Biofeedback Treatment of Paradoxical Vocal Fold Motion and Respiratory Distress in an Adolescent Girl

Warnes, Emily D.; Allen, Keith D.

doi:10.1901/jaba.2005.26-05

Cited by 21 publications

(20 citation statements)

References 5 publications

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“…Warnes et al ( 23 ) used electromyography (EMG) related biofeedback therapy for a patient with VCD who was not responding to breathing exercises taught by a speech therapist. Similar to the description of use of biofeedback by Earles et al, this therapy required 10 weekly sessions where the patient was taught how to reduce muscle tension in laryngeal muscles using EMG signals to reinforce relaxation behaviors.…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review of Psychological Interventions for Adult and Pediatric Patients with Vocal Cord Dysfunction

et al. 2014

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Background: Vocal cord dysfunction (VCD) or paradoxical vocal-fold motion (PVFM) is a functional disorder of the vocal cords that requires multidisciplinary treatment. Besides relaxation techniques, the use of psychological interventions can help treat the underlying psychological co-morbidities. There is currently no literature that examines the effectiveness of psychological interventions for VCD/PVFM.Objectives: To review the evidence for psychological interventions used for the treatment of patients with VCD/PVFM.Data sources: We searched electronic databases for English medical literature using Pubmed (Medline), PsycInfo, Cochrane Database of Systematic Reviews, Cochrane Central Registry of Controlled Trials, and Clinicaltrials.gov. The date range for our search is from June 1964 to June 2014.Study eligibility criteria, participants, and interventions: We included studies that reported the use of psychological interventions in both adults and children diagnosed with VCD/PVFM. We included randomized controlled trials, case-control studies, retrospective chart reviews, prospective case series, and individual case reports.Results: Most reported studies are small case series or individual case reports that have described the use of interventions such as psychotherapy, behavioral therapy, use of anti-anxiety and anti-depressant medications, and hypnotherapy in conjunction with breathing exercises taught by speech therapists for symptomatic relief. Among the various psychological interventions that have been reported, there is no data regarding effectiveness and/or superiority of one approach over another in either adult or pediatric patients.Conclusions: Psychological interventions have a role to play in the management of adult and pediatric patients with VCD/PVFM. Future prospective studies using uniform approaches for treatment of associated psychopathology may help address this question.

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Section: Resultsmentioning

confidence: 99%

A Systematic Review of Psychological Interventions for Adult and Pediatric Patients with Vocal Cord Dysfunction

et al. 2014

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“…Biofeedback involves placing the patient in a conditioning program to gain control over involuntary muscle contractions or spasms. It is a learned behavioral modification that can be both practiced in a controlled setting and implemented during an acute episode or in the daily routine to reduce symptoms (Warnes & Allen, 2005). The implementation of biofeedback entails measurement of surface skin temperature, lower skin conductance, and decreased muscle contraction during sessions (Earles et al, 2003).…”

Section: Treatment Methodsmentioning

confidence: 99%

Diagnosing vocal cord dysfunction in young athletes

Rhodes¹

2008

Journal of the American Academy of Nurse Practitioners

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“…Speech therapy helps resolve symptoms once they occur. Therapy techniques involve breathing and vocalization exercises to indirectly relax the laryngeal and oropharyngeal musculature, and to promote an open airway during breathing (1,(19)(20)(21). Laryngeal relaxation is established by maintaining continuous airflow through the glottis.…”

Section: Discussionmentioning

confidence: 99%

The importance of recognizing paradoxical vocal fold dysfunction: A case report of a 13-year-old girl presenting with stridor

Seaberg¹,

Allegro²,

Friedman

et al. 2008

Paediatrics &Amp; Child Health

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The present report details the case of a 13-year-old girl who presented to the emergency department with stridor. Treatment for presumed reactive airway disease was attempted with antibiotics, nebulized adrenaline masks and high-dose corticosteroids. Over the next month, she presented repeatedly in a similar fashion and was admitted to hospital on three separate occasions. Ultimately, she was referred to the Centre for Paediatric Voice and Laryngeal Function at The Hospital for Sick Children (Toronto, Ontario) for a speech-language pathology evaluation and direct laryngoscopy. The patient was diagnosed with paradoxical vocal fold dysfunction. After a brief treatment session with a speech-language pathologist, her stridor completely resolved and paradoxical inspiratory vocal fold adduction was no longer visualized on direct laryngoscopy. The present case highlights the fact that paradoxical vocal fold dysfunction can mimic other entities that present with stridor, and misdiagnosis can result in significant morbidity. Investigation into a patient's social history and stressors can facilitate the diagnosis, and can avoid unnecessary and potentially harmful medical and surgical interventions.

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Biofeedback Treatment of Paradoxical Vocal Fold Motion and Respiratory Distress in an Adolescent Girl

Cited by 21 publications

References 5 publications

A Systematic Review of Psychological Interventions for Adult and Pediatric Patients with Vocal Cord Dysfunction

A Systematic Review of Psychological Interventions for Adult and Pediatric Patients with Vocal Cord Dysfunction

Diagnosing vocal cord dysfunction in young athletes

The importance of recognizing paradoxical vocal fold dysfunction: A case report of a 13-year-old girl presenting with stridor

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