Paradoxical Vocal Fold Movement

Good Essays
Paradoxical Vocal Fold Movement (PVFM) is a condition characterized by occasional attacks of breathing difficulty in which one’s vocal folds involuntarily adduct during inhalation and/or exhalation, and therefore restrict the airflow to and from the lungs (Mathers-Schmidt, 2001). It is also referred to as Vocal Cord Dysfunction and although it is not necessarily a voice disorder, voice disorders often co-occur with it. This paper will look to explore factors influencing the differential diagnosis of PVFM, treatment options, and the role of a Speech-Language Pathologist in working with patients with this diagnosis.
PVFM is likely to occur more frequently in adults than children and in females than males at a ratio of 3:1 (Patel, Venediktov,
…show more content…
There are many different proposed etiologies to the diagnosis of PVFM, but no single cause has yet to be empirically established. PVFM occurs as the result of a threat to the upper respiratory tract (Mathers-Schmidt, 2001). It’s possible etiologies include psychological, upper airway sensitivities from laryngeal irritants, neurological origins, or as the manifestation of an underlying laryngeal dystonia.
Psychological factors play a role in the etiology of PVFM, because patients with emotional problems such as stress, anxiety, or depression may exacerbate the problems associated with PVFM. Conversely, it is also possible that depression and anxiety are consequences of rather than causes of persistent respiratory problems. Literature suggests difficulty drawing firm conclusions regarding the psychological etiologies of PVFM, as only a subgroup of patients with PVFM have revealed emotional conflicts or psychiatric disturbances (Mathers-Schmidt,
…show more content…
Relevant information to obtain includes questioning the patient about the onset of his or her symptoms along with any co-occurring events or illnesses, finding out the duration each episode may last, or any triggers they may experience prior to an episode. The Speech-Language Pathologist may also want to question if the patient feels any tightness or pain and the location of such issues if present, if he or she is noticing a concurrent cough, or lightheadedness. Perceptual symptoms to listen for and question the presence of include hoarseness, aphonia, a sense of effort upon inhalation or exhalation, stridor, wheezing, and stridor (Reitz, Gorman, & Kegyes,

You May Also Find These Documents Helpful

  • Powerful Essays

    Phonetics and Vocal Folds

    • 2006 Words
    • 9 Pages

    Chapter 1 Phonetics: A “Sound” Science * Phonetics as a field of study * Historical phonetics- involves the study of sound changes in words * There is a constant mutation over time in the pronunciation of words in all languages. * Between the fourteenth and seventeenth centuries, there was a marked evolution in the pronunciation of English long vowels; this change in vowel pronunciation is known as the “Great Vowel Shift” * Physiological phonetics- involves…

    • 2006 Words
    • 9 Pages
    Powerful Essays
  • Satisfactory Essays

    Vocal fold paralysis is often the result of damage to the Vagus nerve (CN X) or anywhere along its pathway from the medulla to the larynx (Al-Khtoum et al., 2013). There are two types of vocal fold paralysis: unilateral and bilateral, depending on the lesion site and whether the damage is unilateral or bilateral, and partial or complete (Boone et al., 2014). Unilateral vocal fold paralysis (UVFP) is the occurrence of only one vocal fold vibrating while the other is paralyzed, neither opening nor…

    • 121 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Vocal Techniques

    • 687 Words
    • 3 Pages

    Vocal Techniques The single most important thing you can do for you students vocal health is to start off any singing activity with vocal wearm-ups. Putting your music lesson at the beginning of the day can really be a big plus for your students' health! However these are beneficial exercises whenever you choose to use them. These Warm-ups have 3 basic principles behind them: 1. Good Posture 2. Proper Breathing 3. Be gentle with your voice and Warm-up before intensive use. WARM-UPS Good…

    • 687 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Vocal Health

    • 352 Words
    • 2 Pages

    of professional instruction and advice they willever receive about their voice. The choral director is their first line of defense for vocal health. A conductor's skill at diagnosis of vocal faults must be matched by a willingness to refer students to the proper health care professional. This is a copy of a handout presented to students in choral conducting and vocal pedagogy classes at Radford University. In addition to the sources cited in the bibliography, and my own experience, this material is…

    • 352 Words
    • 2 Pages
    Good Essays
  • Better Essays

    Paradoxical Country

    • 1291 Words
    • 6 Pages

    successful and happy to the world, in many cases it a false ideology that few can obtain. We base ourselves as a country on freedom and the ability to have control over our own lives. When in reality this is not entirely true. Some say that we have a paradoxical country and in order to assess the validity of this statement we must first create an understanding of the word paradox itself. Often confused with the word hypocrisy, paradox is a complex word that can have a slew of meanings. Hypocrisy involves…

    • 1291 Words
    • 6 Pages
    Better Essays
  • Powerful Essays

    Vocal Tips

    • 3493 Words
    • 14 Pages

    Good vocal health, of general interest to everyone, is a vital concern to the professional voice user, singers in particular. The voice is a precious commodity which cannot be replaced when worn out or damaged; therefore prevention can be the most important aspect of vocal hygiene. Vocal experts offer detailed suggestions for maintaining good vocal health and preventing serious vocal problems. Stemple states that people who make professional use of their voice must take special care to avoid risks…

    • 3493 Words
    • 14 Pages
    Powerful Essays
  • Good Essays

    Vocal Health

    • 1106 Words
    • 5 Pages

    Vocal Health As a singer, there are several things to keep in mind in order to continue using your instrument in a healthy manner. Good vocal health doesn’t just mean maintaining a healthy diet or eating fruits and vegetables, it is much more than that. There are several things that you can do as a singer to ensure your vocal cords are working properly and being used to their full potential. Remembering these things could help protect you from damaging your voice for a period of time, and…

    • 1106 Words
    • 5 Pages
    Good Essays
  • Satisfactory Essays

    Paradoxical Insomnia

    • 202 Words
    • 1 Page

    article define Paradoxical Insomnia and explains how one might be getting more sleep than they think. The article relates this condition by linking it to automated behaviors, which is something one does without being full conscious of what they’re doing. It then gives treatment options for those who suffer from this condition, such as cognitive behavioral treatments which include filling out a journal to log one’s sleep schedule on a daily basis for extended amounts of time. Paradoxical Insomnia is…

    • 202 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    O-Fold

    • 664 Words
    • 3 Pages

    management team, how would you handle distribution and marketing of the O-Fold? Within the text I really liked the 2nd and 3rd option of distribution, which was going an online route or advertising I travel magazines. Although the adverting in magazines option is appealing when it comes down to it I don’t think it would reach as many people as online distribution. I would chose to create a website and distribute the O-Fold product through there. Creating a website would be extremely cost effective…

    • 664 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    O Fold

    • 2341 Words
    • 10 Pages

    O-fold Innovation Assignment Questions 1. Select which business model Alex should pursue and defend your answer. Alex should pursue is Use a Crawl-Walk-Run Strategy. The advantage to choosing this business model is lowest risk. There is no need for a huge star-up cost, and it fits Alex’s current financial situation. Second advantage of Crawl-Walk-Run strategy is, it gives Alex’s time to do market research for his invention. One of the reason many small business was failure is that they did…

    • 2341 Words
    • 10 Pages
    Satisfactory Essays