Psychophysiologic treatment of vocal cord dysfunction

Earles, Jay Edward; Kerr, Burton; Kellar, Michael A.

doi:10.1016/s1081-1206(10)61874-1

Cited by 31 publications

(17 citation statements)

References 3 publications

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“…While previous studies5 have supported the use of biofeedback in gaining control over laryngeal dysfunction, this report is the first to report simultaneous endoscopic imaging of the larynx during rowing exercise. Prospective randomised studies are needed to assess the efficacy of biofeedback in this context.…”

Section: Discussionmentioning

confidence: 75%

Lesson of the month: rowing-induced laryngeal obstruction: a novel cause of exertional dyspnoea: characterised by direct laryngoscopy

Panchasara

Nelson

Niven

et al. 2014

Thorax

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Exercise-induced laryngeal obstruction (EILO) is a key differential diagnosis for unexplained dyspnoea in athletes. The gold standard means for diagnosis of EILO is direct laryngoscopy, performed continuously, while an athlete undertakes the specific sport that precipitates their symptoms. This report provides the first descriptions of rowing-associated EILO in two competitive rowers presenting with unexplained dyspnoea and cough. The report describes the methodology and safety of the use of continuous laryngoscopy in the context of maximal rowing ergometry and the use of this technique as a therapeutic tool to provide biofeedback.

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Section: Discussionmentioning

confidence: 75%

Lesson of the month: rowing-induced laryngeal obstruction: a novel cause of exertional dyspnoea: characterised by direct laryngoscopy

Panchasara

Nelson

Niven

et al. 2014

Thorax

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“…Earles et al (21) reported the use of biofeedback self-regulation in two military service members who had developed VCD symptoms during training. One case had received speech therapy intervention in addition to the authors’ use of Procomp+ system with Biograph software for biofeedback training sessions.…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review of Psychological Interventions for Adult and Pediatric Patients with Vocal Cord Dysfunction

et al. 2014

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Background: Vocal cord dysfunction (VCD) or paradoxical vocal-fold motion (PVFM) is a functional disorder of the vocal cords that requires multidisciplinary treatment. Besides relaxation techniques, the use of psychological interventions can help treat the underlying psychological co-morbidities. There is currently no literature that examines the effectiveness of psychological interventions for VCD/PVFM.Objectives: To review the evidence for psychological interventions used for the treatment of patients with VCD/PVFM.Data sources: We searched electronic databases for English medical literature using Pubmed (Medline), PsycInfo, Cochrane Database of Systematic Reviews, Cochrane Central Registry of Controlled Trials, and Clinicaltrials.gov. The date range for our search is from June 1964 to June 2014.Study eligibility criteria, participants, and interventions: We included studies that reported the use of psychological interventions in both adults and children diagnosed with VCD/PVFM. We included randomized controlled trials, case-control studies, retrospective chart reviews, prospective case series, and individual case reports.Results: Most reported studies are small case series or individual case reports that have described the use of interventions such as psychotherapy, behavioral therapy, use of anti-anxiety and anti-depressant medications, and hypnotherapy in conjunction with breathing exercises taught by speech therapists for symptomatic relief. Among the various psychological interventions that have been reported, there is no data regarding effectiveness and/or superiority of one approach over another in either adult or pediatric patients.Conclusions: Psychological interventions have a role to play in the management of adult and pediatric patients with VCD/PVFM. Future prospective studies using uniform approaches for treatment of associated psychopathology may help address this question.

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“…The use of biofeedback was mentioned as treatment in 37 patients in our review of the literature. 36,48,59,108,110,126,143,150,155,157 There is one prospective study investigating the utility of electroencephalographic neurofeedback training as a treatment of VCD. Nahmias et al evaluated 15 female patients diagnosed with "larygneal dyskinesis" and provided neurofeedback in 5 patients.…”

Section: Biofeedbackmentioning

confidence: 99%

Vocal Cord Dysfunction

Morris¹,

Allan²,

Perkins³

2006

Clinical Pulmonary Medicine

104

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Vocal cord dysfunction, a syndrome of paradoxical inspiratory closure of the vocal cords, is becoming more frequently recognized and diagnosed recently since its initial modern description 30 years ago. Initially described as single case reports, the first case series in 1983 helped to clarify the typical patient and findings of vocal cord dysfunction. Recent investigations have elucidated specific etiologies such as gastroesophageal reflux, exercise, and irritants as causative factors in addition to the numerous associated psychologic factors. Speech therapy and psychotherapy have been used extensively with vocal cord dysfunction patients, but the optimal treatment has yet to be prospectively studied. This manuscript provides a comprehensive review of the reported causative factors and treatments for vocal cord dysfunction.

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Psychophysiologic treatment of vocal cord dysfunction

Cited by 31 publications

References 3 publications

Lesson of the month: rowing-induced laryngeal obstruction: a novel cause of exertional dyspnoea: characterised by direct laryngoscopy

Lesson of the month: rowing-induced laryngeal obstruction: a novel cause of exertional dyspnoea: characterised by direct laryngoscopy

A Systematic Review of Psychological Interventions for Adult and Pediatric Patients with Vocal Cord Dysfunction

Vocal Cord Dysfunction

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