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Inducible laryngeal obstruction during exercise: moving beyond vocal cords with new insights.
Phys Sportsmed. 2015 Feb; 43(1):13-21.PS

Abstract

Exercise as an important part of life for the health and wellness of children and adults. Inducible laryngeal obstruction (ILO) is a consensus term used to describe a group of disorders previously called vocal cord dysfunction, paradoxical vocal fold motion, and numerous other terms. Exercise-ILO can impair one's ability to exercise, can be confused with asthma, leading to unnecessary prescription of asthma controller and rescue medication, and results in increased healthcare resource utilization including (rarely) emergency care. It is characterized by episodic shortness of breath and noisy breathing that generally occurs at high work rates. The present diagnostic gold standard for all types of ILO is laryngoscopic visualization of inappropriate glottic or supraglottic movement resulting in airway narrowing during a spontaneous event or provocation challenge. A number of different behavioral techniques, including speech therapy, biofeedback, and cognitive-behavioral psychotherapy, may be appropriate to treat individual patients. A consensus nomenclature, which will allow for better characterization of patients, coupled with new diagnostic techniques, may further define the epidemiology and etiology of ILO as well as enable objective evaluation of therapeutic modalities.

Authors+Show Affiliations

Department of Pediatrics, National Jewish Health, Pediatric Exercise Tolerance Center , Denver, CO , USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

25644598

Citation

Olin, James Tod, et al. "Inducible Laryngeal Obstruction During Exercise: Moving Beyond Vocal Cords With New Insights." The Physician and Sportsmedicine, vol. 43, no. 1, 2015, pp. 13-21.
Olin JT, Clary MS, Deardorff EH, et al. Inducible laryngeal obstruction during exercise: moving beyond vocal cords with new insights. Phys Sportsmed. 2015;43(1):13-21.
Olin, J. T., Clary, M. S., Deardorff, E. H., Johnston, K., Morris, M. J., Sokoya, M., Staudenmayer, H., & Christopher, K. L. (2015). Inducible laryngeal obstruction during exercise: moving beyond vocal cords with new insights. The Physician and Sportsmedicine, 43(1), 13-21. https://doi.org/10.1080/00913847.2015.1007026
Olin JT, et al. Inducible Laryngeal Obstruction During Exercise: Moving Beyond Vocal Cords With New Insights. Phys Sportsmed. 2015;43(1):13-21. PubMed PMID: 25644598.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Inducible laryngeal obstruction during exercise: moving beyond vocal cords with new insights. AU - Olin,James Tod, AU - Clary,Matthew S, AU - Deardorff,Emily H, AU - Johnston,Kristina, AU - Morris,Michael J, AU - Sokoya,Mofiyinfolu, AU - Staudenmayer,Herman, AU - Christopher,Kent L, Y1 - 2015/02/02/ PY - 2015/2/4/entrez PY - 2015/2/4/pubmed PY - 2016/6/10/medline KW - Continuous laryngoscopy during exercise KW - exercise-induced laryngeal obstruction KW - exertional dyspnea KW - inducible laryngeal obstruction KW - paradoxical vocal fold motion KW - vocal cord dysfunction SP - 13 EP - 21 JF - The Physician and sportsmedicine JO - Phys Sportsmed VL - 43 IS - 1 N2 - Exercise as an important part of life for the health and wellness of children and adults. Inducible laryngeal obstruction (ILO) is a consensus term used to describe a group of disorders previously called vocal cord dysfunction, paradoxical vocal fold motion, and numerous other terms. Exercise-ILO can impair one's ability to exercise, can be confused with asthma, leading to unnecessary prescription of asthma controller and rescue medication, and results in increased healthcare resource utilization including (rarely) emergency care. It is characterized by episodic shortness of breath and noisy breathing that generally occurs at high work rates. The present diagnostic gold standard for all types of ILO is laryngoscopic visualization of inappropriate glottic or supraglottic movement resulting in airway narrowing during a spontaneous event or provocation challenge. A number of different behavioral techniques, including speech therapy, biofeedback, and cognitive-behavioral psychotherapy, may be appropriate to treat individual patients. A consensus nomenclature, which will allow for better characterization of patients, coupled with new diagnostic techniques, may further define the epidemiology and etiology of ILO as well as enable objective evaluation of therapeutic modalities. SN - 2326-3660 UR - https://www.unboundmedicine.com/medline/citation/25644598/Inducible_laryngeal_obstruction_during_exercise:_moving_beyond_vocal_cords_with_new_insights_ L2 - http://www.tandfonline.com/doi/full/10.1080/00913847.2015.1007026 DB - PRIME DP - Unbound Medicine ER -