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Functional phrases
Phonation Resistance Training Exercise (PhoRTE; Ziegler & Hapner, 2013) was adapted from LSVT and consists of four exercises:
Producing /a/ with loud maximum sustained phonation
Producing /a/ with loud ascending and descending pitch glides over the entire pitch range
Producing functional phrases using a loud and high (pitched) voice
Producing the same functional phrases using loud and low (pitched) voice
Individuals are reminded to maintain a "strong" voice throughout these treatment exercises. PhoRTE has a less intensive intervention schedule than LSVT. PhoRTE also differs in that it combines both loudness and pitch when producing phrases (i.e., loud and low pitch; loud and high pitch). Use of PhoRTE has been studied in adults with presbyphonia (aging voice) as a way to improve vocal outcomes (e.g., decrease phonatory effort) and increase voice-related quality of life (Ziegler, Verdolini Abbott, Johns, Klein, & Hapner, 2014).