A friend of mine has been experiencing voice problems. She went to see a speech therapist and was told that she has "paradoxical vocal cord motion." What does this mean?
Melissa Kim, M.S., CCC-SLP writes...
Vocal cord dysfunction (VCD), also referred to as paradoxical vocal cord motion (PVCM), is a condition in which the vocal folds close (rather than open as they normally should) during inspiration, resulting in any number of symptoms including shortness of breath, wheezing, and/ or cough. The cause of this disorder is often unknown, although in many cases it is thought to be irritant induced, such as chronic laryngeal irritation from acid reflux. Treatment is primarily therapy with a speech pathologist, targeting respiratory techniques to help to manage episodes, in addition to medical treatment of any underlying or contributing disorder.
Thank you for your question.
Tuesday, September 30, 2014
Thursday, September 4, 2014
You and your larynx... what you need to know
|Your voice reflects many different aspects of your personality. It's what makes you unique. Lifestyle choices and differences in daily vocal use or misuse can affect the health and stability of your vocal cords. We do know that the effects of smoking and drinking alcohol can have detrimental effects on the voice and may lead to cancer of the larynx. Keeping a healthy voice throughout your lifetime.|
|1.||Don't smoke! Don't smoke! Don't smoke! Also, stay away from smoke-filled environments.|
|2.||Hydration matters. Drink at least 8, 8-ounce glasses of water per day (64 ounces); more if you drink caffeine, alcohol, or if you're exercising. Hydration appears to affect voice in at least two ways. First, well-hydrated vocal cords vibrate with less "push" from the lungs. Second, well-hydrated cords resist injury from voice use more than dry cords, and recover better from existing injury than dry vocal cords. Increased systemic hydration also has the benefit of thinning thick secretions (Titze, 1988; Verdolini-Marston, Druker, & Titze, 1990; Verdolini, Titze, & Fennell, 1994; Verdolini et al., 2002; Titze, 1981; Verdolini-Marston, Sandage, and Titze, 1994).|
|3.||Eliminate excessive throat clearing. Chronic throat clearing can result in irritation and swelling of the vocal cords. Try sipping water, humming, or using a "baby" throat clear. |
Limit alcohol intake.
|4.||Alcohol irritates laryngeal epithelium and mucosa, and has been linked to laryngeal cancer risk.|
|5.||Avoid vocally abusive behaviors.|
|6.||Avoid chronic use of mouthwash. Most mouthwashes have a high alcohol content, which can be irritating to the larynx. If you wish, use mouthwash to rinse your mouth... if you must gargle, switch to a mouthwash without alcohol or use warm salt water.|
|7.||Posture matters. Good posture allows better airflow and reduces tension and strain. Poor posture can be improved with an exercise program designed to strengthen and realign the body for optimal support.|
|8.||Exercise regularly to keep your body, mind, and spirit healthy. Try yoga for the extra benefit of stretch, relaxation, and strengthening, as well as good posture.|
|9.||Get sufficient sleep daily .Early to bed, early to rise makes your voice healthy and wise.|
|10.||Always warm up your voice before or cool down after prolonged speaking or singing. Try quiet lip or tongue trills up and down your range, or softly and quietly hum five-note descending scales in the middle of your range.|