title: Inspiratory muscle strength training with behavioral therapy in a case of a rower with presumed exercise-induced paradoxical vocal-fold dysfunction.
abstract: Paradoxical vocal fold dysfunction (PVFD) with high effort exercise can result in disruptions to ventilation, dyspnea, inspiratory stridor, elevated heart rate, and syncope. This single subject study experimentally tested an inspiratory muscle strength training (IMST) program with behavioral therapy on a 15-year-old male crew member. Outcome variables were maximum inspiratory pressure (MIP), and dyspnea ratings. Following 5 weeks of IMST, MIP increased by 93% from baseline function while dyspnea ratings substantially decreased. Outcome included successful competition with his high-school crew team, a task he was previously unable to complete. Discussion focuses on IMST combined with traditional approaches of voice therapy for treating PVFD.
authors.affiliation: Department of Communicative Disorders, University of Central Florida, HPA 2, Suite 101, Orlando 32816-2215, USA. bhruddy@mail.ucf.edu
authors.forename: Bari Hoffman
authors.initials: BH
authors.lastname: Ruddy
authors.forename: Paul
authors.initials: P
authors.lastname: Davenport
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Baylor
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Lehman
authors.forename: Susan
authors.initials: S
authors.lastname: Baker
authors.forename: Christine
authors.initials: C
authors.lastname: Sapienza
mesh_terms: D000293:Adolescent; D001521:Behavior Therapy / Q000379:methods*; D001945:Breathing Exercises; D004417:Dyspnea / Q000209:etiology / Q000628:therapy; D015444:Exercise; D006801:Humans; D007320:Inspiratory Capacity; D008297:Male; D012132:Respiratory Muscles / Q000502:physiology* / Q000503:physiopathology; D014826:Vocal Cord Paralysis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy*