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Related Experiment Videos

The cough and the bedsheet.

S Q Cohlan, S M Stone

    Pediatrics
    |July 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    A novel reinforced suggestion technique successfully treated 31 of 33 patients with psychogenic cough tic. This method involves physician-led suggestion and chest wrapping to support weakened muscles, resolving the cough within days.

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    Area of Science:

    • Pediatric Pulmonology
    • Psychosomatic Medicine
    • Behavioral Neurology

    Background:

    • Psychogenic cough tic, often following a viral infection, presents as a persistent, loud barking or honking cough.
    • Diagnosis is frequently delayed, leading to extensive investigations and potential iatrogenic complications.
    • Previous literature reported significant hospitalization rates for similar cases.

    Observation:

    • Patients exhibit a characteristic cough, often producible on command, with normal physical findings except for abnormal gag and corneal reflexes.
    • The cough is pervasive throughout the day but absent during sleep.
    • Patients may display indifference to their symptoms and ambivalence towards treatment.

    Findings:

    • A reinforced suggestion technique, utilizing physician conviction and chest wrapping, achieved a 94% success rate in treating psychogenic cough tic.

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  • The technique posits that chest muscles are weakened, requiring external support from a tightly wrapped bedsheet.
  • Abnormal gag and corneal reflexes were observed in a majority of patients, supporting a psychogenic etiology.

    • Implications:

    • Early identification of psychogenic cough tic can prevent unnecessary medical interventions, hospitalizations, and associated costs.
    • This approach can significantly reduce parental anxiety and minimize school absenteeism.
    • The findings highlight the efficacy of behavioral interventions in managing functional neurological disorders.