Speech Therapy Treatment

The seven step speech therapy treatment program developed by R.J. Martin et al. as described by G. Gallivan, L. Hoffman, and H. Gallivan in their research article (on page 101) titled Episodic Paroxysmal Larygnospasm consists of:

"Provide the patient slow direction, acknowledge the patient's fear and helplessness and that their stridor is real."

"Using behavioral approach to exercises, so that with self-awareness
and good breathing patterns, the patients will be prepared control the attack when it occurs."

  "Advising the use of diaphragmatic breathing, such as is used by professional singers, directs attention away from the larynx....  The
patient concentrates on pushing the lower abdomen out with inspiratory descent of the diaphragm.  On inspiration, the patient concentrates on utilizing support from the lower abdominal muscles."

  "Advising the use of "wide-open throat" breath, concentrating on
having the lips closed, the tongue lying flat on the floor of the mouth behind the lower front teeth, with the buccal areas of the mouth relaxed, and then releasing the mouth gently and using diaphragmatic inhalation and exhalation techniques."

  "Advising the patient to focus on exhalation interrupts the patient's
tendency to feel that they are unable to get any more breath and to hold onto their breath.  They are taught to exhale, release their breath and then to allow inhalation to follow effortlessly."

  "Increase self-awareness of the breathing sequence of inhalation and exhalation decreases the feeling of helplessness during an attack."

  "Interrupting effortful breathing is fostered by developing the attitude that their breathing does not have to be actively performed, but is part of a natural body process that can be gradually trusted and practiced."

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