Inducible laryngeal obstruction during exercise: moving beyond vocal cords with new insights

作者: James Tod Olin , Matthew S. Clary , Emily H. Deardorff , Kristina Johnston , Michael J. Morris

DOI: 10.1080/00913847.2015.1007026

关键词: Laryngeal DiseasesBiofeedbackIntensive care medicineAirway obstructionAsthmaAirwayVocal cord dysfunctionPhysical therapyLarynxLaryngeal ObstructionMedicine

摘要: Exercise as an important part of life for the health and wellness children adults. Inducible laryngeal obstruction (ILO) is a consensus term used to describe group disorders previously called vocal cord dysfunction, paradoxical fold motion, numerous other terms. Exercise-ILO can impair one's ability exercise, be confused with asthma, leading unnecessary prescription asthma controller rescue medication, results in increased healthcare resource utilization including (rarely) emergency care. It characterized by episodic shortness breath noisy breathing that generally occurs at high work rates. The present diagnostic gold standard all types ILO laryngoscopic visualization inappropriate glottic or supraglottic movement resulting airway narrowing during spontaneous event provocation challenge. A number different behavioral techniques, speech therapy, biofeedback, cognitive-behavioral psychotherapy, may appropriate treat individual patients. nomenclature, which will allow better characterization patients, coupled new further define epidemiology etiology well enable objective evaluation therapeutic modalities.

参考文章(42)
Mark S. Schwartz, Biofeedback : a practitioner's guide Guilford Press. ,(1987)
Tendy Chiang, Anna M. Marcinow, Brad W. deSilva, B. Nicholas Ence, Spencer E. Lindsey, L. Arick Forrest, Exercise-induced paradoxical vocal fold motion disorder The Laryngoscope. ,vol. 123, pp. 727- 731 ,(2013) , 10.1002/LARY.23654
J. Tod Olin, Matthew S. Clary, Dan Connors, Jordan Abbott, Susan Brugman, Yiming Deng, Xiaoye Chen, Mark Courey, Glottic configuration in patients with exercise‐induced stridor: A new paradigm Laryngoscope. ,vol. 124, pp. 2568- 2573 ,(2014) , 10.1002/LARY.24812
EMIL WALSTED NIELSEN, JAMES H. HULL, VIBEKE BACKER, High Prevalence of Exercise-Induced Laryngeal Obstruction in Athletes Medicine and Science in Sports and Exercise. ,vol. 45, pp. 2030- 2035 ,(2013) , 10.1249/MSS.0B013E318298B19A
J Goldman, M Muers, VOCAL CORD DYSFUNCTION AND WHEEZING Thorax. ,vol. 46, pp. 401- 404 ,(1991) , 10.1136/THX.46.6.401
David B. Bittleman, Richard J.H. Smith, John M. Weiler, Abnormal Movement of the Arytenoid Region During Exercise Presenting as Exercise-induced Asthma in an Adolescent Athlete Chest. ,vol. 106, pp. 615- 616 ,(1994) , 10.1378/CHEST.106.2.615
Tim Higenbottam, Julia Payne, Glottis narrowing in lung disease. The American review of respiratory disease. ,vol. 125, pp. 746- 750 ,(2015) , 10.1164/ARRD.1982.125.6.746
Ran D. Anbar, Kim E. Hummell, Teamwork approach to clinical hypnosis at a pediatric pulmonary center. American Journal of Clinical Hypnosis. ,vol. 48, pp. 45- 49 ,(2005) , 10.1080/00029157.2005.10401489