Olin James Tod, Clary Matthew S, Deardorff Emily H, Johnston Kristina, Morris Michael J, Sokoya Mofiyinfolu, Staudenmayer Herman, Christopher Kent L
Department of Pediatrics, National Jewish Health, Pediatric Exercise Tolerance Center , Denver, CO , USA.
Phys Sportsmed. 2015 Feb;43(1):13-21. doi: 10.1080/00913847.2015.1007026. Epub 2015 Feb 2.
Exercise as an important part of life for the health and wellness of children and adults. Inducible laryngeal obstruction (ILO) is a consensus term used to describe a group of disorders previously called vocal cord dysfunction, paradoxical vocal fold motion, and numerous other terms. Exercise-ILO can impair one's ability to exercise, can be confused with asthma, leading to unnecessary prescription of asthma controller and rescue medication, and results in increased healthcare resource utilization including (rarely) emergency care. It is characterized by episodic shortness of breath and noisy breathing that generally occurs at high work rates. The present diagnostic gold standard for all types of ILO is laryngoscopic visualization of inappropriate glottic or supraglottic movement resulting in airway narrowing during a spontaneous event or provocation challenge. A number of different behavioral techniques, including speech therapy, biofeedback, and cognitive-behavioral psychotherapy, may be appropriate to treat individual patients. A consensus nomenclature, which will allow for better characterization of patients, coupled with new diagnostic techniques, may further define the epidemiology and etiology of ILO as well as enable objective evaluation of therapeutic modalities.
运动是儿童和成人健康生活的重要组成部分。诱发性喉梗阻（ILO）是一个共识性术语，用于描述一组以前被称为声带功能障碍、矛盾性声带运动及许多其他名称的病症。运动性ILO会损害一个人的运动能力，可能会与哮喘混淆，导致不必要地开具哮喘控制药物和急救药物，并导致包括（很少）急诊护理在内的医疗资源利用增加。其特征是通常在高工作强度时出现发作性呼吸急促和呼吸嘈杂。目前所有类型ILO的诊断金标准是通过喉镜观察在自发事件或激发试验期间因声门或声门上不适当运动导致气道狭窄。一些不同的行为技术，包括言语治疗、生物反馈和认知行为心理治疗，可能适用于治疗个体患者。一种能够更好地对患者进行特征描述的共识性命名法，再加上新的诊断技术，可能会进一步明确ILO的流行病学和病因，并能够对治疗方式进行客观评估。
