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The Physician and Sportsmedicine Volume 40, 2012 - Issue 2
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Clinical Focus: Respiratory Disorders, Allergies, and Infectious Diseases

Etiology of Dyspnea in Elite and Recreational Athletes

Christopher D. Hanks The Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, The Wexner Medical Center, The Ohio State University, Columbus, OH
, MD,
Jonathan Parsons The Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, The Wexner Medical Center, The Ohio State University, Columbus, OH
, MD, MSc,
Cathy Benninger The Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, The Wexner Medical Center, The Ohio State University, Columbus, OH
, RN, MS, CNP,
Christopher Kaeding Department of Sports Medicine, The Wexner Medical Center, The Ohio State University, Columbus, OH
, MD,
Thomas M. Best Department of Sports Medicine, The Wexner Medical Center, The Ohio State University, Columbus, OH
, MD, PhD,
Gary Phillips Center for Biostatistics, The Ohio State University, Columbus, OH
, MAS &
John G. Mastronarde The Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, The Wexner Medical Center, The Ohio State University, Columbus, OHCorrespondence[email protected]
, MD, MSc show all
Pages 28-33 | Published online: 13 Mar 2015

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Joo Koh, Debra Phyland, Malcolm Baxter, Paul Leong & Philip G Bardin. (2023) Vocal cord dysfunction/inducible laryngeal obstruction: novel diagnostics and therapeutics. Expert Review of Respiratory Medicine 17:6, pages 429-445.
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Tommie Irewall, Lars Söderström, Anne Lindberg & Nikolai Stenfors. (2021) High incidence rate of asthma among elite endurance athletes: a prospective 4-year survey. Journal of Asthma 58:6, pages 735-741.
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Articles from other publishers (37)

Karin Jeppesen, Bahareh Bakhshaie Philipsen & Camilla Slot Mehlum. (2023) Prevalence and characterisation of exercise-induced laryngeal obstruction in patients with exercise-induced dyspnoea. The Journal of Laryngology & Otology, pages 1-8.
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Robert Brinton Fujiki, Bryn Olson-Greb & Susan L. Thibeault. (2023) Clinical Profiles of Children and Adolescents With Induced Laryngeal Obstruction (ILO) and Exercise Induced Laryngeal Obstruction (EILO). Annals of Otology, Rhinology & Laryngology.
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Tommie Irewall, Catharina Bäcklund, Estelle Naumburg, Marie Ryding & Nikolai Stenfors. (2023) A longitudinal follow-up of continuous laryngoscopy during exercise test scores in athletes irrespective of laryngeal obstruction, respiratory symptoms, and intervention. BMC Sports Science, Medicine and Rehabilitation 15:1.
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Robert Brinton Fujiki, Bryn Olson-Greb, Maia Braden & Susan L. Thibeault. (2023) Therapy Outcomes for Teenage Athletes With Exercise-Induced Laryngeal Obstruction. American Journal of Speech-Language Pathology 32:4, pages 1517-1531.
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Hege Havstad Clemm, J Tod Olin, Cameron McIntosh, Martin Schwellnus, Nicola Sewry, James H Hull & Thomas Halvorsen. (2022) Exercise-induced laryngeal obstruction (EILO) in athletes: a narrative review by a subgroup of the IOC Consensus on ‘acute respiratory illness in the athlete’. British Journal of Sports Medicine 56:11, pages 622-629.
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Ida Jansrud Hammer, Thomas Halvorsen, Maria Vollsæter, Magnus Hilland, John‐Helge Heimdal, Ola Drange Røksund & Hege Havstad Clemm. (2022) Conundrums in the breathless athlete; exercise‐induced laryngeal obstruction or asthma?. Scandinavian Journal of Medicine & Science in Sports 32:6, pages 1041-1049.
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Chiara Veneroni, Pasquale Pio Pompilio, Kjell Alving, Christer Janson, Leif Nordang, Raffaele Dellacà, Henrik Johansson & Andrei Malinovschi. (2021) Self‐reported exercise‐induced dyspnea and airways obstruction assessed by oscillometry and spirometry in adolescents. Pediatric Allergy and Immunology 33:1.
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TOMMIE IREWALL, CATHARINA BÄCKLUND, LEIF NORDANG, MARIE RYDING & NIKOLAI STENFORS. (2021) High Prevalence of Exercise-induced Laryngeal Obstruction in a Cohort of Elite Cross-country Skiers. Medicine & Science in Sports & Exercise 53:6, pages 1134-1141.
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J. Nikki Gaylord, Stephanie Schaaf & Eric Frederick. (2021) Exercise-Induced Dyspnea in Collegiate Athletes: Are We Missing the Diagnosis?. Journal of Voice.
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David C. Peritz & John J. Ryan. 2021. Sports Cardiology. Sports Cardiology 297 319 .
Michael D. Kennedy, Elisabeth Lenz, Martin Niedermeier & Martin Faulhaber. (2020) Are Respiratory Responses to Cold Air Exercise Different in Females Compared to Males? Implications for Exercise in Cold Air Environments. International Journal of Environmental Research and Public Health 17:18, pages 6662.
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Kevin Pasternak & Susan L. Thibeault. (2020) Factors Affecting Initiation of Voice Therapy for Paradoxical Vocal Fold Motion Disorder. Journal of Voice 34:4, pages 559-566.
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Elizabeth O. Shay, Edouard Sayad & Claudio F. Milstein. (2019) Exercise‐induced laryngeal obstruction (EILO) in children and young adults: From referral to diagnosis. The Laryngoscope 130:6.
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Emily C. Ambrose, Juliana K. Litts & Matthew S. Clary. 2020. Neurologic and Neurodegenerative Diseases of the Larynx. Neurologic and Neurodegenerative Diseases of the Larynx 263 274 .
Jason Kwah, Anju Peters & Sumita Khatri. 2020. Difficult To Treat Asthma. Difficult To Treat Asthma 55 74 .
Kelechi Ugonna, Nicki Barker, Jane Kirkby & Ravi Thevasagayam. (2019) The young athlete with dyspnoea. Paediatrics and Child Health 29:4, pages 172-177.
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Allison B.J. Tobey & Raymond C. Maguire. (2019) Dynamic tonsillar prolapse masquerading as paradoxical vocal fold movement dysfunction. International Journal of Pediatric Otorhinolaryngology 118, pages 68-72.
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Dan M. Cooper, Ronen Bar-Yoseph, J. Tod Olin & Shlomit Radom-Aizik. 2019. Kendig's Disorders of the Respiratory Tract in Children. Kendig's Disorders of the Respiratory Tract in Children 212 230.e7 .
Claire-Marie Roberts. (2018) An Interdisciplinary Approach to the Management of Vocal Cord Dysfunction in an Elite Female Swimmer: A Case Study. Case Studies in Sport and Exercise Psychology 2:1, pages 12-20.
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Zinovii Ostapiak, Igor Vypasniak, Bogdan Lisovskyi & Tetiana Mytskan. (2017) Respiratory Tract Dysfunction in Sportsmen. Physical education, sport and health culture in modern society:2(38), pages 169-177.
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Michael Matheny, Andrew Getzin & Mary Pitti. (2016) Dyspnea in Patients: Is It Really Asthma?. Athletic Training & Sports Health Care 8:6, pages 262-265.
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James H. Hull, Vibeke Backer, Peter G. Gibson & Stephen J. Fowler. (2016) Laryngeal Dysfunction: Assessment and Management for the Clinician. American Journal of Respiratory and Critical Care Medicine 194:9, pages 1062-1072.
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John M. Weiler, John D. Brannan, Christopher C. Randolph, Teal S. Hallstrand, Jonathan Parsons, William Silvers, William Storms, Joanna Zeiger, David I. Bernstein, Joann Blessing-Moore, Matthew Greenhawt, David Khan, David Lang, Richard A. Nicklas, John Oppenheimer, Jay M. Portnoy, Diane E. Schuller, Stephen A. Tilles & Dana Wallace. (2016) Exercise-induced bronchoconstriction update—2016. Journal of Allergy and Clinical Immunology 138:5, pages 1292-1295.e36.
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Emil S. Walsted & James H. Hull. (2016) Breathless and young-In need of inspiration?. Pediatric Pulmonology 51:11, pages 1105-1107.
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James M. Smoliga, Zahra S. Mohseni, Jeffrey D. Berwager & Eric J. Hegedus. (2016) Common causes of dyspnoea in athletes: a practical approach for diagnosis and management. Breathe 12:2, pages e22-e37.
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Martin Unverdorben, Guido Parodi, Massimo Pistolesi & Robert F. Storey. (2016) Dyspnea related to reversibly-binding P2Y12 inhibitors: A review of the pathophysiology, clinical presentation and diagnostics. International Journal of Cardiology 202, pages 167-173.
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Nicki Barker & Mark L. Everard. (2015) Getting to grips with ‘dysfunctional breathing’. Paediatric Respiratory Reviews 16:1, pages 53-61.
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David Krey & Thomas Best. (2014) Dyspneic athlete. Current Reviews in Musculoskeletal Medicine 7:4, pages 373-380.
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Jennifer R. Reitz, Stephen Gorman & Jennifer Kegyes. (2014) Behavioral Management of Paradoxical Vocal Fold Motion. Perspectives on Voice and Voice Disorders 24:2, pages 64-70.
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John M. Weiler, Teal S. Hallstrand, Jonathan P. Parsons, Christopher Randolph, William S. Silvers, William W. Storms & Amy Bronstone. (2014) Improving Screening and Diagnosis of Exercise-Induced Bronchoconstriction: A Call to Action. The Journal of Allergy and Clinical Immunology: In Practice 2:3, pages 275-280.e7.
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Laura Matrka. (2014) Paradoxic Vocal Fold Movement Disorder. Otolaryngologic Clinics of North America 47:1, pages 135-146.
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Ran D. Anbar. 2014. Functional Symptoms in Pediatric Disease. Functional Symptoms in Pediatric Disease 47 57 .
Ran D. Anbar. 2014. Functional Symptoms in Pediatric Disease. Functional Symptoms in Pediatric Disease 47 57 .
Christopher Randolph. (2013) Pediatric Exercise-Induced Bronchoconstriction: Contemporary Developments in Epidemiology, Pathogenesis, Presentation, Diagnosis, and Therapy. Current Allergy and Asthma Reports 13:6, pages 662-671.
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EMIL WALSTED NIELSEN, JAMES H. HULL & VIBEKE BACKER. (2013) High Prevalence of Exercise-Induced Laryngeal Obstruction in Athletes. Medicine & Science in Sports & Exercise 45:11, pages 2030-2035.
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Katherine Newsham. (2013) Evaluating Dyspnea in the Athletic Patient. The Journal for Nurse Practitioners 9:5, pages 288-294.
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Kenneth W. Rundell & Pnina Weiss. (2013) Exercise-Induced Bronchoconstriction and Vocal Cord Dysfunction. Current Sports Medicine Reports 12:1, pages 45-50.
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