presented by Mary J. Sandage
Irritable larynx syndrome (ILS) provides a vital theoretical framework from which to consider treatment for paradoxical vocal fold motion (PVFM). The information from a patient's initial case history and behavioral assessment for treatment planning and execution is described. The specific treatment framework for PVFM is covered with attention to lifespan and unique populations. Case studies are provided to apply the didactic material covered.
Mary J. Sandage, Ph.D., CCC-SLP is an Assistant Professor in the Department of Communication Disorders at Auburn University. She earned her M.S. degree in speech language pathology from the University of Iowa and her Ph.D. in Exercise Science at Auburn University. She has been a clinician for over 24 years, specializing in the assessment and treatment of upper airway and voice disorders, with a particular expertise in the assessment and treatment of chronic cough and paradoxical vocal fold motion. During her doctoral program in the School of Kinesiology at Auburn University she was fortunate to have access to the Auburn University swim team and learn about their training practices and breathing techniques. This experience, combined with her experience treating other athletes with paradoxical vocal fold motion, expanded her clinical approach in a meaningful, functional direction. Dr. Sandage, a singing teacher for over 20 years and a member of the National Association of Teachers of Singing (NATS), was integral in developing the professional voice care clinic at the University of Wisconsin-Madison Division of Otolaryngology during her 10 years there as clinical faculty. Her current research interests include muscle bioenergetics and voice training considerations, upper airway thermoregulation, and hormonal influences on voice production. She has taught mindfulness-based stress reduction (MBSR) for over 17 years and uses its principles regularly in clinical care for individuals with voice and upper airway disorders.
This chapter will describe the stages behavioral intervention strategy, for home practice and for symptom control. There are three primary steps in the treatment pathway: train body awareness, train relaxed breathing, and train the breathing recovery exercise for PVFM avoidance and recovery.
This chapter will apply all of the assessment and treatment material covered in the context of case studies that extend from the young child to the older adult. It will be apparent from the case studies that each client referred with this diagnosis will require a unique approach and adaptation of the basic behavioral approach.
In this Question and Answer session, a fellow speech language pathologist asks Dr. Sandage questions about the previous two chapters. Topics discussed include: how the amount of time a person has a cough can impact their prognosis, where to find the measurement tools mentioned in the course, and the types of measurable goals to give patients in this population.