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Vocal Cord Dysfunction, Sports Medicine

Sarah Merrill, MD, CAQSM Reviewed 04/2019
 


BASICS

DESCRIPTION

Vocal cord dysfunction (VCD) is not uncommon but often missed diagnosis in both athletes and nonathletes 1,2. VCD—also known as paradoxical vocal fold motion—is caused by inappropria...

DIAGNOSIS

HISTORY

  • Patients will typically report episodes of dyspnea on exertion, wheezing sometimes progressing to stridor, and cough 1,2,3. These episodes are typically brought on by increased activi...

TREATMENT

  • Acute management:

    • Because episodes are often self-limiting, reassurance and supportive measures can be effective 1.

    • Encourage patient to pant, which forces abduction of the vocal cords. Breath...

ONGOING CARE

Education of athletes, parents, and coaches regarding symptoms and treatments are essential for avoiding unnecessary hospitalizations and procedures. 

REFERENCES

1
Deckert J, Deckert L. Vocal cord dysfunction. Am Fam Physician.  2010;81(2):156–159.
2
Fretzayas A, Moustaki M, Loukou I, et al. Differentiating vocal cord dysfunction from asthma. J As...

CLINICAL PEARLS

  • VCD results from the true vocal cords inappropriately adducting on inspiration.

  • VCD resulting in exertional dyspnea typically peaks during maximal exertion. EIA/EIB, however, typically ...

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