Paradoxical vocal fold motion: respiratory retraining to manage long-term symptoms
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Jornal da Sociedade Brasileira de Fonoaudiologia |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2179-64912012000100014 |
Resumo: | Paradoxical vocal fold motion (PVFM) is a laryngeal disorder characterized by abnormal adduction of the vocal folds during respiration. It is caused by a multitude of etiologies and their interactions. In the current study, a 24-year-old female patient with a 12-year complaint of shortness of breath was diagnosed with paradoxical vocal fold motion following nasal endoscopy, spirometry testing and detailed case history analysis. She had no history or indication of laryngopharyngeal reflux or chronic cough. She performed respiratory retraining exercises three to four times daily for a period of four weeks, and continued daily exercises for two additional months as needed. After four weeks of treatment, abnormal vocal fold adduction continued to be seen on endoscopy and the patient was mildly symptomatic. One month post-treatment, there was no abnormal vocal fold adduction and the patient reported rare shortness of breath. At three months post-treatment, there was no abnormal vocal fold adduction and the patient no longer reported shortness of breath. She reported normal breathing with no symptoms one year later. The results suggest that non-pulmonary related shortness of breath treated with respiratory retraining can effectively eliminate dyspnea in patients with long term breathing difficulties caused by paradoxical vocal fold motion. Resolution may require treatment over an extended period of time. |
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Paradoxical vocal fold motion: respiratory retraining to manage long-term symptomsLaryngeal diseasesetiologyLaryngeal diseasestherapyVocal cordsBreathing exercisesLongitudinal studiesParadoxical vocal fold motion (PVFM) is a laryngeal disorder characterized by abnormal adduction of the vocal folds during respiration. It is caused by a multitude of etiologies and their interactions. In the current study, a 24-year-old female patient with a 12-year complaint of shortness of breath was diagnosed with paradoxical vocal fold motion following nasal endoscopy, spirometry testing and detailed case history analysis. She had no history or indication of laryngopharyngeal reflux or chronic cough. She performed respiratory retraining exercises three to four times daily for a period of four weeks, and continued daily exercises for two additional months as needed. After four weeks of treatment, abnormal vocal fold adduction continued to be seen on endoscopy and the patient was mildly symptomatic. One month post-treatment, there was no abnormal vocal fold adduction and the patient reported rare shortness of breath. At three months post-treatment, there was no abnormal vocal fold adduction and the patient no longer reported shortness of breath. She reported normal breathing with no symptoms one year later. The results suggest that non-pulmonary related shortness of breath treated with respiratory retraining can effectively eliminate dyspnea in patients with long term breathing difficulties caused by paradoxical vocal fold motion. Resolution may require treatment over an extended period of time.Sociedade Brasileira de Fonoaudiologia2012-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2179-64912012000100014Jornal da Sociedade Brasileira de Fonoaudiologia v.24 n.1 2012reponame:Jornal da Sociedade Brasileira de Fonoaudiologiainstname:Sociedade Brasileira de Fonoaudiologia (SBF)instacron:SBF10.1590/S2179-64912012000100014info:eu-repo/semantics/openAccessHatzelis,VictoriaMurry,Thomaseng2012-03-29T00:00:00Zoai:scielo:S2179-64912012000100014Revistahttp://www.sbfa.org.br/portal/pg.php?id=41&ttpg=Jornal%20da%20Sociedade%20Brasileira%20de%20Fonoaudiologia&tpc=cinzaONGhttps://old.scielo.br/oai/scielo-oai.php||jornal@sbfa.org.br2179-64912179-6491opendoar:2012-03-29T00:00Jornal da Sociedade Brasileira de Fonoaudiologia - Sociedade Brasileira de Fonoaudiologia (SBF)false |
dc.title.none.fl_str_mv |
Paradoxical vocal fold motion: respiratory retraining to manage long-term symptoms |
title |
Paradoxical vocal fold motion: respiratory retraining to manage long-term symptoms |
spellingShingle |
Paradoxical vocal fold motion: respiratory retraining to manage long-term symptoms Hatzelis,Victoria Laryngeal diseases etiology Laryngeal diseases therapy Vocal cords Breathing exercises Longitudinal studies |
title_short |
Paradoxical vocal fold motion: respiratory retraining to manage long-term symptoms |
title_full |
Paradoxical vocal fold motion: respiratory retraining to manage long-term symptoms |
title_fullStr |
Paradoxical vocal fold motion: respiratory retraining to manage long-term symptoms |
title_full_unstemmed |
Paradoxical vocal fold motion: respiratory retraining to manage long-term symptoms |
title_sort |
Paradoxical vocal fold motion: respiratory retraining to manage long-term symptoms |
author |
Hatzelis,Victoria |
author_facet |
Hatzelis,Victoria Murry,Thomas |
author_role |
author |
author2 |
Murry,Thomas |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Hatzelis,Victoria Murry,Thomas |
dc.subject.por.fl_str_mv |
Laryngeal diseases etiology Laryngeal diseases therapy Vocal cords Breathing exercises Longitudinal studies |
topic |
Laryngeal diseases etiology Laryngeal diseases therapy Vocal cords Breathing exercises Longitudinal studies |
description |
Paradoxical vocal fold motion (PVFM) is a laryngeal disorder characterized by abnormal adduction of the vocal folds during respiration. It is caused by a multitude of etiologies and their interactions. In the current study, a 24-year-old female patient with a 12-year complaint of shortness of breath was diagnosed with paradoxical vocal fold motion following nasal endoscopy, spirometry testing and detailed case history analysis. She had no history or indication of laryngopharyngeal reflux or chronic cough. She performed respiratory retraining exercises three to four times daily for a period of four weeks, and continued daily exercises for two additional months as needed. After four weeks of treatment, abnormal vocal fold adduction continued to be seen on endoscopy and the patient was mildly symptomatic. One month post-treatment, there was no abnormal vocal fold adduction and the patient reported rare shortness of breath. At three months post-treatment, there was no abnormal vocal fold adduction and the patient no longer reported shortness of breath. She reported normal breathing with no symptoms one year later. The results suggest that non-pulmonary related shortness of breath treated with respiratory retraining can effectively eliminate dyspnea in patients with long term breathing difficulties caused by paradoxical vocal fold motion. Resolution may require treatment over an extended period of time. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2179-64912012000100014 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2179-64912012000100014 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S2179-64912012000100014 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Fonoaudiologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Fonoaudiologia |
dc.source.none.fl_str_mv |
Jornal da Sociedade Brasileira de Fonoaudiologia v.24 n.1 2012 reponame:Jornal da Sociedade Brasileira de Fonoaudiologia instname:Sociedade Brasileira de Fonoaudiologia (SBF) instacron:SBF |
instname_str |
Sociedade Brasileira de Fonoaudiologia (SBF) |
instacron_str |
SBF |
institution |
SBF |
reponame_str |
Jornal da Sociedade Brasileira de Fonoaudiologia |
collection |
Jornal da Sociedade Brasileira de Fonoaudiologia |
repository.name.fl_str_mv |
Jornal da Sociedade Brasileira de Fonoaudiologia - Sociedade Brasileira de Fonoaudiologia (SBF) |
repository.mail.fl_str_mv |
||jornal@sbfa.org.br |
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1754734638195015680 |