Treating EI-PVFM


A Holistic Approach to Treating EI-PVFM:

Beyond the Basics of Buteyko


ASHA certified continuing education for SLPs

The Holistic Approach to Treating EI-PVFM course is offered for 1.2 ASHA CEU’s (Intermediate level; professional area.) in cooperation with MEEI, Department of Otolaryngology; a Harvard Medical School Teaching Hospital

Course Disclosures-Sharon Frank

Course Disclosures-Hadas Golan

Course Description

Exercise-induced paradoxical vocal fold motion (EI-PVFM) is a complex upper airway disorder that occurs in some athletes and is characterized by a closing of the vocal folds during respiration, resulting in difficulty breathing. Using Buteyko breathing techniques, the patient learns to breathe symptom-free at rest and during exertion, eliminating the need for a “rescue” breathing technique.

We will discuss the nature of EI-PVFM, how it differs from Exercise Induced Bronchospasm (EIB), and the impact of dysfunctional breathing on EI-PVFM.  Moreover, this course will provide a practical and clinically focused approach to evaluating and treating individuals with EI-PVFM. Also, we will focus on the role of breathing dysfunction and breathing retraining in upper airway disorders. 
By going beyond the basic Buteyko techniques, you will learn how to correct poor breathing habits and make breathing more efficient and functional during rest and physical exertion. The relationship between core function, breathing, posture, and movement will be emphasized, so we can understand and utilize the interconnectivity of these systems to optimize wellness and athletic performance.

You will learn the components of conducting a holistic EI-PVFM evaluation, the cornerstones of a holistic approach to treating this condition, and therapeutic methods used in a practical, systematic approach. Case studies will be reviewed, and videos of therapy sessions will be shown.  Upon completing this course, you will be able to use your knowledge of Buteyko breathing and apply it practically in evaluating and treating EI-PVFM.

Learner Outcomes:

Upon completion of the training, SLP's will be able to:

  • Identify dysfunctional breathing in their patients.
  • Identify and modify causes of breathing dysfunction.
  • Learn how to monitor and improve their own breathing.
  • Help patients establish better breathing habits.
  • Deliver breathing retraining program to help restore physiologically normal breathing.
  • List 5 distinctive differences between PVFM and EIB.
  • Identify the 5 major components of a holistic approach to conducting an EI-PVFM evaluation.
  • List 4 differences between using traditional methods vs using a Buteyko-based, holistic approach when treating EI-PVFM patients.
  • List the 4 major cornerstones of a holistic approach to treating EI-PVFM.
  • Teach strategies to improve exercise capacity and to enhance sport performance.

Course Registration

Please note: Buteyko Level 1 course is a prerequisite to taking the EI-PVFM course. When you click on the Register button below, you will be redirected to the registration page. At the bottom of the page, you will have two payment options

  • Pay for the EI-PVFM course only - $450
  • Pay for Buteyko level-1 + EI-PVFM package - $690 instead of $935 if purchased separately. If you did take the Buteyko level-1 training in the past, select the EI-PVFM course option


Course format: Live Webinar.

Course Dates:  FRI, SAT November 6-7 between 9:00 AM - 4:30 PM (EST)


Course format: On-demand

Course Dates:  Available as of November 8th

Course Instructors

Hadas Golan, M.S., CCC-SLP

Hadas Golan is a licensed speech-language pathologist currently working at Boston University Medical Center in the Department of Otolaryngology, specializing in voice and respiratory disorders and the care of the professional voice. She is a Buteyko educator and trainer and is a founding member of the Buteyko Breathing Educators Association (BBEA). She also runs a private practice working primarily with patients with breathing disorders and offers educator training programs.
She is an active contributor to the research literature on the topics of Buteyko breathing and PVFM and has co-authored a textbook chapter on the speech-language pathologist’s management of chronic cough. Hadas incorporates her broad training background of breathing, voice, and manual techniques into a holistic wellness model for voice and breathing rehabilitation. She continues to lecture nationally and internationally on the topics of breathing and voice.

Sharon Frank, M.A., CCC-SLP

Sharon Frank specializes in Exercise-Induced Paradoxical Vocal Fold Motion (EI-PVFM) and voice disorders. She evaluates and treats EI-PVFM clients using a holistic, systematic approach including Buteyko breathing techniques. Sharon helps clients who live locally, as well as those who come from other states and Europe and, most recently, through telepractice.
She is the owner of Speech and Voice Therapy Center in Foxborough, Massachusetts, which she founded over 20 years ago.  She has been an ASHA certified member for over 35 years. In addition to ASHA, Sharon is a member of the Massachusetts Speech-Language-Hearing Association, and the Buteyko Breathing Educators Association (BBEA). She is a Level 3 Buteyko practitioner. Sharon was selected as an ASHA Imaginologist at the 2019 Convention, and she co-presented on EI-PVFM at the ASHA Convention in 2018 and at the BBEA Annual Conference in 2017. She was an invited speaker at the Pediatric Asthma and Allergy Updates for Primary Care Providers at Boston Children’s Hospital in March 2020.