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augmentation with methylcellulose or hyaluronic acid None 1 injection CSI Number of patients reporting improvement of symptoms None 1 or more injections
physiotherapy program None Up to 3 sessions LCQ Subjective reporting of cough frequency and sleep disturbance Prospective case series 33; 33 (11/22) 62.6 SPEICH-C None 5 sessions Vocal loading test completion,
Symptom frequency and severity rating scale LCQ CAPE-V
Cough frequency in 1-hour LCQ
One-on-one standardized healthy lifestyle advice 45-min sessions (41) 4 sessions LCQ 24-hr cough frequency (coughs/hr) Cough severity VAS VPQ 2 or more sessions
CSI Number of injections
Number of injections
Retrospective case series 27; 27 (6/21) 62.4 Breath training therapy 45-min sessions None 2 – 4 sessions CSI Maximum phonation time None 1 or more Subjective cough
Secondary outcome measure(s)
Aerodynamic measures
Urge-to-cough VAS
Urge-to-cough VAS
severity
accuracy, effect on cough, effect on
acoustic measures
7 – 10 days Citric acid cough challenge
Accuracy of therapy technique rated by SLP
challenge
Primary outcome measure
injections
Treatment
duration
Prospective case series 17; 17 (8/9) 61 Speech pathology program for chronic cough 30-min sessions None Up to 4 sessions Capsaicin cough series 23; 23 (10/13) 60 Cough suppression
Standard speech pathology treatment 30 – 45-min sessions (9)
NC : no intervention (11)
PC : voluntary suppression (9)
Comparator
intervention (n patients)
+ corticosteroid injection : 1% lidocaine with
TABLE I.
Continued
30 – 45-min sessions (9)
epinephrine (1:100,000) or 0.5% bupivacaine
+ triamcinolone acetonide 200 mg/5 mL or methylprednisolone 80 mg/1 mL
botulinum toxin A injection
Mindfulness based-stress reduction 30 min daily (10)
Physiotherapy, speech and language therapy intervention (PSALTI)
treatment and supplemental prerecorded videos for home practice
23; 23 (12/11) 67.7 Vocal fold injection
Simpson et al (2018) Dallas, TX, USA Retrospective case series 18; 18 (3/15) 60 Local anesthetic
23; 21 (2/19) 61 EMG-guided laryngeal
Experimental intervention (n patients)
45-min sessions (34)
Standard speech pathology
Chamberlain et al (2017) London, England, UK Parallel RCT 75; 63 (24/51) E: 61 C: 56 Kapela et al (2019) Newcastle, NSW, Australia Parallel RCT 18; 15 (2/16) E: 59 C: 57
Young et al (2009) Manchester, England, UK Parallel RCT 30; 30 (10/20) E: 60.2 NC: 54.2 PC: 61.1
Average
age in
years
# Patients enrolled;
completed therapy (males/females)
case series
case series
Study
design
Australia
Yang et al (2019) Loma Linda, CA, USA
Ryan et al (2010) Newcastle, NSW, Australia
Litts et al (2018) Aurora, CO, USA Retrospective
Patel et al (2011) London, England, UK Prospective case
trial number (year) Location
Procedural therapy Sasiesta et al (2016) Rochester, MN, USA Retrospective
Vertigan et al (2017) Newcastle, NSW,
Author or clinical
Laryngoscope 132: January 2022
Wamkpah et al.: Multimodal Treatments for Neurogenic Cough
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