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$59.00 USD

96% rating - reviews

0.1  ASHA CEUs

Endoscopic Assessment: Voice-Vibratory Assessment With Laryngeal Imaging (VALI-R) #e297


Presenters: Rita Patel, PhD, CCC-SLP & Bruce Poburka, PhD, CCC-SLP

This course provides detailed instruction for clinical use of laryngeal endoscopic imaging – videoendoscopy and videostroboscopy.

"I will be immediately implementing this in our stroboscopy clinic." – L.L., prior course participant

Read more comments about this course!

This course provides detailed instruction for clinical use of laryngeal endoscopic imaging – videoendoscopy and videostroboscopy. Content includes definitions, procedures, clinical interpretation, rating practice, and feedback using the VALI-R (Voice-Vibratory Assessment with Laryngeal Imaging-Revised rating form). The VALI-R form implements recommendations from ASHA’s Ad Hoc Committee on Developing Instrumental Voice Assessment Protocols.

Course is offered for 0.1 ASHA CEUs – 1 Contact Hours.

VALI-R Form



VALI-R Stroboscopy Rating Form

This course includes ongoing access to this interactive PDF form. The VALI-R features high quality graphics, pull-down menus, and scrollable text boxes. The PDF format facilitates sharing records, and it may be used with select EMR systems that allow for upload of PDF documents.


"This course is an excellent tutorial, perhaps one of the best I've watched on the subject matter. The information is accurate, also interesting, and not limited to just the mechanics of interpreting endoscopy or stroboscopy."

– K.S., prior course participant

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VALI-R Stroboscopy Rating Form - Speech Therapy

The VALI-R is a 5-page interactive PDF form.

Course Overview & Run Time

Course Overview – Run Time: 1:06:16

  1. Laryngeal Endoscopic Imaging
    • A. Endoscopy
    • B. Stroboscopy
    • C. Equipment
  2. The Endoscopic Examination
    • A. Purpose
    • B. Endoscopy Parameters
    • C. Rating Practice & Feedback
  3. The Stroboscopic Examination
    • A. Purpose
    • B. The Science of Stroboscopy
    • C. Stroboscopy Examination Protocol
    • D. Stroboscopy Parameters
    • E. Rating Practice & Feedback
  4. References

"This is the best videostroboscopy assessment rating course I've ever taken. Very useful. Will be able to use this in my practice today!"

– S.M., prior course participant

Read more comments about this course!

"The opportunity to test your newly acquired skills and then have the results explained during the presentation is invaluable."

– K.S., prior course participant

Read more comments about this course!

Content Disclosures

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.

Course Format

Video PowerPoint presentation with author narration & downloadable handout. Stop and re-start the course at any point. Learners retain access to course content after completion for ongoing reference and review.

Reviews

Comments From Prior Course Participants

"Specific examples of how each variation is clinically relevant. I liked the videos and immediate checking for understanding." M.M. (Dec. 2024)

"I liked the scoring practice for different parameters." A.G. (Dec. 2024)

"Discussing the types of laryngeal characteristics was beneficial. I liked the practice ratings." J.S. (Dec. 2024)

"I liked the quantitative measures of vocal fold function. And ability to rate videos and get feedback." K.O. (Nov. 2024)

"I like that this course broke it down into every single part we are looking at and then giving examples to judge. Practice form to use." M.B. (Nov. 2024)

"All of the topics were helpful. I liked everything." E.K. (Nov. 2024)

"The stroboscopic assessment was beneficial. The course is very good for beginners, it was easy to understand and had very good examples." L.D. (Nov. 2024)

"The entire topic was beneficial. The thorough breakdown of each individual parameter was very helpful. I enjoyed the ability to practice rating the parameters." A.S. (Nov. 2024)

"Clear explanations made it easy to understand. The breakdown of each stroboscopic parameter, especially amplitude and glottal closure patterns, was very helpful." S.S. (Nov. 2024)

"Simple and practical information with a clinical focus. Rating of strobe parameters was helpful." R.D. (Nov. 2024)

"I liked the explanation of the different parameters and the video examples." K.K. (Oct. 2024)

"Examples to practice rating. All the information was pertinent. I liked the presentation." L.L. (Oct. 2024)

"I found the information beneficial to evaluate the general structure of the larynx using a constant light source. I liked how we were able to follow along with a pdf to practice identifying abnormalities." A.V. (Oct. 2024)

"Definitions of the parameters were helpful. Organized information and provided the ability to rate various parameters." A.N. (Oct. 2024)

"I enjoyed all of the information." K.W. (Aug. 2024)

"General ratings and examples were beneficial. I liked the video examples and quiz format." S.B. (Aug. 2024)

"I teach voice and voice disorders at a university. I used the SERF for many years. I learned additional information from this course to use in my course. In addition, students will take this course for a grade in my course. I liked the information and videos. I liked the opportunities to practice." A.V. (Aug. 2024)

"Explanation of each parameter to look for during a stroboscopy was beneficial. I liked that I could watch and complete at my pace." M.S. (Aug. 2024)

"Entire course was applicable. I liked the video practice with feedback." S.P. (Jul. 2024)

"In-depth discussion about VF and different aspects of phonation. Very clear presentation and links well with the test." C.M. (Jul. 2024)

"This course was very easy to follow. I enjoyed the practice screens." L.C. (Jun. 2024)

"The endoscopic ratings were helpful to discuss. The course was easy to follow." G.S. (May. 2024)

"I liked that the course was concise and provided self-assessments." K.C. (May. 2024)

"The breakdown and description of various parameters to observe then providing examples to assess was very helpful. I liked the structure of the information delivery and provision of examples with pause to test one's self before the answers were revealed." J.A. (May. 2024)

"All of the information was helpful! I enjoyed the practice ratings of video footage." K.R. (May. 2024)

"The examples ratings were beneficial. I liked that the course was online." B.M. (May. 2024)

"All of the course was helpful. Clearly structured and systematic." M.S. (Apr. 2024)

"The practical interpretation was beneficial." M.C. (Mar. 2024)

"Learning how to perform assessment was helpful. I liked that the course was quick and the practice videos." M.R. (Mar. 2024)

"The course was clearly presented, with ample information related to different findings on endoscopy or stroboscopy to vocal cord pathologies. It was great that we could pause and review videos before making ratings. The first part was most useful." J.B. (Mar. 2024)

"I liked the examples shown." G.F. (Feb. 2024)

"The in-depth information and opportunity for practice was beneficial." M.K. (Jan. 2024)

"Really was struggling with amplitude vs mucosal wave, this course helped. I liked the individual attention to each part of the VALI-R. I am an SLP and a vocology student at Lamar. I used this as supplemental material!" R.M. (Jan. 2024)

"I appreciated the example videos provided for each explanation. The visual component was very helpful for determining proper scoring. I liked how clearly the information was explained; additionally, I liked how each component was connected to possible pathologies that can be observed." M.J. (Jan. 2024)

"I appreciated the clear breakdown of each section. It made the ratings feel less overwhelming. I liked the opportunity to practice with instant feedback." E.E. (Jan. 2024)

"I liked the video demos and form handout." S.K. (Jan. 2024)

"The review of the stroboscopic parameters was helpful. I liked the practice slides." J.A. (Dec. 2023)

"I enjoyed the practice session." S.Y. (Dec. 2023)

"Rating vertical edges...I have always struggled with that, and this course provided better descriptors. Very organized and thorough in descriptions, relates to clinical significance." E.K. (Dec. 2023)

"The new form with slightly new ways of rating was beneficial. I liked the video examples." E.K. (Dec. 2023)

"The examples and explanations given with feedback were helpful. I liked that this course was self-paced." S.V. (Dec. 2023)

"I liked the method of presentation with definitions and clinical implications and then the practice videos for each parameter." A.G. (Dec. 2023)

"The practice and explanations were helpful. I liked the opportunity for practice and feedback." A.D. (Nov. 2023)

"The videos that allowed us to do a rating and then get feedback were beneficial. I liked that the rating form includes pictures for helping with accurate reporting of skilled observations." C.K. (Oct. 2023)

"I liked the assessment practice and application. The practice tasks were beneficial." M.A. (Oct. 2023)

"Understanding how to rate mucosal wave. I liked the video examples and feedback." K.M. (Oct. 2023)

"All of it was applicable. I liked the practice videos." J.M. (Aug. 2023)

"Thorough explanation and examples of each aspect of the endo and strobe assessment. Easy to follow course." R.L. (Jul. 2023)

"This course was helpful in understanding how to use stroboscopy and what to look for when evaluating the vocal fold movement. I liked the practice videos presented to help test your skills as they are being taught." A.N. (Jul. 2023)

"It was beneficial going through each section of the VALI-R, with definitions, clinical significance, and opportunity to rate. I liked the practical opportunity to rate actual images." T.B. (Jun. 2023)

"Specific measurements for rating degree of supraglottic deflection and degree of mucosal wave. I liked the VALI-R form itself and will be trying to utilize it at work." J.W. (Jun. 2023)

"I liked all of it. Easy to understand course." S.B. (Jun. 2023)

"The video examples and new VALI Form PDF were beneficial." S.T. (May 2023)

"I found the discussion of and evidence for VALI observations and correlating pathology very helpful and affirming to my current knowledge of voice disorders. I really liked the practice questions and found them to consolidate the rating education." K.B. (Apr. 2023)

"I liked how rating each parameter was presented in a consistent and organized manner. The video examples were very helpful in my learning. I liked that it was delivered online so I could learn at my own pace." R.P. (Apr. 2023)

"This course provided an objective way to evaluate videostroboscopy exams. I liked the videostroboscopy samples with time to make judgments, and comparison of normal vs abnormal." T.A. (Apr. 2023)

"Video examples of normal and abnormal for each of the parameters discussed were beneficial. Vali-R form will help me have a more standardized approach to rating each of my videostrobes." L.C. (Apr. 2023)

"I appreciated the finer detailing of lateral and A/P constriction. Clear and easy to follow along course." A.N. (Mar. 2023)

"The practice portions and VALI R forms were beneficial." A.D. (Mar. 2023)

"Step-by-step explanations with examples for interpretation. I liked the pictures, videos, and detailed descriptions." L.M. (Mar. 2023)

"I liked the stroboscopy particularly and the detailed information and testing. Easy to log on and carry out in own CPD time." R.B. (Mar. 2023)

"Precise and concise course. I liked all of it." L.H. (Feb. 2023)

"I liked the topic and the handout." M.W. (Feb. 2023)

"Video examples with immediate feedback were beneficial." A.W. (Feb. 2023)

"I liked the presentation of the clinical importance of each VALI item rated. And the interactive video sample ratings." J.K. (Jan. 2023)

"Specific and concise definitions of the stroboscopic parameters! These were beneficial for novice and experienced voice clinicians." Z.C. (Jan. 2023)

"A great course that helps with more structure and systematic means for LVS without being overwhelming. I liked the practice with the videos and the forms." Z.C. (Jan. 2023)

"All of it was beneficial. I liked the VALI-R, and I used it to document my most recent videostrobe." A.J. (Jan. 2023)

"Accurate and specific." A.T. (Jan. 2023)

"I liked the practice evaluations and amount of detail provided per voice parameter." C.G. (Dec. 2022)

"Clear guided information. I liked the assessment tasks." S.C. (Dec. 2022)

"The organized way to report video stroboscopic information was beneficial." M.V. (Dec. 2022)

"I liked the assessments of the laryngeal imaging. It was nice to practice interpreting the videos and images." L.C. (Dec. 2022)

"Clear descriptions of physiological parameters and a guideline of strobe exam protocols. The content was great, and I especially appreciated that I could login and out and complete it at my own pace." C.C. (Nov. 2022)

"Going through the VALI-R with examples was beneficial. I liked the video clips and explanations." V.S. (Nov. 2022)

"Rating of the stroboscopic assessment parameters was a good topic. I liked the practice rating tasks." C.P. (Nov. 2022)

"Great speaker, spoke slowly, paused after each page. Liked the test format." L.B. (Oct. 2022)

"Information was provided clearly, great examples. How to evaluate and mark on the forms was easy to understand and will provide valuable information." K.C. (Oct. 2022)

"I liked the endoscopic section and the practice rating section." G.L. (Oct. 2022)

"Clearly defined definitions for each parameter with excellent resources and citations. Organization of the course was highly conducive to learning." S.H. (Oct. 2022)

"Clinical relevance of each area assessed. Missing piece for stroboscopy training." S.J. (Oct. 2022)

"The review of anatomy of voicing was good. I liked the practice with real images." E.B. (Oct. 2022)

"I liked the practice exams with feedback." J.M. (Oct. 2022)

"I liked the course format - had detailed explanations." J.S. (Oct. 2022)

"I will be immediately implementing this in our stroboscopy clinic." L.L. (Sept. 2022)

"I liked the detail, research citations, videos/examples/explanations." S.D. (Sept. 2022)

"Having a rating scale that I could incorporate was nice." K.S. (Aug. 2022)

"This is the best videostroboscopy assessment rating course I've ever taken. Very useful. Will be able to use this in my practice today!  I liked the concise descriptions and the examples of normal versus abnormal that can be found in each rating category. The opportunities to practice with real video samples. Thank you!!"  S.M. (Aug. 2022)

"The presentation is nicely paced and readily comprehensible. The opportunity to test your newly acquired skills and then have the results explained during the presentation is invaluable." K.S. (Aug. 2022)

"Thorough course. Easy to access and complete. I liked the discussion of revised VALI form, and detailed explanation of vibratory parameters especially amplitude and mucosal wave." K.A. (Aug. 2022)

"This course is an excellent tutorial, perhaps one of the best I've watched on the subject matter. The information is accurate, also interesting, and not limited to just the mechanics of interpreting endoscopy or stroboscopy." K.S. (Aug. 2022)

"The content of this course was current and beneficial." A.L. (Aug. 2022)

Course Objectives

At course conclusion, participants will be able to:
  1. Describe the laryngeal imaging techniques of videoendoscopy and videostroboscopy, including  distinctions and clinical uses.
  2. Identify potential limitations and sources of bias in visual-perceptual ratings of videoendoscopy and videostroboscopy.
  3. Define endoscopic and stroboscopic parameters. 
  4. Describe procedures for rating laryngeal imaging parameters.
  5. Distinguish normal from abnormal findings for laryngeal imaging parameters.
  6. Explain the clinical significance of laryngeal imaging findings.

Presenter & Disclosures

Bruce Poburka

Bruce J. Poburka, PhD, CCC-SLP is a Professor of Communication Sciences and Disorders at Minnesota State University, Mankato. Dr. Poburka has conducted research, published, and presented on a variety of voice disorders topics.  These include perceptual and instrumental assessment, stroboscopy rating forms, techniques for stroboscopy rating training, voice treatment, and use of technology in education.

Speaker Disclosures:

Financial — Bruce Poburka is a presenter of online CE courses sponsored by Northern Speech Services; receives royalties.

Nonfinancial — Bruce Poburka has no relevant nonfinancial relationships to disclose.

Rita Patel

Rita Patel, PhD, CCC-SLP, is an Associate Professor of Speech, Language and Hearing Sciences at Indiana University. Dr. Patel's broad areas of research and teaching interests include vocal physiology and voice production in normal and disordered voice across the lifespan. Specific areas of focus include pediatric vocal development, as well as investigation of vibratory kinematics and disturbances of muscle activity to understand the clinical pathophysiology of spasmodic dysphonia.

Speaker Disclosures:

Financial — Rita Patel is a presenter of online CE courses sponsored by Northern Speech Services; receives royalties.

Nonfinancial — Rita Patel has no relevant nonfinancial relationships to disclose.

Intended Audience / Accreditation

Intended Audience/Accreditation
asha ce approved provider

This program is offered for 0.1 ASHA CEUs (Intermediate Level; Professional Area).

Intended Audience

  • Speech-Language Pathologists

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:

  • Current ASHA Member
  • ASHA Certificate of Clinical Competence (CCC) Holder
  • Licensed by a state or provincial regulatory agency to practice speech-language pathology (SLP) or audiology
  • Credentialed by a state regulatory agency to practice SLP or audiology
  • Credentialed by a national regulatory agency to practice SLP or audiology
  • Engaged in a Clinical Fellowship under the supervision of an individual with their ASHA CCC
  • Currently enrolled in a master's or doctoral program in SLP or audiology

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:

  • California: NSS is approved as a provider of continuing education by the California Speech-Language Pathology & Audiology Board. Provider #PDP4. Online CEU limits may apply; please contact SLPAHADB for current online CEU acceptance policies.
  • Iowa: NSS is approved as a provider of continuing education by the Iowa Board of Speech Pathology and Audiology Examiners. Provider #169.
  • Kansas: NSS is approved as a provider of continuing education by the Kansas Department of Health and Environment. Provider #LTS-S0005.

Frequently Asked Questions

Online Course FAQ — Click Here

Customer Support: Please phone 888.337.3866 or email info@northernspeech.com.

Course Completion Timeframe:

You have unlimited time to complete our online courses. You may log off and log on as often as you’d like to in order to complete all sections of a course.

However, completion dates are based on Eastern Standard Time. Therefore, if you need your CEUs by a certain date, be sure to complete the course test before 11:59pm EST on that date. For example, if you need CEUs before January 1st, you will need to complete the course test before 11:59pm EST on December 31st.

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 currently not accepted for online orders, if you wish to submit a purchase order please do so at info@northernspeech.com or fax to 888-696-9655.

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. Please note that courses offered for university students are not applicable for CEUs.

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. Most courses include closed captioning.

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. 

Special Needs:

Please click here for any special needs requests, and we will do our best to accommodate them. 

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