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Practical management: vocal cord dysfunction in athletes.

John J Wilson1, Erin M Wilson

  • 1Department of Family Medicine, University of Wisconsin School of Medicine, University of Wisconsin Hospital and Clinics, Madison, WI 53715-1896, USA. John.Wilson@fammed.wisc.edu

Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine
|July 22, 2006
PubMed
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Vocal cord dysfunction (VCD) involves paradoxical vocal fold closure during breathing, causing airway obstruction. Early suspicion and diagnosis by sports medicine professionals are crucial for effective management.

Area of Science:

  • Sports Medicine
  • Pulmonology
  • Otolaryngology

Background:

  • Vocal cord dysfunction (VCD) presents as paradoxical vocal fold adduction during inhalation, leading to extrathoracic airflow obstruction.
  • Sports medicine professionals need high suspicion for VCD in acute respiratory cases.
  • Potential VCD pathophysiology involves laryngeal irritants, psychogenic, and neurogenic factors.

Purpose of the Study:

  • To emphasize the importance of early VCD diagnosis in sports medicine.
  • To highlight the multidisciplinary approach required for VCD evaluation and management.

Main Methods:

  • Diagnosis involves a multidisciplinary team including pulmonology, otolaryngology, speech-language pathology, allergy/immunology, and psychology.
  • Management focuses on behavioral therapy and addressing underlying triggers.

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Main Results:

  • Accurate and timely diagnosis is essential for effective VCD management.
  • Behavioral management by a speech-language pathologist is the primary treatment.
  • Pharmacologic management targets identified VCD triggers.

Conclusions:

  • VCD requires a high index of suspicion from sports medicine professionals for prompt diagnosis.
  • Multispecialty collaboration is key for comprehensive VCD care.
  • Behavioral and targeted pharmacologic interventions form the cornerstone of VCD treatment.