A multidimensional strategy to managing dysfunctional breathing and exercise-induced laryngeal obstruction in adolescent athletes
Peer reviewed, Journal article
Published version
Date
2024Metadata
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Original version
BMC sports science, medicine and rehabilitation. 2024, 16, Article number: 13, 10.1186/s13102-023-00804-2Abstract
Background: Exercise induced laryngeal obstruction (EILO) causes inspiratory distress in the upper airway in many adolescent athletes. The nature of EILO is not fully understood, and efective management strategies are lacking. This study aimed to assess the efectiveness of a multidimensional individually tailored intervention, including Norwegian Psychomotor Physiotherapy (NPMP), elements of cognitive behavioural therapy and a rehabilitation plan, in reducing inspiratory distress and dysfunctional breathing in adolescent athletes with EILO.
Methods: A mixed methods design, which combined qualitative and quantitative research, was used. Data, includ ing subjective experiences of respiratory distress, fndings from body examinations and objective measurements of lung function and aerobic capacity were gathered before and after a fve month intervention involving 18 participants.
Results: Following the intervention, the participants showed a reduction in respiratory distress and anxious ness associated with their breathing difculties. Furthermore, the participants reported to be more in control of their breathing. The body assessments revealed a more functional breathing motion and improved posture, which imply that the breathing was less thoracic and more diaphragmatic in rest and exercise in all participants after the intervention.
Conclusions: Our results suggest that a multidimensional individually tailored intervention, including NPMP based physiotherapy, cognitive behavioural therapy elements, and a rehabilitation plan may reduce inspiratory distress and dysfunctional breathing in athletes with EILO.