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dc.contributor.authorKolnes, Liv-Jorunn
dc.contributor.authorVollsæter, Maria
dc.contributor.authorRøksund, Ola Drange
dc.contributor.authorStensrud, Trine
dc.date.accessioned2019-07-16T08:40:27Z
dc.date.available2019-07-16T08:40:27Z
dc.date.issued2019
dc.description.abstract<b>Objective</b> <br>A constricted, upper chest breathing pattern and postural dealignments habitually accompany exercise-induced laryngeal obstruction (EILO), but there are few effective treatments for athletes presenting with EILO. This case series was conducted to examine whether physiotherapy based on principles from the Norwegian psychomotor physiotherapy (NPMP) combined with elements of cognitive behavioural therapy can reduce laryngeal distress in athletes with EILO.<br> <b>Methods</b><br> Respiratory distress in four subjects was examined by interview prior to a physiotherapeutic body examination. Inappropriate laryngeal movements during exercise were measured by the continuous laryngoscopy exercise test, lung function was measured by flow-volume curves, and non-specific bronchial hyper-responsiveness was measured by a methacholine provocation test. History of asthma, allergy and respiratory symptoms was recorded in a modified AQUA2008 questionnaire. Parasympathetic activity was assessed by pupillometry. All data were gathered before and after 5 months of intervention.<br><b> Results</b><br> Physiotherapy based on the principles from NPMP improved breathing problems in athletes with EILO. All athletes had less respiratory distress, improved lung function at rest and reduced inappropriate laryngeal movements during maximal exercise.<br><b> Conclusion</b><br> A diaphragmatic breathing pattern, a more balanced tension in respiratory muscles, and sound cervical alignment and stability may help to reduce adverse stress on the respiratory system and optimise the function of the larynx during high-intensity exercise. Our results suggest that understanding and management of EILO need to extend beyond structures located in the anterior neck and include factors influencing the whole respiratory system.en_US
dc.description.sponsorshipThe study has received some financial support from the foundation for promoting sports medicine and sports physiotherapy in Norway.en_US
dc.descriptionPublished version, available at: <a href=http://dx.doi.org/10.1136/bmjsem-2018-000487>http://dx.doi.org/10.1136/bmjsem-2018-000487</a>en_US
dc.identifier.citationKolnes, L.-J., Vollsæter, M., Røksund, O.D., Stensrud, T. (2019) Physiotherapy improves symptoms of exercise-induced laryngeal obstruction in young elite athletes: A case series.<I> BMJ Open sport & exercise medicine. 2019, 5:e000487 </i>, 9s. http://dx.doi.org/10.1136/bmjsem-2018-000487en_US
dc.identifier.issn2055-7647
dc.identifier.otherFRIDAID 1666956
dc.identifier.other10.1136/bmjsem-2018-000487
dc.identifier.urihttps://hdl.handle.net/10037/15767
dc.language.isoengen_US
dc.publisherBritish Medical Association (BMJ)en_US
dc.relation.journalBMJ Open sport & exercise medicine
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Sports medicine: 850en_US
dc.subjectVDP::Medisinske Fag: 700::Idrettsmedisinske fag: 850en_US
dc.titlePhysiotherapy improves symptoms of exercise-induced laryngeal obstruction in young elite athletes: A case seriesen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US


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