Short-Term Intensive Therapy and Outcomes for Athletes With Paradoxical Vocal Fold Motion Disorder Purpose The aim of the study was to develop a treatment for athletes with paradoxical vocal fold motion disorder (PVFMD) based on exercise physiology and learning theory principles and administer it over a preestablished time frame. Method A prospective, repeated-measures, within-subject group design was used. Eleven adolescent/teen athletes ... Research Article
Newly Published
Research Article  |   November 15, 2018
Short-Term Intensive Therapy and Outcomes for Athletes With Paradoxical Vocal Fold Motion Disorder
 
Author Affiliations & Notes
  • Sally K. Gallena
    Department of Speech-Language Pathology, Loyola University Maryland, Baltimore
  • Arthur T. Johnson
    Fischell Department of Bioengineering, University of Maryland, College Park
  • Jafar Vossoughi
    Fischell Department of Bioengineering, University of Maryland, College Park
    Engineering and Scientific Research Associates, Brookeville, MD
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication. ×
  • Correspondence to Sally K. Gallena: sgallena@loyola.edu
  • Editor-in-Chief: Julie Barkmeier-Kraemer
    Editor-in-Chief: Julie Barkmeier-Kraemer×
  • Editor: Rita Patel
    Editor: Rita Patel×
Article Information
Speech, Voice & Prosodic Disorders / Voice Disorders / Research Issues, Methods & Evidence-Based Practice / Newly Published / Research Article
Research Article   |   November 15, 2018
Short-Term Intensive Therapy and Outcomes for Athletes With Paradoxical Vocal Fold Motion Disorder
American Journal of Speech-Language Pathology, Newly Published. doi:10.1044/2018_AJSLP-17-0223
History: Received December 19, 2017 , Revised March 13, 2018 , Accepted July 16, 2018
 
American Journal of Speech-Language Pathology, Newly Published. doi:10.1044/2018_AJSLP-17-0223
History: Received December 19, 2017; Revised March 13, 2018; Accepted July 16, 2018

Purpose The aim of the study was to develop a treatment for athletes with paradoxical vocal fold motion disorder (PVFMD) based on exercise physiology and learning theory principles and administer it over a preestablished time frame.

Method A prospective, repeated-measures, within-subject group design was used. Eleven adolescent/teen athletes diagnosed with PVFMD via laryngoscopy received short-term intensive (STI) therapy. Eight of the athletes returned for extended follow-up. Changes in postexercise inspiratory (R i) and expiratory (R e) resistances and Modified Borg Dyspnea Scale (MBDS) ratings collected at baseline were compared immediately posttreatment and at extended follow-up. Dyspnea Index scores were collected at baseline and at extended follow-up. Two no-treatment control athletes with PVFMD participated in two exercise challenges—baseline and 6 weeks later.

Results Immediately after STI therapy, athletes attained significant improvement in R i, R e, and MBDS ratings. These changes were maintained at extended follow-up as well as a significant change in Dyspnea Index scores. The 2 control athletes who were reassessed 6 weeks after baseline experienced negative changes in postexercise R i and MBDS ratings.

Conclusion STI therapy that incorporated individuality, specificity, and variable practice effectively changed outcome measures posttreatment with further improvement observed at extended follow-up. These results provide preliminary evidence for STI therapy for PVFMD.

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