Vocal Cord Dysfunction Exercise-Induced Laryngeal Obstruction: Case Narratives

2015 ◽  
Vol 20 (6) ◽  
pp. 19-23
Author(s):  
Michael Matheny ◽  
Mary J. Pitti ◽  
Sarah Donovan ◽  
Andrew Getzin
Keyword(s):  
Vocal Cord ◽  
Vocal Cord Dysfunction ◽  
Laryngeal Obstruction ◽  
Exercise Induced

The Psychological Experience of Athletes With Vocal Cord Dysfunction

2013 ◽  
Vol 7 (2) ◽  
pp. 146-160 ◽  
Author(s):  
Tonya Nascimento ◽  
Gershon Tenenbaum
Keyword(s):  
At Risk ◽  
Vocal Cord ◽  
Air Flow ◽  
Vocal Cord Dysfunction ◽  
Vocal Cords ◽  
Respiratory Dysfunction ◽  
Starting Point ◽  
Semistructured Interviews ◽  
Psychological Experiences ◽  
Exercise Induced

Exercise-induced vocal cord dysfunction (VCD) is a respiratory dysfunction where athletes’ vocal cords close prematurely, causing partially or fully obstructed air-flow. Due to a resulting severe decrement in performance and lack of efficacious treatments, this study aimed to discover some of the psychological experiences of athletes with VCD symptoms. Semistructured interviews were conducted with five athletes from three different sports and two mothers of participants. Data were coded for meaningful units and themes by the researcher and one independent rater. Ten psychological facets were derived. Based on the data from these five participants, athletes with VCD may have several common psychological experiences, which may possibly be a result of the breathing disorder. The first seven facets highlight that athletes with VCD may be at risk for burnout. The facets identified are a starting point for sport personnel to plan their treatment and support of athletes in their care.

Vocal Cord Dysfunction Mimicking Exercise-induced Bronchospasm in Adolescents

PEDIATRICS ◽  
1996 ◽  
Vol 98 (5) ◽  
pp. 971-974 ◽  
Author(s):  
Lawrence P. Landwehr ◽  
Raymond P. Wood ◽  
Florence B. Blager ◽  
Henry Milgrom
Keyword(s):  
Vocal Cord ◽  
Voice Quality ◽  
Airflow Obstruction ◽  
Upper Airway ◽  
Physical Exertion ◽  
Signs And Symptoms ◽  
Vocal Cord Dysfunction ◽  
Vocal Cords ◽  
Inappropriate Treatment ◽  
Exercise Induced

Vocal cord dysfunction (VCD) is a condition defined by an abnormal adduction of the vocal cords. The signs and symptoms of VCD-throat tightness, change in voice quality and airflow obstruction sufficient to cause wheezing, chest tightness, shortness of breath, and cough-are commonly associated with exercise. VCD and exercise-induced bronchospasm (EIB), the term for exacerbation of asthma associated with physical exertion, are both aggravated by exercise and characterized by dyspnea. The clinical presentation of VCD is often dramatic and its misdiagnosis as asthma, EIB, or upper airway obstruction has led to inappropriate treatment including highdose corticosteroids, intubation, and tracheostomy.1 The diagnosis of VCD is best established by observing the vocal cords through a fiberoptic rhinolaryngoscope while the patient is symptomatic.2,3

Variable Vocal Cord Dysfunction Presenting as Wheezing and Exercise-Induced Asthma

1986 ◽  
Vol 23 (5) ◽  
pp. 241-244 ◽  
Author(s):  
Shmuel Kivity ◽  
Haim Bibi ◽  
Yehuda Schwarz ◽  
Yoel Greif ◽  
Marcel Topilsky ◽  
...  
Keyword(s):  
Vocal Cord ◽  
Vocal Cord Dysfunction ◽  
Exercise Induced

scholarly journals Eucapnic voluntary hyperpnoea and exercise-induced vocal cord dysfunction: Table 1

2015 ◽  
Vol 1 (1) ◽  
pp. e000065 ◽  
Author(s):  
Julie Turmel ◽  
Simon Gagnon ◽  
Mélanie Bernier ◽  
Louis-Philippe Boulet
Keyword(s):  
Vocal Cord ◽  
Vocal Cord Dysfunction ◽  
Exercise Induced

scholarly journals Characteristics and impact of exercise-induced laryngeal obstruction: an international perspective

2021 ◽  
pp. 00195-2021
Author(s):  
Emil S. Walsted ◽  
Bamidele Famokunwa ◽  
Louise Andersen ◽  
Sune L. Rubak ◽  
Frederik Buchvald ◽  
...  
Keyword(s):  
International Perspective ◽  
Vocal Cord Dysfunction ◽  
Asthma Treatment ◽  
International Expert ◽  
Laryngeal Obstruction ◽  
Characteristic Features ◽  
Exercise Induced ◽  
The Impact ◽  
Work Up ◽  
Clinical Asthma

BackgroundExercise-induced laryngeal obstruction (EILO) is a common cause of exertional breathlessness and wheeze yet frequently misdiagnosed as asthma. Insight regarding the demographic characteristics, laryngeal abnormalities and impact of EILO are currently limited, with data only available from individual centre reports. The aim of this work was to provide a broader perspective from a collaboration between multiple international expert centres.MethodsFive geographically distinct clinical paediatric and adult centres (3 Denmark, 1 UK, 1 US) with an expertise in assessing unexplained exertional breathlessness completed database entry of key characteristic features for all cases referred with suspected EILO, over a 5-year period. All included cases completed clinical asthma work-up and continuous laryngoscopy during exercise (CLE) testing for EILO.ResultsData were available for 1007 individuals (n=713 female (71%)), median (range) age of 24 (8–76) years and of these 586 (58%) were diagnosed with EILO. In all centres, EILO was frequently misdiagnosed as asthma; on average there was a 2-year delay to diagnosis of EILO and current asthma medication was discontinued in 20%. Collapse at the supraglottic level was seen in 60% whereas vocal cord dysfunction (VCD) was only detected/visualised in 18%. Nearly half (45%) of individuals with EILO were active participants in recreational level sports, suggesting that EILO is not simply confined to competitive/elite athletes.ConclusionOur findings outline key clinical characteristics and the impact of EILO/VCD similar in globally distinct regions, facilitating improved awareness of this condition to enhance recognition and avoid erroneous asthma treatment.

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