The “Silent Cough” Method for Vocal Hyperfunction Coughing and throat clearing are vocally abusive activities that can be directly related to laryngeal disease. Methods of therapy include advising the patient to avoid or eliminate these activities, although the authors have found that few patients benefit from such suggestions. The action of coughing and throat clearing has been ... Case Reports
Case Reports  |   February 01, 1973
The “Silent Cough” Method for Vocal Hyperfunction
 
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Article Information
Case Reports   |   February 01, 1973
The “Silent Cough” Method for Vocal Hyperfunction
Journal of Speech and Hearing Disorders, February 1973, Vol. 38, 119-125. doi:10.1044/jshd.3801.119
 
Journal of Speech and Hearing Disorders, February 1973, Vol. 38, 119-125. doi:10.1044/jshd.3801.119

Coughing and throat clearing are vocally abusive activities that can be directly related to laryngeal disease. Methods of therapy include advising the patient to avoid or eliminate these activities, although the authors have found that few patients benefit from such suggestions. The action of coughing and throat clearing has been examined by means of indirect laryngoscopy and high-speed cinematography, and the stages of the cough from complete constriction of the folds to violent abduction are reviewed. Although the cough reflex is a natural protective mechanism that at times must be activated because of obstruction of the air tract, continual coughing and throat clearing frequently have a significant nonessential component. The actions may be due to an overawareness of secretions in the larynx, the fruitless use of coughing or throat clearing to eliminate pain or discomfort, or unconscious habit. Methods to treat this type of cough or throat clearing are explored, with special emphasis on the “silent cough,” a technique the authors devised as a substitute for unnecessary coughing or throat clearing. Case reports are presented to illustrate this method in therapy.

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