Speech pathology for chronic cough: a new approach
Peter G Gibson1, Anne E Vertigan
1Centre for Asthma and Respiratory Diseases, John Hunter Hospital University of Newcastle, Newcastle, NSW, Australia. peter.Gibson@hnehealth.nsw.gov.au
Pulmonary Pharmacology & Therapeutics
|December 9, 2008
Summary
Refractory chronic cough, often linked to laryngeal hypersensitivity, may improve with speech pathology. This intervention targets cough, voice, and breathing symptoms effectively.
Area of Science:
- Otolaryngology
- Speech-Language Pathology
Background:
- Refractory chronic cough persists despite medical treatment for conditions like asthma and GERD.
- Many patients exhibit laryngeal hypersensitivity, affecting cough reflex and vocal function.
- This hypersensitivity can manifest as heightened cough reflex sensitivity and vocal cord dysfunction.
Purpose of the Study:
- To evaluate the effectiveness of a multidimensional speech pathology program for refractory chronic cough.
- To assess the impact of speech pathology on cough, breathing, voice, and laryngeal symptoms.
Main Methods:
- A single-blind, randomized, placebo-controlled trial was conducted with 87 patients.
- The intervention group received a speech pathology program including education, vocal hygiene, cough suppression, and counseling.
- The control group received placebo intervention.
Main Results:
- The speech pathology group showed significant reductions in cough, breathing, voice, and upper airway symptoms.
- Auditory perceptual ratings of voice quality (breathiness, roughness, strain, glottal fry) improved.
- Significant improvements were observed in voice acoustic parameters like maximum phonation time, jitter, and harmonic-to-noise ratio.
Conclusions:
- Speech pathology intervention is an effective treatment for refractory chronic cough.
- The multidimensional program addresses both sensory and motor laryngeal aspects contributing to chronic cough.
Related Concept Videos
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
01:29Chronic Obstructive Pulmonary Disease-V: Management
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
01:20Chronic Obstructive Pulmonary Disease-I: Introduction
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
01:23Chronic Obstructive Pulmonary Disease I: Introduction
Chronic obstructive pulmonary disease is a common, preventable, and treatable respiratory disorder characterized by persistent symptoms and progressive airflow limitation. This limitation results from a combination of small-airway disease (obstructive bronchiolitis) and parenchymal destruction (emphysema), both driven by chronic inflammation from exposure to harmful particles or gases.The disease includes two main pathological entities: emphysema, marked by destruction of alveolar walls and...
01:24Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features
Chronic bronchitis is a key phenotype of chronic obstructive pulmonary disease (COPD), characterized by airway-centered inflammation and mucus overproduction. It develops from long-term exposure to harmful particles or gases, most commonly cigarette smoke, which triggers a persistent inflammatory response.Cellular and Structural ChangesInflammation initially affects the large bronchi and later the smaller airways, with infiltration by immune cells, including neutrophils, macrophages, and...
01:24Chronic Obstructive Pulmonary Disease
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...