Inspiratory muscle strength training with behavioral therapy in a case of a rower with presumed exercise-induced paradoxical vocal-fold dysfunction

Authors

    Authors

    B. H. Ruddy; P. Davenport; J. Baylor; J. Lehman; S. Baker;C. Sapienza

    Comments

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    Abbreviated Journal Title

    Int. J. Pediatr. Otorhinolaryngol.

    Keywords

    paradoxical vocal fold dysfunction; inspiratory muscle training; dyspnea; exercise; CORD DYSFUNCTION; INDUCED ASTHMA; Otorhinolaryngology; Pediatrics

    Abstract

    Paradoxical vocal fold dysfunction (PVFD) with high effort exercise can result in disruptions to ventilation, dyspnea, inspiratory stridor, elevated heart rate, and syncope. This single subject study experimentally tested an inspiratory muscle strength training (IMST) program with behavioral therapy on a 15-year-old mate crew member. Outcome variables were maximum inspiratory pressure (MIP), and dyspnea ratings. Following 5 weeks of IMST, MIP increased by 93% from baseline function while dyspnea ratings substantially decreased. Outcome included successful competition with his high-school crew team, a task he was previously unable to complete. Discussion focuses on IMST combined with traditional approaches of voice therapy for treating PVFD. (C) 2004 Elsevier Ireland Ltd. All rights reserved.

    Journal Title

    International Journal of Pediatric Otorhinolaryngology

    Volume

    68

    Issue/Number

    10

    Publication Date

    1-1-2004

    Document Type

    Article

    Language

    English

    First Page

    1327

    Last Page

    1332

    WOS Identifier

    WOS:000224164200013

    ISSN

    0165-5876

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