We present a case of one patient with respiratory strider that was res
olved by speech therapy. Paradoxical vocal fold movements were observe
d by flexible fiberoptic videolaryngoscopy in this patient during epis
odes of wheezing and dyspnea. Otherwise, normal vocal fold movement wa
s observed in normal conditions of breathing (out of the crisis) and d
uring phonation. Many different terms have been used to describe this
entity in the literature, and it is crucial that clinicians recognize
the subtle signs of functional strider. Paradoxical vocal fold motion
has to be considered as an important cause of respiratory disease. Its
recognition and treatment are discussed in this report.