In:
Monatsschrift Kinderheilkunde, Springer Science and Business Media LLC, Vol. 169, No. 11 ( 2021-11), p. 1075-1082
Abstract:
Episodically occurring dyspnea has a high prevalence in childhood and adolescence. Besides exercise-induced bronchial obstruction in a child with asthma, functional respiratory problems are also frequently encountered; however, in cases of functional disorders the correct diagnosis is often not made or made after a long latent period. The term inducible laryngeal obstruction (ILO) comprises functional supraglottic obstruction due to cartilage collapse as well as glottic disorders, such as vocal cord dysfunction (VCD). Physical exertion is a common trigger but there are also other entities which occur without relation to exercise. One main goal of the article is to delineate a reasonable diagnostic pathway taking the limited access to a continuous laryngoscopy exercise (CLE) test in Germany into account: The CLE test is presently done by a treadmill provocation test while visualizing the larynx with a direct laryngoscopy; however, this procedure is not widely available in Germany. Hence the authors of this paper discuss the diagnostic power of other procedures and suggest a reasonable diagnostic algorithm. A second focus of the paper is on a detailed presentation and discussion of suitable physiotherapeutic interventions.
Type of Medium:
Online Resource
ISSN:
0026-9298
,
1433-0474
DOI:
10.1007/s00112-021-01159-z
Language:
German
Publisher:
Springer Science and Business Media LLC
Publication Date:
2021
detail.hit.zdb_id:
1462918-5
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