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Individualised field testing is a useful tool to evaluate difficult asthma
We report the use of individualised field tests (IFT) to investigate exercise induced symptoms amongst asthmatic children referred to a tertiary respiratory service. Tests were completed by a physiotherapist and paediatrician and included the facility to perform fibre optic laryngoscopy in those with symptoms suggestive of vocal cord dysfunction (VCD).26 assessments were performed (Male 9: Female 17; age 11 - 17 years, 1child of 6 years).7 Were positive for EIB (Decreased FEV1 > 12%, 5-15mins post exercise). 13 had signs of dysfunctional breathing. 5 developed signs of upper airway obstruction due to VCD.1 test revealed...
Source: European Respiratory Journal - December 6, 2017 Category: Respiratory Medicine Authors: Connett, G., Keenan, V., Payne, S., Evans, H. Tags: Paediatric Asthma and Allergy Source Type: research

Epidemiology of exercise-induced bronchoconstriction in adolescent athletes with and without asthma in Slovenia
Conclusion: Half of the athletes had only subjective symptoms. Our data imply that although mostly negative, EBPT is mandatory in order to avoid overdiagnosed EIB with asthma and subsequent overtreatment.
Source: European Respiratory Journal - December 23, 2014 Category: Respiratory Medicine Authors: Butenko, T., Rodman, J., Aldeco, M., Kotnik Pirs, A., Krivec, U. Tags: 7.2 Paediatric Asthma and Allergy Source Type: research

Not all that wheezes is asthma - videolaryngoscopy during bicycle ergometry in children and adolescents
Conclusions:Flexible videolaryngoscopy during bicycle ergometry can be performed safely in children and adolescents. It is a valuable diagnostic tool for assessment of possible exercise-induced laryngeal obstruction. Altered laryngeal sensitivity for mechanical stimuli might explain exercise-induced dynamic upper airway obstruction.
Source: European Respiratory Journal - December 23, 2014 Category: Respiratory Medicine Authors: Krivec, U., Praprotnik, M., Lepej, D., Aldeco, M., Kotnik Pirs, A., Hocevar Boltezar, I. Tags: 7.2 Paediatric Asthma and Allergy Source Type: research