Cough in Reduced True Vocal Fold Mobility

NCT ID: NCT02407301

Last Updated: 2016-05-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

15 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-04-30

Study Completion Date

2016-02-29

Brief Summary

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This project is a first attempt to assess cough airflow dynamics and true vocal fold (TVF) adduction and abduction angles during voluntary cough to examine the effects of changes in glottal closure due to reduced mobility of one true vocal fold. The hypothesis of this study is that the incomplete glottal closure due to reduced vocal fold mobility will result in changes in true vocal fold adductory and abductory angles during cough and will result in changes to voluntary cough airflow parameters. This study results will contribute to the existing knowledge of the laryngeal contribution to cough airflow dynamics.

Detailed Description

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The study investigators will consecutively recruit 30 adults diagnosed with vocal fold insufficiency due to reduced mobility of one true vocal fold.

A questionnaire will be used to collect participants' information. Demographic information such as age, gender, race/ethnicity, height, weight, and a major complaint (dysphonia and/or dysphagia) and medical history information determining the eligibility for participation will be collected from the participant. Participant's medical and surgical history specifically related to the diagnosis and the etiology of reduced vocal fold mobility will be obtained from the participant's medical record.

Videolaryngoscopy will be performed as part of standard clinical care. Vocal fold image and cough airflow will be recorded simultaneously during voluntary cough production with the flexible endoscope in nasopharynx. A second part of the study will include spirometry and expiratory muscle strength assessments. Video images of the vocal fold movement during vowel phonation and cough production will be recorded and stored on a CD for later analysis. The cough airflow recordings will be displayed, stored, and analyzed using LabChart software for Windows.

Conditions

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Unilateral Vocal Cord Paresis Unilateral Vocal Cord Paralysis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Laryngeal function in cough

cough airflow measure, vocal tasks, true vocal fold movement, spirometry test, and maximum expiratory pressure (MEP) assessment will be performed in this group.

cough airflow measure

Intervention Type OTHER

Participants will produce multiple voluntary coughs for cough airflow assessment.

vocal tasks

Intervention Type OTHER

The assessment of glottal closure will be performed during phonation tasks.

true vocal fold movement

Intervention Type OTHER

The true vocal fold (TVF) movement in cough will be observed and recorded during cough production.

spirometry test

Intervention Type OTHER

The lung function test will require the participant to perform deep inhalations and forceful exhalations into the flow head of the spirometer during spirometry test.

maximum expiratory pressure (MEP)

Intervention Type OTHER

The assessment of maximum expiratory pressure will require forceful exhalations into a mouthpiece of a manometer during maximum expiratory pressure (MEP) assessment.

Interventions

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cough airflow measure

Participants will produce multiple voluntary coughs for cough airflow assessment.

Intervention Type OTHER

vocal tasks

The assessment of glottal closure will be performed during phonation tasks.

Intervention Type OTHER

true vocal fold movement

The true vocal fold (TVF) movement in cough will be observed and recorded during cough production.

Intervention Type OTHER

spirometry test

The lung function test will require the participant to perform deep inhalations and forceful exhalations into the flow head of the spirometer during spirometry test.

Intervention Type OTHER

maximum expiratory pressure (MEP)

The assessment of maximum expiratory pressure will require forceful exhalations into a mouthpiece of a manometer during maximum expiratory pressure (MEP) assessment.

Intervention Type OTHER

Other Intervention Names

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cough airflow assessment phonation tasks TVF movement spirometry MEP

Eligibility Criteria

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Inclusion Criteria

1. Age between 40 and 75 years.
2. Glottal insufficiency secondary to reduced TVF mobility confirmed with the endoscopic evaluation performed by an otolaryngologist.
3. The ability to provide informed consent.
4. No history of chronic obstructive pulmonary disease, lung cancer, and/or lung transplant.
5. No history of neurodegenerative disease such as Parkinson's disease, multiple sclerosis (MS), amyotrophic lateral sclerosis (ALS), or progressive supranuclear palsy (PSP), Alzheimer's disease, or dementia.

Exclusion Criteria

1. Chest infection within one month prior to the study participation.
2. History of the adverse reaction associated with laryngoscopy.
Minimum Eligible Age

40 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Florida

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Karen W Hegland, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of Florida

Locations

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University of Florida ENT Clinic

Gainesville, Florida, United States

Site Status

University of Florida Speech and Hearing Center

Gainesville, Florida, United States

Site Status

Countries

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United States

Other Identifiers

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IRB201400733

Identifier Type: -

Identifier Source: org_study_id

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