Buteyko Breathing Technique for Exertion-Induced Paradoxical Vocal Fold Motion (EI-PVFM)

Dana Halevi Katz, Oshrat Sella, Hadas Golan, Karen Banai, Jessie Van Swearingen, Gintas P. Krisciunas, Katherine Verdolini Abbott

Research output: Contribution to journalArticlepeer-review


Purpose: The primary purpose of the current study was to determine the usefulness of Buteyko breathing technique (BBT) in reducing dyspnea in patients with one form of Paradoxical Vocal Fold Motion (PVFM), exertion-induced PVFM (EI-PVFM), concomitant with hyperventilation. The secondary purpose was to determine whether BBT had an effect on physiological markers of hyperventilation, as speculated by BBT theory: respiratory tidal minute volume (RTMV), end-tidal carbon dioxide (ETCO2), and resting heart rate (HR). Methods: Using a within-subjects, repeated measures group design, 12 participants with EI-PVFM and hyperventilation underwent 12 weeks of BBT, following an initial no-treatment control condition. Outcome measures of PVFM—dyspnea frequency and severity—and of hyperventilation—HR, RTMV, and ETCO2—were acquired pre- and post-treatment. Results: Results showed post-treatment decreases in dyspnea severity, HR, and RTMV, as well as increases in ETCO2. Decreases in dyspnea and RTMV measures remained after correction for alpha inflation. Conclusions: Findings suggest BBT may be useful for some individuals with EI-PVFM and hyperventilation. The high prevalence of hyperventilation in EI-PVFM found in the current study warrants further investigation.

Original languageEnglish
Pages (from-to)40-51
Number of pages12
JournalJournal of Voice
Issue number1
StatePublished - Jan 2021

Bibliographical note

Publisher Copyright:
© 2019 The Voice Foundation


  • Chronic cough
  • Dyspnea
  • Exercise-induced laryngeal obstruction
  • Exertion
  • Paradoxical Vocal Fold Motion
  • Vocal cord dysfunction

ASJC Scopus subject areas

  • Speech and Hearing
  • LPN and LVN
  • Otorhinolaryngology


Dive into the research topics of 'Buteyko Breathing Technique for Exertion-Induced Paradoxical Vocal Fold Motion (EI-PVFM)'. Together they form a unique fingerprint.

Cite this