Speech and language therapy for management of chronic cough

Slinger, Claire; Mehdi, Syed; Milan, Stephen J; Dodd, S.J.; Matthews, James L.; Vyas, Aashish; Marsden, Paul

doi:10.1002/14651858.cd013067.pub2

Cited by 22 publications

(16 citation statements)

References 137 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…206 Also, data suggest SPTCC improved short-term, but not longterm, cough associated QoL. 199,206,207 It also reduced cough frequency, 201,203,205,207,208 severity, 207 and capsaicin-triggered cough reflex sensitivity. 203,205,207 It is suggested SPTCC can be initiated prior, during, or after 203 medical therapy of refractory cough.…”

Section: Speech Therapymentioning

confidence: 98%

“…Speech pathology treatment for chronic cough (SPTCC), also termed physiotherapy, speech and language therapy intervention (PSALTI), is a nonpharmacological non-invasive therapeutic option 199 to control chronic refractory cough [199][200][201][202] and associated voice disorders 199 that persist despite medical treatment. 200,203 It is also a reported therapeutic modality for management of habit cough which belongs to the spectrum of functional respiratory symptoms.…”

Section: Speech Therapymentioning

confidence: 99%

“…204 SPTCC consists of multiple modules, namely cough suppression strategies including breathing and swallowing techniques, vocal hygiene such as avoidance of dietary cough-triggers, and psychoeducational counseling to minimize impact of cough on QoL. 199,200,205 The mechanism of speech therapy in improving cough is yet unknown. 205 It is speculated SPTCC can reduce laryngeal irritation responsible for cough, increases cough threshold, 201 or reduces capsaicin-induced cough reflex hypersensitivity 201,203,205,206 via cortical control.…”

Section: Speech Therapymentioning

confidence: 99%

See 2 more Smart Citations

WAO-ARIA consensus on chronic cough – Part III: Management strategies in primary and cough-specialty care. Updates in COVID-19

Rouadi

Idriss

Bousquet

et al. 2022

World Allergy Organization Journal

View full text Add to dashboard Cite

Section: Speech Therapymentioning

confidence: 98%

Section: Speech Therapymentioning

confidence: 99%

Section: Speech Therapymentioning

confidence: 99%

See 1 more Smart Citation

WAO-ARIA consensus on chronic cough – Part III: Management strategies in primary and cough-specialty care. Updates in COVID-19

Rouadi

Idriss

Bousquet

et al. 2022

World Allergy Organization Journal

View full text Add to dashboard Cite

“…One meta-analysis contains only two trials that involved a total of 162 patients. The authors emphasize the beneficial effect of the intervention (PSALTI, physiotherapy and speech and language therapy intervention) on quality of life and reduction in the number of coughing incidents per day, however, the effect was not long-lasting and persisted for approximately 4 weeks after the completion of the trial [18]. The lack of structured programs and the limited availability of the method in many countries constitute additional complications.…”

Section: Physiotherapy Speech Therapyteaching Patients To Control Coughmentioning

confidence: 99%

Chronic cough — treament in line with guidelines

2022

View full text Add to dashboard Cite

Chronic cough is one of the most common symptoms in clinical practice that is associated numerous negative consequences. The pathophysiology of chronic cough is complex, and its most common causes include respiratory diseases, neurological disorders, exposure to tobacco smoke, and medications. Understanding the physiology of cough and the mechanisms of cough hypersensitivity can improve the outcome of the treatment. At the turn of 2019 and 2020, the European Respiratory Society (ERS) issued guidelines concerning diagnostic evaluation and therapeutic management (pharmacological and non-pharmacological treatment) of chronic cough that persists despite causal treatment as well as cough of unknown etiology. The aim of the treatment, preceded by a thorough clinical evaluation, is to control the cough reflex while maintaing the protective function of cough. The following aspects should be taken into account in therapeutic management: antiasthmatic medications, medications reducing gastric acidity as well as prokinetic and neuromodulatory medications. Non-pharmacological methods include physiotherapy and speech therapy. To improve treatment results, it is necessary to seek new antitussive medications and physiotherapy methods, understand cough phenotypes and introduce more effective methods of cough measurement. Due to the limited efficacy of the currently used medications, researchers are currently conducting clinical trials involving new antitussive medications, with mechanisms of antitussive activity other than the ones which are currently applied.

show abstract

“…They have been reported to be equally effective, with fewer side effects, compared to pharmacological therapies (6,13), however, there is a paucity of information regarding which nonpharmacological therapies are most effective. Four systematic reviews of non-pharmacological management of chronic cough have been published in the past decade (9,(14)(15)(16), however they focused mainly on speech language pathology, neglecting other therapies such as behavioral therapies or relaxation (14,16), or focused on people with only refractory chronic cough, excluding those with chronic cough due to chronic respiratory diseases (9,15). Our systematic review adds to this field of research by including, both, people with refractory chronic cough or chronic respiratory diseases, and seeking to identify all non-pharmacological therapies.…”

Section: Introductionmentioning

confidence: 99%

Non-pharmacological Management of Non-productive Chronic Cough in Adults: A Systematic Review

Ilicic

Oliveira

Habash

et al. 2022

Front. Rehabilit. Sci.

View full text Add to dashboard Cite

BackgroundChronic cough is a common reason for medical referral and its prevalence is on the rise. With only one pharmaceutical therapy currently under review for the treatment of refractory chronic cough, exploring non-pharmacological chronic cough management therapies is important. This systematic review summarizes the effectiveness of non-pharmacological chronic cough therapies in adults with non-productive refractory chronic cough or cough due to chronic respiratory diseases.MethodsWe searched Medline, Embase, Cochrane, CINAHL, and Scopus from inception to September 2021. Randomized controlled trials published in English, Portuguese, or French, and examining the effects of non-pharmacological therapies in adults with chronic non-productive cough (>8 weeks; <2 teaspoons sputum) were included. Mean differences, medians, and odds ratios were calculated as appropriate.Results16,546 articles were identified and six articles representing five unique studies were included. Studies evaluated 228 individuals with refractory chronic cough or chronic cough due to a chronic respiratory disease [162 women (71%); 52 ± 11 to 61 ± 8 years old]. Obstructive sleep apnea was the only chronic respiratory disease studied. Non-pharmacological therapies included education, cough suppression, breathing techniques, mindfulness, and continuous positive airway pressure. When standing alone, non-pharmacological cough therapies improved cough-specific health related quality of life when not associated with interventions (mean diff MD 1.53 to 4.54), cough frequency (MD 0.59 95%CI 0.36 to 0.95), and voice outcomes (MD 0.3 to 1) when compared to control interventions.ConclusionThe evidence of non-pharmacological therapies for non-productive chronic cough is limited. Existing studies reflect the heterogeneity in study design, sample size, and outcome measures. Thus, clinical recommendations for using the most effective interventions remain to be confirmed.

show abstract

Speech and language therapy for management of chronic cough

Cited by 22 publications

References 137 publications

WAO-ARIA consensus on chronic cough – Part III: Management strategies in primary and cough-specialty care. Updates in COVID-19

WAO-ARIA consensus on chronic cough – Part III: Management strategies in primary and cough-specialty care. Updates in COVID-19

Chronic cough — treament in line with guidelines

Non-pharmacological Management of Non-productive Chronic Cough in Adults: A Systematic Review

Contact Info

Product

Resources

About