Paradoxical Vocal Fold Motion
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| Episodic restricted airway opening; vocal fold adduction during inhalation and/or exhalation | Paradoxical Vocal Fold Motion (PDFM)
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| Episodic adductor VF spasms that interfere with breathing | Paradoxical Vocal Fold Motion (PDFM)
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| Likely heterogeneous in etiology and symptoms | Paradoxical Vocal Fold Motion (PDFM)
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| labored breathing | Dyspnea
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| movement in conflict of purpose | Paradoxical Vocal Fold Movement
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| Description of PDFM? | 1. dyspnea
2. movement in conflict with purpose
3. choking feeling
4. confused with asthma
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| Male/Female? | Female
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| Ages? | 20-40yrs
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| Adult Risk Factors | 1. High school +
2. Health Care Worker
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| Child Risk Factors | 1. high achievers
2. active in sports
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| Etiology | GERD, Postnasal drip, smoke, gases, vapors, dust, pollutants
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| Spasmodic dysphonia: A voice disorder caused by involuntary movements of one or more muscles of the larynx or voice box. | Chronic laryngeal dystonia
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| Rare Neurogenic causes | brain compression, UMN injury, LMN injury
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| What MAY play a role in PVFM? | Psychological/Psychogenic Factors (stress, anxiety, emotional problems)
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| What may undermine successful treatment? | Stressing psychological issues
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| Focus on patients...? | description of the problem
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| Occasional dysphonia/dysphasia...? | subsequent to upper respiratory infection
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| Precipitators? | exertion, hyperventilation, laughing, hot/cold air, irritants (dust, smoke, odors)
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| Pulmonary function tests | Laryngoscopy and Airway Fluoroscopic Eval.
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| Laryngoscopy: Adduction during_______ __________. | tidal breathing
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| Laryngoscopy: What is viewed posteriorly? | glottal chink
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| Laryngoscopy: Possible medialization of ___________ ___________. | ventricular folds
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| PVFM must be differentiated from ____________. | asthma
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| What is the first element in MEDICAL TREATMENT? | patient education, counseling
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| In regard to medical treatment it is also suggested that patient terminate any _______________ _________________. | unnecessary medications
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| Medical treatment also consists of treating other _____________ ____________. | contributory conditions (GERD, rhinosinusitis)
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| Medical treatment in RARE, unresponsive cases __________________. | tracheostomy
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| The role of the SLP? | Assessment, DX and TX
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| Need to assess...h__________, f___________ of VF's, r_______________ function for speech, m__________________ tension, OPE for s___________ s_____________. | history
function
respiratory
musculoskeletal
speech structures
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| Treatment: Need to identify and control t____________. | tension
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| Inhalation- slow through the nose; exhalation- prolonged /s/ | Relaxed throat breathing
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Created by:
sramsden
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