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Functional Outcomes after Behavioral Treatment of Paradoxical Vocal Fold Motion in Adults.
Folia Phoniatr Logop. 2017; 69(4):154-168.FP

Abstract

OBJECTIVE

Paradoxical vocal fold motion (PVFM) is responsive to behavioral therapy, often resulting in a remission of symptoms, but little is known about whether treatment is beneficial with regard to PVFM-associated psychological symptoms or functional limitations. The goal of the study was to identify patient perceptions of the impact of treatment for PVFM and characteristics associated with treatment outcomes.

METHODS

A survey was conducted of all adults who had received at least 1 session of treatment for PVFM in our outpatient clinic over a 2-year period.

RESULTS

The 39 participants ranged in age from 18 to 82 and had received a median of 3 treatment sessions. At a median follow-up of 10 months following treatment, respondents reported improvements in a wide range of areas, including sports and leisure, daily activities, and social participation. The majority reported improvements in feelings of anxiety, helplessness, and control. Poorer outcomes were associated with more severe voice symptoms, fewer treatment sessions, and needing oral steroids for asthma control.

CONCLUSION

There was a reduction in a wide range of activity limitations after treatment. Feelings of control were strongly associated with positive outcomes. The therapy appeared to be equally effective for adults with exercise-induced and environmental variants of PVFM.

Authors+Show Affiliations

NW Clinic for Voice and Swallowing, Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon, USA.NW Clinic for Voice and Swallowing, Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon, USA.NW Clinic for Voice and Swallowing, Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon, USA.NW Asthma and Allergy Center, Seattle, Washington, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29393222

Citation

Drake, Karen, et al. "Functional Outcomes After Behavioral Treatment of Paradoxical Vocal Fold Motion in Adults." Folia Phoniatrica Et Logopaedica : Official Organ of the International Association of Logopedics and Phoniatrics (IALP), vol. 69, no. 4, 2017, pp. 154-168.
Drake K, Palmer AD, Schindler JS, et al. Functional Outcomes after Behavioral Treatment of Paradoxical Vocal Fold Motion in Adults. Folia Phoniatr Logop. 2017;69(4):154-168.
Drake, K., Palmer, A. D., Schindler, J. S., & Tilles, S. A. (2017). Functional Outcomes after Behavioral Treatment of Paradoxical Vocal Fold Motion in Adults. Folia Phoniatrica Et Logopaedica : Official Organ of the International Association of Logopedics and Phoniatrics (IALP), 69(4), 154-168. https://doi.org/10.1159/000484716
Drake K, et al. Functional Outcomes After Behavioral Treatment of Paradoxical Vocal Fold Motion in Adults. Folia Phoniatr Logop. 2017;69(4):154-168. PubMed PMID: 29393222.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Functional Outcomes after Behavioral Treatment of Paradoxical Vocal Fold Motion in Adults. AU - Drake,Karen, AU - Palmer,Andrew D, AU - Schindler,Joshua S, AU - Tilles,Stephen A, Y1 - 2018/01/26/ PY - 2017/06/23/received PY - 2017/10/30/accepted PY - 2018/2/3/pubmed PY - 2019/5/6/medline PY - 2018/2/3/entrez KW - Dysphonia KW - Paradoxical vocal fold motion KW - Physical activity KW - Psychological function KW - Respiration KW - Self-efficacy KW - Speech pathology KW - Treatment outcomes KW - Vocal cord dysfunction SP - 154 EP - 168 JF - Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) JO - Folia Phoniatr Logop VL - 69 IS - 4 N2 - OBJECTIVE: Paradoxical vocal fold motion (PVFM) is responsive to behavioral therapy, often resulting in a remission of symptoms, but little is known about whether treatment is beneficial with regard to PVFM-associated psychological symptoms or functional limitations. The goal of the study was to identify patient perceptions of the impact of treatment for PVFM and characteristics associated with treatment outcomes. METHODS: A survey was conducted of all adults who had received at least 1 session of treatment for PVFM in our outpatient clinic over a 2-year period. RESULTS: The 39 participants ranged in age from 18 to 82 and had received a median of 3 treatment sessions. At a median follow-up of 10 months following treatment, respondents reported improvements in a wide range of areas, including sports and leisure, daily activities, and social participation. The majority reported improvements in feelings of anxiety, helplessness, and control. Poorer outcomes were associated with more severe voice symptoms, fewer treatment sessions, and needing oral steroids for asthma control. CONCLUSION: There was a reduction in a wide range of activity limitations after treatment. Feelings of control were strongly associated with positive outcomes. The therapy appeared to be equally effective for adults with exercise-induced and environmental variants of PVFM. SN - 1421-9972 UR - https://www.unboundmedicine.com/medline/citation/29393222/Functional_Outcomes_after_Behavioral_Treatment_of_Paradoxical_Vocal_Fold_Motion_in_Adults_ L2 - https://www.karger.com?DOI=10.1159/000484716 DB - PRIME DP - Unbound Medicine ER -