https://www.vocalhealth.com.au/home daily 1.0 2026-09-25 https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/5260712b-f211-4c36-87a9-1891421907fa/LANAPRATTPHOTO_VOCALHEALTH2.jpg https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/2c6975bb-9967-484f-a1fa-9f36dcebf725/LANAPRATTPHOTO_VOCALHEALTH20.jpg https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/8c4578a3-2b3e-4bb2-9b93-00196ded19c5/LANAPRATTPHOTO_VOCALHEALTH92.jpg https://www.vocalhealth.com.au/contact daily 0.75 2026-07-11 https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/7b1492cc-3033-404b-abcf-7f6b344a20bd/LANAPRATTPHOTO_VOCALHEALTH5.jpg https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/14b4f9af-33cc-48e0-be7f-fa3ac231a252/LANAPRATTPHOTO_VOCALHEALTH85.jpg https://www.vocalhealth.com.au/meet-our-team daily 0.75 2026-09-05 https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/7b9abe4a-cabc-45d2-b990-c08e746912b5/LANAPRATTPHOTO_VOCALHEALTH131.jpg https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/b50bd4e3-9c55-42be-bc91-5870fcdd62ef/SPA%2BLogo.webp https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/c0d6c32a-a51e-4766-9d2a-21ac79d5d775/LANAPRATTPHOTO_VOCALHEALTH132.jpg https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/4d278987-032f-473d-b5cc-7bd899d0f495/Melissa+Tan.png https://www.vocalhealth.com.au/referralfaq daily 0.75 2026-09-28 https://www.vocalhealth.com.au/inducible-laryngeal-obstruction-ilo daily 0.75 2026-09-25 https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/2c2b28a8-435d-4349-8099-ff8dcdf5d1e0/LANAPRATTPHOTO_VOCALHEALTH89.jpg https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/8f13c9e7-5d04-4c60-9d45-c6d6f707d3c0/6ea082c1-7626-4054-8896-52da8532b8c1.png Inducible Laryngeal Obstruction (ILO) - ILO is best managed as part of a multi-disciplinary approach Vocal Health works closely with Respiratory Physicians and Ear, Nose & Throat (ENT) Surgeons to support accurate diagnosis, coordinated management and ongoing rehabilitation. Inducible Laryngeal Obstruction (ILO) is a condition in which the vocal folds or structures around the voice box temporarily narrow during breathing, making it difficult for air to move into the lungs. Episodes can be sudden and distressing, often causing a sensation of not being able to get enough air. ILO is sometimes mistaken for asthma because the symptoms can appear similar. However, the problem occurs at the level of the larynx (voice box) rather than within the lungs. Some people have ILO alone, while others have both ILO and asthma. https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/62fa73b6-1dca-4e57-98df-239843eb3490/LANAPRATTPHOTO_VOCALHEALTH23.jpg Inducible Laryngeal Obstruction (ILO) - Assessment of ILO Assessment focuses on understanding the factors contributing to your breathing symptoms and identifying the triggers that provoke episodes. This may include: a detailed history of your symptoms and triggers assessment of breathing patterns voice assessment where appropriate review of relevant medical investigations collaboration with your treating respiratory physician or ENT specialist Where clinically indicated and with medical clearance, flexible nasendoscopy may be performed to assess the function of the larynx during breathing and voice tasks. https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/e243828c-abc9-4b44-96b8-8caeba721b41/LANAPRATTPHOTO_VOCALHEALTH18.jpg Inducible Laryngeal Obstruction (ILO) - Treatment of ILO Behavioural therapy delivered by a speech pathologist is recognised as a key component of management for inducible laryngeal obstruction. Current evidence supports breathing retraining, education and laryngeal airway control techniques to reduce symptoms, improve self-management and help people return to normal daily activities, including exercise. Rehabilitation is tailored to each individual's presentation and may include: breathing retraining reducing laryngeal tension strategies to manage and prevent episodes identifying and managing triggers improving coordination between breathing and the larynx education about ILO and symptom management strategies to support exercise and everyday activities Treatment is individualised and guided by your symptoms, goals and response to therapy. https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/3a4a5838-209d-46d4-abce-d3a1a6354018/LANAPRATTPHOTO_VOCALHEALTH101.jpg Inducible Laryngeal Obstruction (ILO) - Real-Time Visual Biofeedback Flexible nasendoscopy can also be used as a biofeedback tool during rehabilitation. By viewing the larynx in real time, patients can better understand what is happening during breathing and learn techniques to reduce inappropriate laryngeal closure. This immediate visual feedback can improve awareness, reinforce breathing strategies and support the development of more efficient laryngeal function. https://www.vocalhealth.com.au/voicedisorders daily 0.75 2026-09-25 https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/e3acf562-25a1-4eff-b0e7-1b7e18ac2a83/ChatGPT+Image+Sep+25%2C+2026%2C+02_24_06+PM.png https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/71ba4c45-5109-43b5-9fc6-518a041805d2/ChatGPT+Image+Sep+25%2C+2026%2C+10_33_03+AM.png Voice Disorders - Our voice is central to how we communicate, work and connect with others. When the voice is affected, even everyday conversations can become challenging and frustrating A voice disorder, also known as dysphonia, is a change in the quality, pitch, loudness or efficiency of the voice. It can affect communication, professional performance, social interaction and overall quality of life. While professional voice users such as teachers, singers, actors and public speakers often place high demands on their voices, you don't need to be a professional voice user to benefit from voice assessment and rehabilitation. An efficient voice is central to how we communicate, work and connect with others. https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/55bcef5f-ecd1-4aa2-9034-bf5a2d2d26a4/LANAPRATTPHOTO_VOCALHEALTH40.jpg Voice Disorders - Symptoms of Dysphonia hoarseness or a rough voice vocal fatigue or reduced endurance increased effort or discomfort when speaking loss of vocal range or vocal control voice breaks or inconsistency reduced vocal volume persistent throat clearing or throat discomfort We provide comprehensive assessment and management for adults experiencing voice disorders associated with vocal fold pathology, neurological conditions, functional voice disorders, professional voice use, respiratory conditions, head and neck cancer, and voice changes following illness or surgery. https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/1bc23ca3-da87-40da-913d-63fe1cd6fbaa/LANAPRATTPHOTO_VOCALHEALTH86.jpg Voice Disorders - Assessment and Rehabilitation Understanding why the voice is impaired is fundamental to providing effective management. Assessment begins with a comprehensive voice evaluation, integrating your symptoms, medical history, vocal demands, and perceptual and acoustic assessment. Existing ENT findings and laryngeal imaging are incorporated where available. When further evaluation of vocal fold function is required, we work collaboratively with ENT specialists to facilitate appropriate laryngeal imaging. Vivian also runs a multidisciplinary Voice Clinic with ENT surgeon Dr Travis Leahy at West Coast ENT, where videostroboscopy is available to provide detailed assessment of vocal fold structure and vibration when clinically indicated. https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/82bd7976-7881-4083-895e-7b452f3675b8/LANAPRATTPHOTO_VOCALHEALTH13.jpg Voice Disorders - At our West Perth clinic, we can perform flexible nasendoscopy, allowing direct visualisation of the larynx during speaking and vocal tasks. This provides valuable real-time biofeedback during assessment and rehabilitation, helping patients better understand how their voice is being produced while guiding therapy. The findings from clinical assessment and laryngeal imaging are integrated to develop voice rehabilitation programme. Therapy is guided by the underlying physiological findings, your vocal demands and your personal goals to support the best possible outcomes. We work closely with your referring ENT specialist, general practitioner and other members of your healthcare team to ensure coordinated, evidence-informed care throughout your management. Our aim is to optimise vocal function while helping you communicate with greater comfort, confidence and efficiency. https://www.vocalhealth.com.au/chroniccoughmanagement daily 0.75 2026-10-18 https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/0bfd7552-53fe-4038-b776-ff5a0e5112b6/vocal_health_no_microphone.jpg https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/1dc4398e-b95d-4429-ad36-53fd34a5ee08/LANAPRATTPHOTO_VOCALHEALTH117.jpg https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/4eaac75b-35be-4e76-b88c-58aaa2f4da86/LANAPRATTPHOTO_VOCALHEALTH126.jpg https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/9c2af826-eafa-49f2-9a62-b14dfd85b99b/LANAPRATTPHOTO_VOCALHEALTH22.jpg https://www.vocalhealth.com.au/swallowing daily 0.75 2026-10-18 https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/c8b42188-73c7-420b-bb7b-f13548151653/LANAPRATTPHOTO_VOCALHEALTH42.jpg https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/01573877-9809-4d2f-b20a-c2251d8872ad/LANAPRATTPHOTO_VOCALHEALTH117.jpg Swallowing - Swallowing Disorders Swallowing is a complex process involving the coordinated action of the muscles and nerves of the mouth, throat and oesophagus. When this process is disrupted, swallowing can become difficult, uncomfortable or unsafe. A swallowing disorder, also known as dysphagia, can affect nutrition, hydration, respiratory health and overall quality of life. It may also impact confidence, independence and enjoyment of eating and drinking with family and friends. https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/1c62d0cd-da0c-4da8-b991-640664720bfc/LANAPRATTPHOTO_VOCALHEALTH126.jpg Swallowing - Symptoms of Dysphagia Symptoms of dysphagia may include: coughing or choking during meals food, fluids or tablets sticking in the throat difficulty managing certain food or fluid consistencies prolonged mealtimes recurrent chest infections unexplained weight loss a sensation of food not passing normally when swallowing We provide comprehensive assessment and management for adults experiencing swallowing difficulties associated with neurological disorders, head and neck cancer, respiratory disease, surgery or medical treatment, age-related swallowing changes and other complex medical conditions. https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/c8b42188-73c7-420b-bb7b-f13548151653/LANAPRATTPHOTO_VOCALHEALTH42.jpg Swallowing - Assessment and Management of Dysphagia Understanding why swallowing is impaired is fundamental to providing effective management. Assessment includes a comprehensive clinical evaluation, integrating your symptoms, medical history and clinical presentation. Where further information is required, we may recommend Fibreoptic Endoscopic Evaluation of Swallowing (FEES) or facilitate referral for a Videofluoroscopic Swallow Study (VFSS). These instrumental assessments provide valuable information about swallowing physiology that cannot always be determined through clinical assessment alone. By directly visualising swallowing function, they help identify the underlying physiological cause of swallowing difficulties, guide diagnosis and support more accurate clinical decision-making. Importantly, the findings from clinical and instrumental assessment guide the development of targeted rehabilitation, compensatory strategies and practical recommendations to improve swallowing function, safety and efficiency. We work collaboratively with your treating specialists and healthcare team to ensure coordinated, evidence-informed care and comprehensive communication throughout your management. Our aim is to optimise swallowing function while promoting safety, independence, participation and quality of life. https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/54b51bb5-7cdf-48c2-8c50-49dec339bf4e/LANAPRATTPHOTO_VOCALHEALTH89.jpg Swallowing - FEES – Fibreoptic Endoscopic Evaluation of Swallowing Fibreoptic Endoscopic Evaluation of Swallowing (FEES) is an instrumental assessment that allows us to observe your swallowing in real time while you eat and drink. A fine flexible camera is gently passed through the nose, providing a detailed view of your throat and voice box during swallowing. Vocal Health is the first private speech pathology practice to introduce FEES in Western Australia and continues to provide this advanced assessment as an integral part of our adult swallowing service. FEES helps us understand why swallowing difficulties are occurring so that rehabilitation can be tailored to your individual needs. https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/82b113dd-914f-4e44-a5c8-e47d32d6175b/LANAPRATTPHOTO_VOCALHEALTH94.jpg Swallowing https://www.vocalhealth.com.au/feesprocedure daily 0.75 2026-10-13 https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/c8b42188-73c7-420b-bb7b-f13548151653/LANAPRATTPHOTO_VOCALHEALTH42.jpg https://images.squarespace-cdn.com/content/v1/6a51bb994ce7c03468b78d88/ca68f8f9-c849-4c74-8f2e-555cedae87a4/VOCAL+HEALTH+FEES.jpg FEES Procedure