Document Detail

Respiratory retraining therapy in long-term treatment of paradoxical vocal fold dysfunction.
MedLine Citation:
PMID:  20938193     Owner:  NLM     Status:  In-Data-Review    
Objectives: Paradoxical vocal fold dysfunction (PVFD) is a disorder in the larynx featuring involuntary adduction of the vocal folds during the inspiratory phase of breathing. The symptoms include acute episodes of dyspnea and bouts of coughing. To date, there is no universally acknowledged treatment for PVFD, though respiratory retraining therapy is the treatment of choice. Aims: The purpose of this work was to evaluate the results of long-term respiratory retraining therapy in cases of PVFD. Patients and Methods: We treated 20 patients with PVFD for 2 years: 10 subjects were submitted to a cycle of respiratory retraining therapy every 12 months (receiving a total of 3 cycles) while 10 were given a cycle every 3 months (for a total of 9 cycles) no matter what their clinical conditions were. Results: The results show that long-term respiratory retraining is particularly efficacious if the cycles of treatment are repeated, no matter what clinical conditions are present. In fact, when only one cycle of retraining treatment is given a year, there is initial improvement followed by progressive worsening. Conclusions: Long-term respiratory rehabilitation is effective, especially if the treatment is given at least once every 3 months.
Andrea Nacci; Bruno Fattori; Giovanni Segnini; Iacopo Dallan; Erica Panicucci; Valeria Rocchi; Francesco Ursino
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Publication Detail:
Type:  Journal Article     Date:  2010-10-08
Journal Detail:
Title:  Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)     Volume:  63     ISSN:  1421-9972     ISO Abbreviation:  Folia Phoniatr Logop     Publication Date:  2011  
Date Detail:
Created Date:  2011-04-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9422792     Medline TA:  Folia Phoniatr Logop     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  134-41     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 S. Karger AG, Basel.
Chair of Audiology and Phoniatrics, Department of Neurosciences, University of Pisa, Pisa, Italy.
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