John Hunter Hospital, Hunter Medical Research Institute, New Castle, Australia.
John Hunter Hospital, Hunter Medical Research Institute, University of Newcastle, New Castle, Australia.
J Voice. 2020 Jul;34(4):647.e7-647.e14. doi: 10.1016/j.jvoice.2018.12.002. Epub 2019 Jan 11.
Speech pathology intervention is effective for chronic refractory cough (CRC). Speech pathology treatment for CRC includes therapy exercises to teach cough suppression and reduce laryngeal closure during respiration.
The aim of this study was to evaluate the benefit of providing patients with supplemental pre-recorded videos of speech pathology exercises for chronic refractory cough (CRC) to assist with patients' independent practice. These videos were pre-made recordings of the treating speech pathologist demonstrating specific exercises for chronic cough suppression.
This study was a prospective randomized controlled trial design. Participants included 18 adult patients attending a speech pathology outpatient clinic in a tertiary referral hospital for treatment of CRC. Participants were randomized to receive either standard speech pathology intervention (SPI) for CRC combined with supplemental pre-recorded videos for home practice or standard SPI alone. The primary outcome measure was a rating of accuracy during demonstration of the speech pathology exercises for cough suppression. This rating was assigned by the treating speech pathologist from session 2 onwards. The treating speech pathologist asked the patient to demonstrate the exercises they had been practising since the last speech pathology session. Secondary outcome measures included the Symptom Frequency and Severity Rating Scale, Leicester Cough Questionnaire, and Consensus Auditory Perceptual Evaluation of Voice.
There was a significant pre- to post-treatment improvement in both groups however the degree of improvement was not significantly different between the two groups.
The addition of supplemental pre-recorded videos of SPI for CRC did not lead to greater accuracy of therapy exercise practice or superior treatment outcomes than standard SPI alone.
There are no interests to declare.
言语病理学干预对慢性难治性咳嗽（CRC）有效。CRC 的言语病理学治疗包括治疗性练习，以教导咳嗽抑制并减少呼吸时的声门关闭。
本研究旨在评估为慢性难治性咳嗽（CRC）患者提供言语病理学练习补充预录视频的益处，以帮助患者进行独立练习。这些视频是治疗言语病理学家演示特定慢性咳嗽抑制练习的预先录制的记录。
本研究为前瞻性随机对照试验设计。参与者包括在三级转诊医院的言语病理学门诊就诊治疗 CRC 的 18 名成年患者。参与者被随机分配接受 CRC 的标准言语病理学干预（SPI）加补充的预录视频进行家庭练习，或仅接受标准 SPI。主要结局测量是在演示咳嗽抑制言语病理学练习时的准确性评分。自第 2 次就诊以来，由治疗言语病理学家进行此评分。治疗言语病理学家要求患者演示自上次言语病理就诊以来一直在练习的练习。次要结局测量包括症状频率和严重程度评分量表、莱斯特咳嗽问卷和共识听觉感知嗓音评估。
两组均有显著的治疗前至治疗后改善，但两组之间的改善程度无显著差异。
CRC 的 SPI 补充预录视频的添加并没有导致治疗练习的准确性或优于标准 SPI 的治疗结果有更大的提高。
没有利益申报。
