A Course For SLPs

Learn How To Treat EILO With The P.I.E. Approach

The P.I.E. Approach: A Holistic Approach to Treating EILO

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The P.I.E. Approach: A Holistic Approach to Treating EILO-Level 1

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FREE Update Module for Participants of the Nov. 2020 Webinar

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Study at Your Own Pace!!!

Go Beyond the Traditional Ways of Treating EILO

This course offers 7.5 Professional Development Hours (PDH)

The P.I.E. Approach: A Holistic Approach to Treating EILO-Level 1

Course fee is:
$265.00 USD

Most of this course is from a recording of a live, online course presentation that occurred on November 6 and 7, 2020. The content is still primarily what Sharon uses in her practice currently. Additions and updates to this course were made to this course in 2023.


Information for speech-language pathology participants:

In order to keep down the cost of this course down it is not registered for ASHA CEUs. 
Completion of the webinar cannot be reported to the ASHA CE registry by us and cannot be added to the ASHA CE registry by you. 

Please retain the course certificate for documentation of completion.
For more information on including non-ASHA registered CEUs for certification maintenance, visit ASHA’s website: 

Course Descripton

Exercise-induced laryngeal obstruction (EILO), also known as EI-PVFM/VCD, is a complex upper airway disorder that occurs in some athletes and is characterized by a closing of the vocal folds or supraglottic tissues during respiration, resulting in difficulty breathing.

This course provides a holistic, practical, clinically focused approach to evaluating and treating patients with EILO.

By using a holistic approach, including Buteyko breathing principles and some techniques, the patient learns to breathe symptom-free, at rest and during exertion, eliminating the need for a “rescue” breathing technique. It explores treating the underlying root of the problem, rather than just treating the symptoms.

Findings of a 2023 retrospective study* on 80 patients using this holistic approach suggest that a referral to a clinician trained in Buteyko breathing methods can be beneficial to patients with EILO.

There is a growing need for SLPs who can evaluate and treat this condition, who understand the differences between treatment approaches, and are interested in the benefits of using an alternative, holistic therapy technique.

You will learn the components of conducting a holistic EILO 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.

*Research poster (Frank, Raymer, and Frank) presented at ASHA 2023 Convention.

Learner Outcomes

Upon completion of the training, SLP’s will be able to:
  • Explain the background information on the biochemical aspects of breathing, Buteyko breathing, dysfunctional breathing, and hyperventilation.
  • Explain the scientific explanation of Buteyko breathing principles.
  • Identify and modify dysfunctional breathing in their patients.
  • Describe 4 medical conditions that may mimic EILO.
  • Describe benefits of using Capnometry in evaluating EILO.
  • Identify at least 5 distinctive differences between EILO and exercise-induced asthma.
  • Identify the 5 major components of a holistic approach to evaluating EILO.
  • Identify 4 differences between using traditional methods vs using a Buteyko-based, holistic approach when treating EILO patients.
  • Identify the 4 major cornerstones of a holistic approach to treating EILO.
  • Deliver a practical, hierarchical, breathing retraining program to help restore efficient and appropriate breathing in exertion.
  • And more!!!!!
About the Instructor:

Headshot of Sharon Frank

Course Instructor:  Sharon D. Frank, M.A., CCC-SLP

Sharon Frank, an ASHA certified member for 40+ years and a member of the SIG3 community, specializes in evaluating and treating Exercise-Induced Laryngeal Obstruction (EILO) and voice disorders. Here’s a little more about Sharon:

  • Founder of the P.I.E. Approach for treating EILO
  • Has treated hundreds of EILO patients.
  • Treats local patients, patients who come from other states, Europe, and through telepractice.
  • Level 3 Buteyko practitioner.
  • Uses the same Buteyko and holistic principles and methods for her own health and exercise.
  • Most recent ASHA presentation: 2023 research poster: “Treatment Outcomes Using a Buteyko-Based, Holistic Approach to Treating EILO.”
  • Invited speaker at several conferences, including the Pediatric Asthma and Allergy Updates for Primary Care Providers at Boston Children’s Hospital, 2020.
  • Guest podcast speaker, “Keys for SLPs”, Episode #35, SpeechTherapyPD.com., 2022.
The course will include two video recordings, totaling 2 hours, from Hadas Golan’s Level 1 Buteyko Breathing course.

More about Hadas Golan, M.S. CCC-SLP:
  • SLP and Integrative Breathing Therapies practitioner, Dept. of Otolaryngology at Boston Medical Center.
  • Has provided breathing therapy and retraining in her clinical practice for the past 15 years, helping people with various conditions.
  • Uses a range of evidence-based breathing therapies: Buteyko breathing method, resonance frequency breathing, resistance training breathing, mindful breath and movement, and more.
  • Level 4 Buteyko specialist trainer.
  • Pioneer, introducing Buteyko breathing into the field of SLP in the USA.
  • Published author and researcher of EILO and Buteyko, and Integrative Breathing Therapy with Post-COVID patients.

I really learned a lot. I loved the course. I have been using all of this new approach (from eval to treat) this last 2 weeks and am getting incredible results and the kids are immediately responding to it! I have always loved this and think with this new course I have so much more to offer...and so much more confidence. Thank you for all of your hard work.

"Wow- well prepared, got useful new information. Style and pace of presenting was great. Loved the comparison charts describing the similarities and differences of PVFM, EIB, EIA and EILOBI ex. to Butyeko"

It was great to see evaluation/therapy in action and to hear about cases.