Problem asthma clinic: Cohort observational study of the upper airway and breathing pattern

Stanton, Andrew Ewing (2006) Problem asthma clinic: Cohort observational study of the upper airway and breathing pattern. MD thesis, University of Glasgow.

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Abstract

The investigations reported in this thesis are observational studies of various aspects of the upper airway and breathing pattern in patients attending a Problem Asthma Clinic (PAC) based in a large city hospital. We hypothesised that Vocal Cord Dysfunction (VCD) would be present in a proportion of patients attending our clinic and that the Forced Oscillation Technique (FOT) would play a role in the non-invasive identification of this. In addition we explored the relationships between structural nasal, laryngeal and vocal pathology and symptoms, along with a detailed assessment of vocal morbidity by both patient reported (Voice Symptom Score - VoiSS) and Speech and Language Therapy assessment (GRBAS score) methods. We hypothesised further that a strategy of performing challenge testing with Histamine and Exercise challenge would be helpful in the diagnosis of VCD. Finally we proposed that patients felt to have dysfunctional breathing (DB) on the basis of Nijmegen scores would have different physiological measurements of breathing pattern to those not felt to have DB and that physiotherapist delivered breathing control therapy (BCT) would produce an improvement in Nijmegen scores and asthma related quality of life. (Abstract shortened by ProQuest.).

Item Type: Thesis (MD)
Qualification Level: Doctoral
Additional Information: Adviser: Christine Bucknall
Keywords: Epidemiology
Date of Award: 2006
Depositing User: Enlighten Team
Unique ID: glathesis:2006-71432
Copyright: Copyright of this thesis is held by the author.
Date Deposited: 10 May 2019 10:49
Last Modified: 10 May 2019 10:49
URI: http://theses.gla.ac.uk/id/eprint/71432

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