title: Psychophysiologic treatment of vocal cord dysfunction.
abstract: BACKGROUND
  Vocal cord dysfunction (VCD) is an obstructive upper airway syndrome that frequently mimics asthma and for which there is no empirical treatment of choice.
  
  
  OBJECTIVE
  To describe two military service members experiencing VCD who were treated with psychophysiologic self-regulation training.
  
  
  METHODS
  Both cases were active-duty military members with VCD confirmed by laryngoscopy They each received biofeedback self-regulation training to decrease tension in the extrinsic laryngeal musculature.
  
  
  RESULTS
  Both patients responded to the treatment, denied the presence of dsypnea, and had resumed military physical training.
  
  
  CONCLUSIONS
  Psychophysiologic self-regulation strategies both with and without concurrent speech therapy positively impacted VCD symptoms.
authors.affiliation: Department of Psychology, Tripler Army Medical Center, Honolulu, Hawaii 96859, USA. jay.earles@haw.tamc.amedd.army.mil
authors.forename: Jay
authors.initials: J
authors.lastname: Earles
authors.forename: Burton
authors.initials: B
authors.lastname: Kerr
authors.forename: Michael
authors.initials: M
authors.lastname: Kellar
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007828:Laryngoscopy; D008297:Male; D008889:Military Personnel; D013577:Syndrome; D014481:United States; D014826:Vocal Cord Paralysis / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*