OBJECTIVE: To determine the correlation between respiratory resistance (Rr) values measured with the Airflow Perturbation Device (APD) to laryngoscopic images of glottal area (GA) in feigned paradoxical vocal fold motion (PVFM), also known as vocal cord dysfunction. HYPOTHESIS: There is a strong inverse relationship between Rr and GA such that laryngeal constriction can be detected and quantified by APD-measured Rr. STUDY DESIGN: Prospective, single subject study. METHODS: A healthy adult feigned breathing that was characteristic of PVFM. Rr and GA were simultaneously recorded, synchronized, and analyzed for three complete breathing cycles with significant glottal constriction occurring during inspiration. RESULTS: Cross-correlation analysis revealed a strong negative correlation (-0.824) between GA and Rr during feigned PVFM breathing such that Rr increased when GA decreased. CONCLUSION: APD-measured Rr appears to be a viable noninvasive method for diagnostic screening and monitoring of treatment outcomes for individuals presenting with dyspnea related to PVFM.
OBJECTIVE: To determine the correlation between respiratory resistance (Rr) values measured with the Airflow Perturbation Device (APD) to laryngoscopic images of glottal area (GA) in feigned paradoxical vocal fold motion (PVFM), also known as vocal cord dysfunction. HYPOTHESIS: There is a strong inverse relationship between Rr and GA such that laryngeal constriction can be detected and quantified by APD-measured Rr. STUDY DESIGN: Prospective, single subject study. METHODS: A healthy adult feigned breathing that was characteristic of PVFM. Rr and GA were simultaneously recorded, synchronized, and analyzed for three complete breathing cycles with significant glottal constriction occurring during inspiration. RESULTS: Cross-correlation analysis revealed a strong negative correlation (-0.824) between GA and Rr during feigned PVFM breathing such that Rr increased when GA decreased. CONCLUSION: APD-measured Rr appears to be a viable noninvasive method for diagnostic screening and monitoring of treatment outcomes for individuals presenting with dyspnea related to PVFM.
Authors: Hanna Tervonen; Minna M Niskanen; Anssi R Sovijärvi; Auli S Hakulinen; Erkki A Vilkman; Leena-Maija Aaltonen Journal: Laryngoscope Date: 2009-09 Impact factor: 3.325
Authors: Erika R Lopresti; Arthur T Johnson; Frank C Koh; William H Scott; Shaya Jamshidi; Nischom K Silverman Journal: Biomed Eng Online Date: 2008-10-31 Impact factor: 2.819
Authors: Sally J K Gallena; Nancy Pearl Solomon; Arthur T Johnson; Jafar Vossoughi; Wei Tian Journal: Am J Speech Lang Pathol Date: 2015-08 Impact factor: 2.408