Management of Exercise-Induced Vocal Cord Dysfunction: A Case Report

Sunday, 7:15am to 8:15am
Salon C
SP63
Exercise-Induced Vocal Cord Dysfunction (EI-VCD) is characterized by an inappropriate closure of the vocal folds upon inspiration resulting in stridor, dyspnea and shortness of breath (SOB) during strenuous activity (Matthers-Schmidt, 2001; Sandage et al, 2004) and, typically, individuals with EI-VCD who are nonresponsive to asthma medications. EI-VCD profiles are well documented in athletes. The purpose of this exploratory study was to evaluate the effectiveness of diaphragmatic breathing paired with inspiratory and expiratory strength training exercises using a breathing instrument for a six-year-old female, diagnosed with VCD. Treatment options included an inspiratory muscle strength training (IMST) program with behavioral therapy. The client also received counseling, education, and strategies to relax head, neck and shoulders during the process of forced breathing. At the end of six sessions, the client demonstrated significant improvement in respiratory control during soccer games, and the symptoms of VCD completely disappeared, as reported by the client.
Track: 
Pediatric