A review of voice and upper airway function in chronic cough and paradoxical vocal cord movement

Vertigan, Anne E., Gibson, Peter G., Theodoros, Deborah G. and Winkworth, Alison L. (2007) A review of voice and upper airway function in chronic cough and paradoxical vocal cord movement. Current Opinion In Allergy and Clinical Immunology, 7 1: 37-42. doi:10.1097/ACI.0b013e328012c587

Author Vertigan, Anne E.
Gibson, Peter G.
Theodoros, Deborah G.
Winkworth, Alison L.
Title A review of voice and upper airway function in chronic cough and paradoxical vocal cord movement
Journal name Current Opinion In Allergy and Clinical Immunology   Check publisher's open access policy
ISSN 1528-4050
Publication date 2007
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1097/ACI.0b013e328012c587
Volume 7
Issue 1
Start page 37
End page 42
Total pages 6
Place of publication Philadelphia
Publisher Lippincott Williams & Wilkins
Collection year 2008
Language eng
Subject 730303 Occupational, speech and physiotherapy
321025 Rehabilitation and Therapy - Hearing and Speech
Abstract Purpose of the review Chronic cough and paradoxical vocal fold movement (PVFM) are perplexing conditions. This paper reviews the recent literature in relation to the nature of PVFM and chronic cough and the management of symptoms associated with these disorders. Recent findings There are similarities in the voice and upper airway symptoms in chronic cough and PVFM. Clinically significant voice symptoms are present in approximately 40% of individuals with chronic cough and PVFM and are similar to those occurring in voice disorders such as muscle tension dysphonia. Chronic cough can be associated with PVFM in a large proportion of cases. Extrathoracic airway hyperresponsiveness is a common underlying mechanism in PVFM and chronic cough. Speech pathology intervention can be effective in controlling symptoms in chronic cough, which suggests that the anatomic diagnostic protocol could be expanded to incorporate this intervention. Chronic cough that fails to respond to medical management should be conceptualized as either due to PVFM or idiopathic. PVFM and chronic cough are not necessarily the result of underlying psychopathology. Summary Chronic cough and PVFM manifest in a range of clinically significant voice and upper airway symptoms. The anatomic diagnostic protocol used in the management of chronic cough could be expanded to include PVFM as a potential cause of cough; and speech pathology intervention as treatment for chronic cough.
Keyword Allergy
chronic cough
habit cough
paradoxical vocal fold movement
psychogenic cough
speech pathology
Clinical-practice Guidelines
Gastroesophageal-reflux Disease
Irritable Larynx Syndrome
Idiopathic Cough
Fold Movement
Habit Cough
Q-Index Code C1
Additional Notes This document is a journal review.

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Excellence in Research Australia (ERA) - Collection
2008 Higher Education Research Data Collection
School of Health and Rehabilitation Sciences Publications
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Citation counts: TR Web of Science Citation Count  Cited 8 times in Thomson Reuters Web of Science Article | Citations
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Created: Mon, 18 Feb 2008, 16:13:26 EST