Chamberlain Mitchell, SAF, Ellis, J, Ludlow, S, Pandyan, A ORCID: 0000-0002-2180-197X and Birring, SS (2019) Non-pharmacological interventions for chronic cough: the past, present and future. Pulmonary Pharmacology and Therapeutics.

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Abstract

Non-pharmacological interventions have been explored in people with refractory chronic cough. Normally delivered by Physiotherapists and or Speech and Language Therapists, these interventions aim to educate patients about their cough, provide them with cough suppression techniques and breathing exercises, improve vocal/laryngeal hydration and psychoeducational counselling to help them gain greater control of their cough. Six key studies have been completed over the past 12 years that have consistently found non-pharmacological interventions help to improve quality of life and reduce cough frequency. Some studies also found improvements in cough reflex sensitivity and severity. Despite promising results there now needs to be further work to optimise these interventions. There is a need to standardise terminology used such as relabelling the intervention as cough control therapy and move away from uni-disciplinary terms. Standardised patient selection, including screening protocols, optimal timing and delivery of the interventions as well as the outcome measures used to evaluate interventions need further exploration.

Item Type: Article
Additional Information: This is the accepted author manuscript (AAM). The final published version (version of record) is available online via Elsevier at http://doi.org/10.1016/j.pupt.2019.02.006 - please refer to any applicable terms of use of the publisher.
Uncontrolled Keywords: Refractory chronic cough, speech pathology, Physiotherapy, Non-pharmacological interventions
Subjects: R Medicine > RC Internal medicine > RC705 Diseases of the respiratory system
R Medicine > RM Therapeutics. Pharmacology > Physical medicine. Physical therapy. Including massage, exercise, occupational therapy, hydrotherapy, phototherapy, radiotherapy, thermotherapy, electrotherapy
Divisions: Faculty of Medicine and Health Sciences > School of Health and Rehabilitation
Depositing User: Symplectic
Date Deposited: 27 Feb 2019 16:13
Last Modified: 27 Feb 2019 16:19
URI: http://eprints.keele.ac.uk/id/eprint/5931

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