Evidenced-Based Treatment of:
Our Services Include:
– Saturday appointments,
– Video-conferencing/Tele-health for patients in regional and remote Australia or for patients in quarantine
Services for Children (6 years +) and Adults
We are pleased to provide services for children aged 6 years+ (voice, chronic cough and PVFM/VCD only) and for adults
Conveniently Located within the Headache Neck and Jaw Clinic in Nundah(It has a bright blue door)
A: 2/1471 Sandgate Road, Nundah QLD 4012
Ph: 0417 004 664 F: 07 3144 5617
PARKING: We recommend you park on Robinson Rd, the left hand turn just north of the Go-Gecko
Tuesdays: 8:30am- 6:00pm
Fridays and other days by appointment
* These costs do not apply to patients funded by NDIS, DVA, Workcover as these schemes have different payment schedules and reporting requirements. Please see below for further information.
Workcover and DVA
– Billed directly, generally no fee for the client
Home Care Package funding managed by organisations such as Burnie Brae, Bolton Clarke, Blue Cross
– Billed directly, generally no fee for the client
Medicare Chronic Disease Management Plan
– These are for conditions lasting > 6 months, and you need to ask for an appointment for a Chronic Disease Management plan when booking the appointment with your GP.
– It provides a rebate of $53.80/session
– The session fee ($215/$155) is paid in full by the client on the day and a HICAPS refund is processed immediately.
Private Health Funds
– Initial Appointment item number is 320,
– Subsequent appointments are item number: 340
– The claim is processed via HICAPS and gap is paid for by client on the day.
We are registered providers of Therapeutic Supports. Brisbane Voice Clinic supports NDIS participants and consults under the rates outlined in the NDIS Price Guide. Supporting NDIS participants requires additional reporting, planning and NDIS service agreements. Service agreements, planning and costings will be discussed at the time of booking.
Speech Pathologists receive extensive training in the anatomy and neurology of the larynx; This is where chronic dry cough generally originates. Research has shown that Speech Pathologists can can teach several strategies that help patients to eliminate their dry cough.
Occasionally patients may also require medication alongside the therapy. Below provides a brief overview of how a Chronic Dry Cough can develop and how we can treat it.
Where are your Vocal Folds?
Your Voice Box (Larynx) sits at the top of the airway. Sitting inside the Vocal Folds (sometimes also called vocal cords)
The resting position of the vocal folds is OPEN – while we are breathing in and out.
Here is a video of the vocal folds during voicing and breathing.
Our Vocal Folds are Lifesavers!
The Vocal Folds act like sliding doors that CLOSE the airway to
stop food and drink or reflux going down into our lungs
cough up any mucous/phlegm
stabilise us when we need to do heavy work
create voice for talking/singing/laughing
stop us breathing momentarily when we are frightened (freeze before flight or fight)
The Vocal Folds’ Closure is usually a reflex – it can happen very quickly without us telling them to. This is because it is often meant to save our life!!!
Sometimes They Get a Bit too Keen!
Imagine you’ve got a cut on your hand. If you touch the part of your hand that is cut – it hurts! But if you touch another part of your hand – it feels fine! So exactly the same input/stimulus is treated as a threat if there has already been some damage.
Dry Coughing happens because the larynx thinks there is a threat, when there isn’t really one.
Damage or irritation of the vocal folds can come from
An upper respiratory tract infection
Frequent “dry” coughing or throat clearing
Straining or over-closing the vocal folds while talking
Breathing in chemicals or dust
There are changes that happen in the brain and in the larynx when our body has been hurt.
Normal sensations that can be perceived as a threat include
the closure of the vocal folds during talking/laughing
the passage of air while breathing more deeply than usual (such as when exercising or about to laugh)
normal levels of perfume/smells/fumes
We can reverse these changes.
We can get control of the vocal folds and teach them to calm down and only close when they really need to.
Your Speech Pathologist is going to focus on five main things:
Teach you cough suppression techniques – these stops the cough and puts you in control
If needed, teach you voice exercises to improve your voice so that it is not a cause of damage to your vocal folds.
Identify what might be causing damage to the vocal folds (if this is not known) help you figure out ways to reduce the damage to the vocal folds
Help you identify your triggers (if not known) and how you might be able to reduce them
Advice on managing reflux
Bernadette Dutton, Principal of Loqui Speech Pathology is a qualified speech pathologist, highly experienced in the assessment and management of voice disorders, chronic refractory cough, VCD/PVFM and voice therapy for professional voice users.
Bernadette brings to the clinic more than 20 years voice experience, having worked as a senior ENT speech pathologists in both outpatient and inpatient tertiary hospital settings.
Bernadette has managed voice diagnostic, voice therapy and spasmodic dysphonia clinics. She is also a clinical educator at the University of Queensland and Australian Catholic University voice clinics.
Bernadette sings in a Brisbane choir and conducts a Wellness Choir for seniors and people with neurological conditions.
1. Entire Steam-Straws-Stroboscopy: An Update on Vocal Health ANCA Choralfest 2019: All 63 Slides of the presentation.
Links to key videos (as these don’t seem to be working from the pdf)
Slide 7: Nasendoscopy/ with labelling of the anatomy. Slide 8: High Speed Digital Videolaryngoscopy. Slide 12:Swallowing Animation Slide 37: Standard Laryngoscopy Slide 38: Stroboscopy
2. Take Home Messages Steam-Straws-Stroboscopy-Choralfest 2019: The key messages and resources summarised in 9 slides.
3. 7 Ways to Help Your Voice: Our ebook on the 7 most essential aspects of voice care