Ultrasound to Detect Vocal Fold Movement in Neurological Disease

Inclusion Criteria: * Patients under in-patient our out-patient Speech and Language Therapy care at primary study site. * Patients with a neurological condition who have a suspected impairment of vocal fold movement due to diagnosis of dysphonia, breathing difficulties and/or impaired cough as determined by their lead Speech and Language Therapist. * Over 18 years old * Has undergone/will undergo nasendoscopy as part of their standard clinical care. Exclusion Criteria: * Patients who cannot be supported to demonstrate capacity to consent. * Any patient that automatically meets the clinical exclusion criteria for FNE; e.g. epistaxis risk, facial fracture, patient distress. * Patients who do not have sufficient command of English to consent in this study will also be excluded from the study due to limited resources for advocacy services. Participants will require sufficient English language skills to participate in the patient questionnaire.