An Update on Speech Pathology Management of Chronic Refractory Cough

Vertigan, Anne E.; Haines, Jemma; Slovarp, Laurie

doi:10.1016/j.jaip.2019.03.030

Cited by 49 publications

(50 citation statements)

References 29 publications

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“…Patients suitable for speech pathology intervention are those whose cough has persisted despite medical management. Speech pathology intervention may be particularly beneficial for patients with coexisting laryngeal disorders such as muscle tension dysphonia or inducible laryngeal obstruction [27].…”

Section: Non-pharmacologic Treatmentmentioning

confidence: 99%

Management of chronic refractory cough in adults

Visca

Beghè

Fabbri

et al. 2020

European Journal of Internal Medicine

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Cough is a common respiratory symptom that is considered to be chronic when it lasts more than eight weeks. When severe, chronic cough may significantly impact an individual's quality of life, and such patients are frequently referred for specialist evaluation. Current international guidelines provide algorithms for the management of chronic cough: in most cases, treatment of the underlying disease is sufficient to improve or resolve cough symptoms. Severe chronic cough may significantly affect patients' quality of life and necessitate frequent referral for specialist evaluations. In this narrative review, we summarize non-pharmacologic and pharmacologic management of adult patients with chronic cough of known cause that persists after proper treatment (chronic refractory cough, CRC) or chronic cough of unknown cause in adult patients. If chronic cough persists even after treatment of the underlying disease, or if the chronic cough is not attributable to any cause, then a symptomatic approach with neuromodulators may be considered, with gabapentin as the first choice, and opioids or macrolides as alternatives. Speech pathology treatment and/or neuromodulators should be discussed with patients and alternative options carefully considered, taking into account risk/benefit. Novel promising drugs are under investigation (e.g. P2×3 inhibitors), but additional studies are needed in this field. Speech pathology can be combined with a neuromodulator to give an enhanced treatment response of longer duration suggesting that non-pharmacologic treatment may play a key role in the management of CRC.

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Section: Non-pharmacologic Treatmentmentioning

confidence: 99%

Management of chronic refractory cough in adults

Visca

Beghè

Fabbri

et al. 2020

European Journal of Internal Medicine

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show abstract

“…Two observational studies suggested the potential benefit of gabapentin therapy for cough patients with abnormal motion of the larynx [95,96]. In clinical experience, it is suggested that speech language and pathology therapy including breathing technique education may be beneficial in chronic cough patients with comorbid laryngeal dysfunction [97]. Controlled trials with the measurement of laryngeal behavior will help understand and confirm the clinical relevance of laryngeal dysfunction in chronic cough.…”

Section: New Concepts To Consider In the Evaluation And Management Ofmentioning

confidence: 99%

Recent progress in the management of chronic cough

Song

McGarvey

2020

Korean J Intern Med

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Chronic cough is a common clinical condition with significant impact on quality of life and for which effective therapy remains an unmet clinical need. Over the past decade, there has been a major shift in how we approach this problem, driven by better appreciation of the clinical manifestation of chronic cough and an improved understanding of the associated neurobiology. "Cough hypersensitivity syndrome" has been proposed as a new diagnostic term for chronic cough, encompassing different phenotypes of the condition. Accumulating evidence suggests that this new concept is clinically relevant. However, while it is gaining widespread endorsement within the allergy and respiratory community, raising its profile in routine clinical practice is a priority. Thus, the present paper reviews recent progress in our understanding and management of chronic cough, with focus on mechanistic and clinical studies. It also provides detail on knowledge gaps and future research directions.

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“…Entscheidend für den Erfolg ist, dass ein Physiotherapeut mit Spezialisierung auf die Atemphysiotherapie die Behandlung durchführt. Logopädie Die Logopädie ist eine vielversprechende Behandlung in der Hand eines erfahrenen Logopäden, wenn der chronische idiopathische Husten durch eine laryngeale Hypersensitivität verursacht ist [ 13 ]. …”

Section: Therapeutische Aspekte Beim Chronischen Idiopathischen Husteunclassified

“…Die Logopädie ist eine vielversprechende Behandlung in der Hand eines erfahrenen Logopäden, wenn der chronische idiopathische Husten durch eine laryngeale Hypersensitivität verursacht ist [ 13 ].…”

Section: Therapeutische Aspekte Beim Chronischen Idiopathischen Husteunclassified

Akuter und chronischer Husten – gibt es etwas Neues?

Kardos

2020

Pneumologe

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An Update on Speech Pathology Management of Chronic Refractory Cough

Cited by 49 publications

References 29 publications

Management of chronic refractory cough in adults

Management of chronic refractory cough in adults

Recent progress in the management of chronic cough

Akuter und chronischer Husten – gibt es etwas Neues?

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