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Exercise-induced Laryngeal Obstruction: Protocol for a Randomized Controlled Treatment Trial.

Hege Clemm1,2, Ola D Røksund2,3,4, Tiina Andersen3,5,6

  • 1Department of Clinical Science, University of Bergen, Bergen, Norway.

Frontiers in Pediatrics
|February 24, 2022
PubMed
Summary

This study investigates Exercise-induced laryngeal obstruction (EILO) treatments, comparing non-invasive methods and surgical options. It aims to provide evidence-based guidelines for this common exertional breathing issue in young people.

Keywords:
EILORCT (randomized controlled trial)VCDexerciseprotocoltreatment

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Area of Science:

  • Pulmonology
  • Laryngology
  • Sports Medicine

Background:

  • Exercise-induced laryngeal obstruction (EILO) is a frequent cause of exertional breathing difficulties in adolescents and young adults.
  • EILO is characterized by paradoxical inspiratory adduction of laryngeal structures during high-intensity exercise.
  • Current EILO treatments lack robust evidence from randomized controlled trials, necessitating further research for guideline development.

Purpose of the Study:

  • To provide evidence-based information on commonly applied treatment schemes for EILO.
  • To assess the efficacy of different non-invasive and surgical interventions for EILO.
  • To address differential treatment effects in predefined EILO subtypes.

Main Methods:

  • Randomized controlled trial comparing four non-invasive treatments: information/breathing advice (IBA), IBA + inspiratory muscle training, IBA + speech therapy, and IBA + inspiratory muscle training + speech therapy.
  • Patients not responding to non-invasive treatments may be randomized into surgical arms: standard surgery, minimally invasive laser supraglottoplasty, or no surgery.
  • Outcomes measured include laryngeal adduction during peak exercise using a validated scoring system before and after interventions.

Main Results:

  • This section is to be filled once the study is completed and results are available.

Conclusions:

  • This section is to be filled once the study is completed and conclusions are drawn.