voice Therapy, either in person, synchronously via Zoom, or asynchronously, since 2018
This advanced PhoRTE® course addresses the real-world questions that matter most to PhoRTE®-approved providers: patient candidacy, clinical decision-making, troubleshooting common challenges, and long-term maintenance. It offers updates on the evolving science and evidence behind PhoRTE® voice therapy, along with valuable opportunities to engage in case-based discussion on clinical issues of importance in PhoRTE® voice therapy and opportunities for guided practice.
Asynchronous web-based PhoRTE® training
For Speech-Language Pathologists
Registration is open! Phonation Resistance Training Exercises (PhoRTE®) is now available to clinicians all over the world through asynchronous web-based PhoRTE® training modules that can be completed over several days. Eligible for ASHA CEUs.
Register for training
Sign up for our 10-module course to kickstart your journey with PhoRTE®
Complete the modules
Finish the course at your pace with our asynchronous learning platform
Submit provider profile
Get listed on the approved provider directory so patients can find you
About
What is PhoRTE®?
Phonation Resistance Training Exercises (PhoRTE®) is voice therapy for pathologic age-related voice changes (presbyphonia) that occur in older adults. PhoRTE® uses high intensity vocal exercise to systematically rehabilitate the vocal mechanism and improve vocal endurance.
- Developed by renowned SLPs
- Over a decade of clinical use
- Thousands of patients treated
- Trusted by healthcare professionals
Show your support for vocal longevity with this classic Gildan® navy blue short-sleeved t-shirt, featuring the official PhoRTE® logo and inspiring slogan “Strong Voice, Vibrant Life” printed in white. Made from 100% soft, breathable cotton, this relaxed unisex fit and reinforced stitching t-shirt offers all-day comfort whether you’re at the clinic, in the classroom, or out in the community.
Sale Price: $19.99 including shipping and handling; Original Price: $25.00
SLP Support
Requires limited sessions via telehealth or in person therapy
Therapy Protocol
Involves completing five vocal tasks with results in 4-8 weeks
Home Practice
As little as 12-15 minutes of home practice, 6 days a week
Get trained to become a PhoRTE® provider
Join the community of PhoRTE® providers across the globe
Want to Be a PhoRTE®-Approved Provider?
Asynchronous Course
PhoRTE® voice therapy is now available to clinicians all over the world. This on-demand course is for speech-language pathologists to gain foundational knowledge and skills in Phonation Resistance Training Exercises (PhoRTE®) in an introductory course for implementing PhoRTE® with patients who have presbyphonia. Web-based training modules are open for registration and can be completed over several days. Eligible for ASHA CEUs.

U.S. Department of Veterans Affairs
Since implementing PhoRTE , I have seen so much improvement and engagement in my patients. They really like the functional approach.

Stanford Health Care
PhoRTE was the simple and effective tool I needed to better serve my patients with presbyphonia.
a tempo Voice Center
Why Choose Phonation Resistance Training Exercises
How is PhoRTE® Different?
Voice therapy for older adults with presbyphonia has historically been focused on decreasing compensatory laryngeal hyperfunction during voice production (recalibration). PhoRTE® takes a different approach to voice therapy for presbyphonia. PhoRTE® is an exercise-based voice therapy that incorporates motor learning principles and the concept of kintsugi from the Japanese art form of mending broken pottery.
Greater Airflow
Increasing respiratory drive with low abdominal breathing
Better Vibration
Improving vocal fold vibration with a megaphone-shaped vocal tract
Stronger Voicing
Administering high-dose voice exercise to the vocal mechanism
Does Evidence Exist on PhoRTE®?
PhoRTE® has Level 1B evidence from two published prospective, randomized clinical trials as well as Level II evidence from a single-subject experimental design study with counterbalancing of conditions and random assignment to counterbalanced condition sequence with replication in six participants to treat presbyphonia. They show a significant improvement in voice quality, significant decrease in vocal effort and a significant increase in voice-related quality of life.
Team
Co-Developers
Dr. Hapner and Dr. Ziegler developed Phonation Resistance Training Exercises (PhoRTE®) in 2009 to promote communication, socialization, and vocation in the older adult population with strong emphasis on values of successful aging.
- Over 5 decades of combined clinical experience
- Respected voice clinicians by colleagues and patients
- Published researchers on vocal aging and voice therapy

It is great to be able to offer patients an evidence-based, non-surgical treatment option for presbyphonia that has proven results.