Formal Psychological Testing in Patients With Paradoxical Vocal Fold Dysfunction

Husein, Omar F.; Husein, Tiffany Nicole; Gardner, Ricky; Chiang, Tendy; Larson, Douglas G.; Obert, K.; Thompson, Jennifer C.; Trudeau, Micheal D.; Dell, Don M.; Forrest, L. Arick

doi:10.1097/mlg.0b013e31815ed13a

Cited by 78 publications

(56 citation statements)

References 13 publications

(51 reference statements)

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“…Newman et al reported that 56% of 95 patients with paradoxical vocal cord motion disorder had concomitant asthma [156]. Hussein et al reported vocal cord dysfunction more commonly in women and older individuals, and in association with asthma, GERD and previous abuse [158]. Psychotherapy and/or speech therapy have provided good results in many cases.…”

Section: Dysfunctional Breathing and Vocal Cord Dysfunctionmentioning

confidence: 99%

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Asthma-related comorbidities

Boulet¹,

Boulay²

2011

Expert Review of Respiratory Medicine

220

147

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Section: Dysfunctional Breathing and Vocal Cord Dysfunctionmentioning

confidence: 99%

“…It may or may not be related to psychological disturbances [158]. Newman et al reported that 56% of 95 patients with paradoxical vocal cord motion disorder had concomitant asthma [156].…”

Section: Dysfunctional Breathing and Vocal Cord Dysfunctionmentioning

confidence: 99%

Asthma-related comorbidities

Boulet¹,

Boulay²

2011

Expert Review of Respiratory Medicine

220

147

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“…NEWMAN et al [83] reported that 56% of 95 patients fulfilling the criteria of paradoxical vocal cord motion disorder, proven with laryngoscopy, had a concomitant asthma. HUSSEIN et al [84] reported that paradoxical vocal cord dysfunction is more common among females and older individuals, and can be a comorbidity associated with asthma, GERD and previous abuse. Psychotherapy and/or speech therapy may address the problem in such cases.…”

Section: Hyperventilation Syndrome and Glottic Dysfunctionmentioning

confidence: 99%

Influence of comorbid conditions on asthma

Lp¹

2009

European Respiratory Journal

220

169

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Various conditions such as rhinosinusitis, gastro-oesophageal reflux disease, psychological disturbances, chronic infections and obstructive sleep apnoea are often observed in asthmatic patients and may affect asthma control and outcomes. These comorbidities may change the asthma phenotype, be part of the same pathophysiological process, act as confounding factors in the diagnosis or assessment of control of asthma, and/or result from specific environmental exposures. The influences of these conditions on asthma are variable and for many of them still uncertain; nevertheless, they may alter asthma responses to current therapy. A systematic evaluation and an appropriate treatment of asthma-associated comorbid conditions should be part of asthma management, particularly for severe disease. With regard to clinical research, associated conditions may influence the results of trials and should be taken into account in the subjects' inclusion criteria and analysis of data.

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“…Husein and colleagues established in 2008 that 70 % of their patients had symptoms consistent with mental illness. However, 50 % of their patients had comorbid conditions such as gastroesophageal reflux disease or asthma, and they were more likely to have these medical conditions than they were to have a psychiatric history [64]. Stress and anxiety are still linked to triggering PVFMD, but anything that irritates the vocal folds can make paradoxical movement more likely [61].…”

Section: Pathophysiologymentioning

confidence: 99%

Dyspneic athlete

Krey

Best

2014

Curr Rev Musculoskelet Med

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Breathing concerns in athletes are common and can be due to a wide variety of pathology. The most common etiologies are exercise-induced bronchoconstriction (EIB) and paradoxic vocal fold movement disorder (PVFMD). Although some patients may have both, PVFMD is often misdiagnosed as EIB, which can lead to unnecessary treatment. The history and physical exam are important to rule out life threatening pulmonary and cardiac causes as well as common conditions such as gastroesophageal reflux disease, sinusitis, and allergic etiologies. The history and physical exam have been shown to be not as vital in diagnosing EIB and PVFMD. Improvement in diagnostic testing with office base spirometry, bronchoprovocation testing, eucapnic voluntary hyperpnea (EVH) and video laryngoscopy are essential in properly diagnosing these conditions. Accurate diagnosis leads to proper management, which is essential to avoid unnecessary testing and save healthcare costs. Also important to the physician treating dyspnea in athletes is knowing regulations on medications, drug testing, and proper documentation needed for certain organizations. The differential diagnosis of dyspnea is broad and is not limited to EIB and PVFMD. Ruling out life threatening cardiac and pulmonary causes with a proper history, physical, and appropriate testing is essential. The purpose of this review is to highlight recent literature on the diagnosis and management of EIB and PVFMD as well as discuss other potential causes for dyspnea in the athlete.

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Formal Psychological Testing in Patients With Paradoxical Vocal Fold Dysfunction

Cited by 78 publications

References 13 publications

Asthma-related comorbidities

Asthma-related comorbidities

Influence of comorbid conditions on asthma

Dyspneic athlete

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