Vocal Cord Dysfunction University of 悖论性声带功能障碍大学ppt课件.pptVIP

Exercise Induced Paradoxical Vocal Cord Dysfunction (EI-PVCD);NORMAL Respiration 101;Normal Larynx;Vocal fold ABDUCTION occurs during respiration;Vocal fold ADDUCTION Occurs during swallowing, coughing, etc…;Strobe exam;Paradoxical Vocal Fold Movement (PVFM);Definition of EI-VCD;Pseudonyms;Patient description of VCD episodes;PVFM Visualized;Essential Features;Symptoms;Various Etiologies;;LPR, continued;LPR and Athletes;Laryngopharyngeal Reflux: Clinical Signs ;Other potential causes of Paradoxical Vocal Cord Dysfunction;Etiologies (cont.);Athlete Profile for EI-VCD;Athlete Profile, cont…;EI-VCD versus Asthma;Differential Diagnosis of EI-VCD;Differential Diagnosis of VCD;Diagnosis of EI-VCD;EI-VCD and Asthma;EI-PVCD versus Exercise Induced Asthma;Typical Spirometry Findings for PVCD;Inspiratory cut-off, flattening of the inspiratory limb (curve);Case History Questions;Questions (cont.);Questions (cont.);Videostroboscopic Examination;Laryngeal Supraglottic Hyperfunction;VCD appearance on direct examination;Laryngeal Supraglottic Hyperfunction;PVCM Visualized;Diagnostic Features PVFM Asthma ;Diagnostic Features PVFM Asthma;Pattern of dyspneic Sudden onset and More gradual onset event relatively rapid longer recovery cessation period Nocturnal awakening Rarely Almost always with symptoms Response to broncho- No response Good response dilators and/or systemic corticosteroids ;Acute Management of EI-VCD in the field;Acute Management of EI-VCD ;Acute Management of Attacks;Acute Management in the Game;Quick Sniff Technique;ACUTE treatment, cont…;Treatment: Speech Therapy;Therapeutic goals and methods;Therapeutic goals and methods;Speech Therapy ;Speech Therapy;Back Pressure Breathing;Relaxation Training;ST Duration: The CCHS Approach;CASE DISCUSSION;Therapy Focus and Ou