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Speech Therapy for the Treatment of Functional Respiratory Disorders

  • Chapter
Functional Respiratory Disorders

Part of the book series: Respiratory Medicine ((RM))

Abstract

Speech therapy for the treatment of functional respiratory disorders serves as an efficient and effective means to resolving vocal cord dysfunction, chronic cough, and dysfunctional breathing patterns. Education regarding the laryngeal and respiratory mechanisms is an essential first step in treating such disorders. Various speech therapy techniques are tailored to the individual patient’s needs and trigger situations. As the patient population is homogenous in diagnosis, but diverse in etiologies, triggers and contributing factors, specialized training in treatment techniques aids the clinician in recognizing treatment barriers, ways to desensitize hyper-functional respiratory responses, and ensures their ultimate resolution. This chapter offers an explanation and application of commonly used techniques, considerations for vocal hygiene and abuse/misuse, questions for comprehension, and case studies with video presentations.

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References

  1. Mathers-Schmidt BA. Paradoxical vocal fold motion: a tutorial on a complex disorder and the speech-language pathologist’s role. Am J Speech Lang Pathol. 2001;10:111–25.

    Article  Google Scholar 

  2. Brugman SM, Simons SM. Vocal cord dysfunction: don’t mistake it for asthma. Phys Sports Med. 1995;26(5):63–85.

    Google Scholar 

  3. Perkner JJ, Fennelly KP, Balkissoon R, et al. Irritant-associated vocal cord dysfunction. J Occup Environ Med. 1998;40(2):136–43.

    Article  PubMed  CAS  Google Scholar 

  4. Murry T, Tabaee A, Aviv JE. Respiratory retraining of refractory cough and laryngopharyngeal reflux in patients with paradoxical vocal fold movement disorder. Laryngoscope. 2004;114(1):341–5.

    Google Scholar 

  5. Altman KW, Simpson CB, Amin MR, Abaza M, Balkissoon R, Casiano RR. Cough and paradoxical vocal fold motion. Otolaryngol Head Neck Surg. 2002;127(6):501–11.

    Article  PubMed  Google Scholar 

  6. Sandage MJ, Zelanzy SK. Paradoxical vocal fold motion in children and adolescents. Lang Speech Hear Serv Sch. 2004;35(4):353–62.

    Article  PubMed  Google Scholar 

  7. Vertigan AE, Theodoros DG, Gibson PG, Winkworth AL. Voice and upper airway symptoms in people with chronic cough and paradoxical vocal fold movement. J Voice. 2007;21(3):361–83.

    Article  PubMed  Google Scholar 

  8. Christopher KL, Wood 2nd RP, Eckert RC, Blager FB, Raney RA, Souhrada JF. Vocal-cord dysfunction presenting as asthma. N Engl J Med. 1983;308(26):1566–70.

    Article  PubMed  CAS  Google Scholar 

  9. Martin RJ, Blager FB, Gay ML, Wood 2nd RP. Paradoxic vocal cord motion in presumed asthmatics. Semin Respir Med. 1987;8:332–7.

    Article  Google Scholar 

  10. Patterson DL, O’Connell EJ. Vocal dysfunction: what have we learned in 150 years? Insight Allergy. 1994;9(6):6–12.

    Google Scholar 

  11. Pitchenik AE. Functional laryngeal obstruction relieved by panting. Chest. 1991;100(5):1465–7.

    Article  PubMed  CAS  Google Scholar 

  12. Gallivan GJ, Hoffman L, Gallivan KH. Episodic paroxysmal laryngospasm: voice and pulmonary assessment and management. J Voice. 1996;10(1):93–105.

    Article  PubMed  CAS  Google Scholar 

  13. Adrianopoulos MV, Galliva GJ, Gallivan KH. PVCM, PVCD, EPL, and irritable larynx syndrome: what are we talking about and how do we treat it? J Voice. 2000;14(4):607–18.

    Article  Google Scholar 

  14. Bahrainwala AH, Simon MR, Harrison DD, Toder D, Secord EA. Atypical expiratory flow volume curve in an asthmatic patient with vocal cord dysfunction. Ann Allergy Asthma Immunol. 2001;86(4):279–84.

    Article  Google Scholar 

  15. Blager FB. Paradoxical vocal fold movement: diagnosis and management. Curr Opin Otolaryngol Head Neck Surg. 2000;8:180–3.

    Article  Google Scholar 

  16. Hicks M, Brugman SM, Katial R. Vocal cord dysfunction/paradoxical vocal fold motion. Prim Care. 2008;35(1):81–103.

    Article  PubMed  Google Scholar 

  17. Goldman J, Muers M. Vocal cord dysfunction and wheezing. Thorax. 1991;46(6):401–4.

    Article  PubMed  CAS  Google Scholar 

  18. Vertigan AE, Theodoros DG, Gibson PG, Winkworth AL. Efficacy of speech pathology management for chronic cough: a randomised placebo controlled trial of treatment efficacy. Thorax. 2006;61(12):165–9.

    Article  Google Scholar 

  19. Brown AB, McCartney N, Sale DG. Motor control and learning: a behavioral emphasis. Champaign, IL: Human Kinetic Publishers; 1990.

    Google Scholar 

  20. Verdolini K. Principles of skill aquisition applied to voice training. In: Acker M, Hampton B, editors. The vocal vision: views on voice. New York: Applause; 1997.

    Google Scholar 

  21. Stelmach GE, Requin J, editors. Frequent augmented feedback can degrade learning; evidence and interpretations. Tutorials in motor neuroscience. Boston, MA: Kluwer; 1991

    Google Scholar 

  22. Schmidt RA, Bjork RA. New conceptualizations practice: common principles and three paradigms suggest new concepts in training. Psychol Sci. 1992;3(4):207–17.

    Article  Google Scholar 

  23. Rosenbaum DA, editor. Human motor control. San Diego, CA: Academic Press; 1991.

    Google Scholar 

  24. Singer RN. Motor learning and human performance; an application to motor skills and movement behaviors. New York: Macmillan; 1980.

    Google Scholar 

  25. Bahrainwala AH, Simon MR. Wheezing and vocal cord dysfunction mimicking asthma. Curr Opin Pulm Med. 2001;7(1):8–13.

    Article  PubMed  CAS  Google Scholar 

  26. Levin M. Vocal cord dysfunction complicating asthma. Curr Allergy Clin Immunol. 2003;16(1):12–4.

    Google Scholar 

  27. Van den Bergh O, Stegen K, Van Diest I, et al. Acquisition and extinction of somatic symptoms in response to odours: a pavlovian paradigm relevant to multiple chemical sensitivity. Occup Environ Med. 1999;56(5):295–301.

    Article  PubMed  Google Scholar 

  28. Murray DM, Lawler PG. All that wheezes is not asthma. Anaesthesia. 1998;53(10):1002–11.

    Article  Google Scholar 

  29. Borer H, Hanni P, Schoenenberger RA. Vocal cord dysfunction: an important differential diagnosis of brittle asthma. Respiration. 2001;68(3):318.

    Article  PubMed  CAS  Google Scholar 

  30. Weiss SM, Lakshminarayan S. Acute inhalation injury. Clin Chest Med. 1994;15(1):103–16.

    PubMed  CAS  Google Scholar 

  31. Blager FB, Gay ML, Wood RP. Voice therapy techniques adapted to treatment of habit cough: a pilot study. J Commun Disord. 1988;21(5):393–400.

    Article  PubMed  CAS  Google Scholar 

  32. Sandage M. Sniffs, gasps, and coughs; irritable larynx syndrome across the lifespan. The ASHA Leader. July 11, 2006;16–21

    Google Scholar 

  33. Volianitis S, McConnell AK, Koutedakis Y, McNaughton L, Backx K, Jones DA. Inspiratory muscle training improves rowing performance. Med Sci Sports Exerc. 2001;33(5):803–9.

    PubMed  CAS  Google Scholar 

  34. Romer LM, McConnell AK, Jones DA. Inspiratory muscle fatigue in trained cyclists: effects of inspiratory muscle training. Med Sci Sports Exerc. 2002;34(5):785–92.

    Article  PubMed  Google Scholar 

  35. Mador MJ, Acevado FA. Effect of respiratory muscle fatigue on subsequent exercise performance. J Appl Physiol. 1991;70(5):2059–65.

    PubMed  CAS  Google Scholar 

  36. Boutellier U. Respiratory muscle fitness and exercise endurance in healthy humans. Med Sci Sports Exerc. 1998;30(7):1169–72.

    Article  PubMed  CAS  Google Scholar 

  37. Kellerman BA, Martin AD, Davenport PW. Inspiratory strengthening effects on resistive load detection and magnitude estimation. Med Sci Sports Exerc. 2000;32(11):1859–67.

    Article  PubMed  CAS  Google Scholar 

  38. Williams JS, Wongsathikun J, Boon SM, Acevedo EO. Inspiratory muscle training fails to improve endurance capacity in athletes. Med Sci Sports Exerc. 2002;34(7):1194–8.

    Article  PubMed  Google Scholar 

  39. Mathers-Schmidt BA, Brilla LR. Inspiratory muscle training in exercise-induced paradoxical vocal fold motion. J Voice. 2005;19(4):635–44.

    Article  PubMed  Google Scholar 

  40. Sapienza CM, Brown J, Martin D, Davenport P. Inspiratory pressure threshold training for glottal airway limitation in laryngeal papilloma. J Voice. 1999;13(3):382–8.

    Article  PubMed  CAS  Google Scholar 

  41. Mador MJ. Respiratory muscle fatigue and breathing pattern. Chest. 1991;100(5):1430–5.

    Article  PubMed  CAS  Google Scholar 

  42. Lim TK. Vocal cord dysfunction presenting as bronchial asthma: the association with abnormal thoraco-abdominal wall motion. Singapore Med J. 1991;32(4):208–10.

    PubMed  CAS  Google Scholar 

  43. Broaddus-Lawrence P, Treole K, McCabe RB, Allen RL, Toppin L. The effects of preventive vocal hygiene education on the habits and perceptual vocal characteristics of training singers. J Voice. 2000;14(1):68–71.

    Article  Google Scholar 

  44. Roy N, Gray SD, Simon M, Dove H, Corbin-Lewis K, Stemple JC. An evaluation of the effects of two treatment approaches for teachers with voice disorders: a prospective randomised clinical trial. J Speech Hear Res. 2001;44(2):286–96.

    Article  CAS  Google Scholar 

  45. Vertigan AE, Theodoros DG, Winkworth AL. Perceptual voice characteristics in chronic cough and paradoxical vocal fold movement. Folia Phoniatr Logop. 2007;59(5):256–67.

    Article  PubMed  Google Scholar 

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Acknowledgments

Many of the ideas and literature included in this chapter have been discussed over the years with other members of the speech-language pathology team at National Jewish Health. I want to expressly thank Julie Bergquist, MA, CCC-SLP and Fiona Briggs, MA, CCC-SLP for these thoughtful discussions, collaboration in all educational endeavors, and for their editing eyes as this chapter was written.

Author information

Authors and Affiliations

  1. Department of Rehabilitation Services, National Jewish Health, 1400 Jackson Street, Denver, CO, 80206, USA

    Heather L. Hodges

Authors
  1. Heather L. Hodges
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Correspondence to Heather L. Hodges .

Editor information

Editors and Affiliations

  1. Department of Pediatrics, SUNY Upstate Medical University, Syracuse, NY, USA

    Ran D. Anbar

Electronic Supplementary material

Video 13.1 Dyspnea with Singing.mp4 (MP4 435 MB)

Video 13.2 Release Breathing.mp4 (MP4 15.8 MB)

Video 13.3 Learning PLB.mp4 (MP4 25.3 MB)

Video 13.4 Warm up PLB.mp4 (MP4 47.0 MB)

Video 13.5 Trigger and reverse.mp4 (MP4 96.5 MB)

Video 13.6 Release learning.mp4 (MP4 117 MB)

Video 13.7 RTB Learning.mp4 (MP4 86.1 MB)

Video 13.8 Cough Education.mp4 (MP4 65.8 MB)

Video 13.9 Cough Interruption.mp4 (MP4 61.0 MB)

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© 2012 Springer Science+Business Media, LLC

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Hodges, H.L. (2012). Speech Therapy for the Treatment of Functional Respiratory Disorders. In: Anbar, R.D. (eds) Functional Respiratory Disorders. Respiratory Medicine. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-61779-857-3_13

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  • DOI: https://doi.org/10.1007/978-1-61779-857-3_13

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-61779-856-6

  • Online ISBN: 978-1-61779-857-3

  • eBook Packages: MedicineMedicine (R0)

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