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Published on: December 1, 2023
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Speech therapy for exercise-induced laryngeal obstruction
Kristine Vreim1,2, Tom Karlsen1, Petter Helø Carlsen1
1Department of Pediatric and Adolescent Medicine, Haukeland University Hospital, Bergen, Norway.
Summary
Speech therapy effectively treats Exercise-Induced Laryngeal Obstruction (EILO), reducing airway obstruction and improving breathing symptoms during exercise. This intervention offers a promising non-pharmacological approach for athletes and active individuals experiencing EILO.
Area of Science:
- Pulmonology
- Speech-Language Pathology
Background:
- Exercise-Induced Laryngeal Obstruction (EILO) causes significant exercise-related dyspnea, limiting physical activity.
- Current treatment options for EILO are limited, necessitating exploration of effective interventions.
Purpose of the Study:
- To evaluate the efficacy of a standardized speech therapy protocol in treating Exercise-Induced Laryngeal Obstruction.
- To assess the impact of speech therapy on objective laryngeal findings and subjective symptom reporting in EILO patients.
Main Methods:
- A cohort of 28 patients diagnosed with EILO underwent a standardized speech therapy protocol.
- Laryngeal findings were assessed using the Continuous Laryngoscopy Exercise (CLE) test and scoring system before and after intervention.
- Patient-reported breathing symptoms were collected via questionnaires pre- and post-treatment.
Main Results:
- Speech therapy resulted in a mean reduction of 1.5 points in the CLE score, indicating decreased laryngeal obstruction.
- The primary improvement was observed at the glottic level of the larynx.
- Eighty-six percent of patients reported a significant decrease in exercise-related breathing difficulties.
Conclusions:
- A standardized speech therapy protocol is effective in reducing objective laryngeal obstruction in EILO patients.
- The intervention leads to a parallel improvement in self-reported symptoms, enhancing exercise tolerance.
- Speech therapy presents a viable non-pharmacological treatment for Exercise-Induced Laryngeal Obstruction.
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