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Physiotherapy and Speech and Language therapy intervention for chronic cough
Surinder S Birring1, Sarah Floyd2, Charles C Reilly2
1King's College London, Division of Asthma, Allergy and Lung Biology, London, UK.
Pulmonary Pharmacology & Therapeutics
|April 9, 2017
Summary
Physiotherapy and Speech And Language Intervention (PSALTI) effectively reduces chronic cough frequency and improves quality of life. This self-management therapy offers sustained relief for refractory cough, even after treatment cessation.
Area of Science:
- Respiratory Medicine
- Neurology
- Rehabilitation Therapy
Background:
- Refractory chronic cough lacks effective pharmacological treatments.
- Brain imaging reveals impaired cough inhibition in chronic cough patients.
- Self-management therapies, including physiotherapy and speech therapy, show promise.
Purpose of the Study:
- To evaluate the efficacy of Physiotherapy and Speech And Language Intervention (PSALTI) for chronic cough.
- To assess the impact of PSALTI on cough frequency and quality of life.
- To investigate the adjunctive effect of speech pathology with neuromodulator drugs.
Main Methods:
- Two randomized controlled trials assessed PSALTI's effectiveness.
- Objective cough frequency was measured using the Leicester Cough Monitor.
- Quality of life improvements were evaluated, with therapy discontinuation assessed.
Main Results:
- PSALTI demonstrated a 41% reduction in cough frequency.
- Clinically significant improvements in quality of life were observed with PSALTI.
- Benefits of PSALTI and speech pathology with Pregabalin were sustained post-treatment.
Conclusions:
- PSALTI is an effective intervention for refractory chronic cough.
- The positive effects of PSALTI are durable and sustained.
- Further research is needed to elucidate PSALTI's mechanisms and applicability to other lung disorders.