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</a> </li> </ol> </div> <div class="interior-page"> <div class="top-content-wrapper"> <div class="content-wrapper"> <div class="document-header"> <h1 data-epi-type="title">Exercise Respiratory Center (ExRC)</h1> </div> <div class="content-area" data-epi-type="content"> <div class="right-content"> <div class="score-accordion section-menu-wrapper"> <div class="score-accordion-panel"> <div class="panel-heading"> <div class="panel-title"> <button type="button" class="accordion-button" data-target="#sectionMenu" aria-expanded="false" aria-controls="accordion1"> In This Section </button> </div> </div><div id="sectionMenu" class="panel-collapse collapse"> <div class="panel-body"> <div class="bg-lightgrey"> <ul class="main"> <li class="section-menu-item "> <a href="/services/pulmonology/" aria-label="Pulmonology" class="GTMMENU" target="_self"> Pulmonology </a> </li> </ul> <ul class="level-1"> <li class="section-menu-item "> <a href="/services/pulmonology/why-choose-us/" aria-label="Choosing Our Team" class="GTMMENU" target="_self"> Choosing Our Team </a> </li> <li class="section-menu-item "> <a href="/services/pulmonology/appointments-referrals/" aria-label="Appointments and Referrals" class="GTMMENU" target="_self"> Appointments and Referrals </a> </li> <li class="section-menu-item "> <a href="/services/pulmonology/contact-us/" aria-label="Contacts and Locations" class="GTMMENU" target="_self"> Contacts and Locations </a> </li> <li class="section-menu-item "> <a href="/services/pulmonology/specialty-programs/" aria-label="Specialty Programs" class="GTMMENU" target="_self"> Specialty Programs </a> <ul class="level-2"> <li class="section-menu-item "> <a href="/services/pulmonology/specialty-programs/asthma/" class="GTMMENU" target="_self"> Asthma </a> </li> <li class="section-menu-item "> <a href="/services/pulmonology/specialty-programs/cystic-fibrosis/" class="GTMMENU" target="_self"> Cystic Fibrosis Center </a> </li> <li class="section-menu-item active"> <a href="/services/pulmonology/specialty-programs/exercise-respiratory-center-exrc/" aria-label="Exercise Respiratory Center (ExRC)" class="GTMMENU" target="_self"> Exercise Respiratory Center (ExRC) </a> </li> <li class="section-menu-item "> <a href="/services/pulmonology/specialty-programs/transitional-care-unit/" aria-label="Transitional Care Unit" class="GTMMENU" target="_self"> Transitional Care Unit </a> </li> </ul> </li> <li class="section-menu-item "> <a href="/services/pulmonology/conditions/" aria-label="Conditions Treated" class="GTMMENU" target="_self"> Conditions Treated </a> </li> <li class="section-menu-item "> <a href="/services/pulmonology/resources/" aria-label="Educational Resources" class="GTMMENU" target="_self"> Educational Resources </a> </li> <li class="section-menu-item "> <a href="/services/pulmonology/contact-us/" aria-label="Contacts and Locations" class="GTMMENU" target="_self"> Contacts and Locations </a> </li> </ul> </div> </div> </div> </div> </div> </div> <div class="top-content"> <div class="rte-content"> <div class="rich-text"><div class="section-hero-narrow"> <div class="row"> <div class="w-6col" style="padding: 5px;"> <p><img src="/siteassets/images/specialties/pulmonology/exrc-hero_01.jpg" alt="Doctor fitting diagnostic mask" width="1105" height="545"></p> </div> <div class="w-6col" style="padding: 5px;"> <p><img src="/siteassets/images/specialties/pulmonology/exrc-hero_02.jpg" alt="Patient being tested on treadmill" width="1105" height="545"></p> </div> </div> </div> <p>At Cook Children's Exercise Respiratory Center (ExRC), we diagnose, treat, and research the causes of exercise-induced respiratory symptoms in older children, adolescents, and young adults. Our goal is to remove any barriers created by respiratory causes, so our young athletes can perform at their fullest capacity.</p> <p>The biggest challenge with correctly diagnosing the cause or causes of EIRS is that testing is usually normal when the patient is not exercising.</p> <p>To solve this problem, the ExRC is built around maximal exercise testing. The basic idea is to exercise our patients with enough intensity to trigger their symptoms while we simultaneously examine the behavior of the upper airway, lungs, and cardiovascular system. This way, when the symptoms occur, we see precisely where the problem(s) are located, make the correct diagnoses, and start effective treatment with our multidisciplinary team. </p> <p>The ExRC opened its doors officially at Cook Children's Medical Center - Prosper on October 1, 2023, through an Endowed Chair Award generously given by the Cook Children’s Health Foundation.</p> <h2>Conditions we treat</h2> <ul> <li><a href="/services/pulmonology/specialty-programs/asthma/">Asthma</a>, (including exercise-induced asthma)</li> <li>Dyspnea on exertion (DOE)</li> <li>Exercise-induced bronchospasm (EIB)</li> <li>Exercise-induced cough</li> <li>Exercise-induced dysfunctional breathing (also called breathing pattern disorder)</li> <li>Exercise-induced hyperventilation</li> <li><a title="Exercise Induced Laryngeal Obstruction (EILO)" href="/services/rehabilitation/specialty-programs/exercise-induced-laryngeal-obstruction-eilo/">Exercise-induced laryngeal obstruction</a> (EILO, also called Vocal Cord Dysfunction, VCD, or paradoxical vocal fold motion, PVFM) </li> <li>Exercise-induced laryngomalacia</li> <li>Exercise-induced stridor</li> <li>Exercise-induced wheezing</li> <li>Shortness of breath on exertion (SOBOE)</li> </ul> <h2>Services and tests we offer</h2> <blockquote> <ul> <li>Cardiopulmonary exercise test (CPET)</li> <li>Complete lung function testing <ul> <li>Airway resistance</li> <li>Diffusion capacity</li> <li>Plethysmography (lung volume measurement)</li> <li>Spirometry</li> </ul> </li> <li>Continuous laryngoscopy during exercise (CLE) <p>Our founder, Dr. John Robertson, performed the first Continuous Laryngoscopy during Exercise (CLE) on a pediatric patient in Texas on February 8, 2022, at the Cook Children's Pulmonary Clinic in Prosper, TX.</p> </li> <li>Forced Oscillometry</li> </ul> </blockquote> <p>We collaborate closely with other medical specialties including cardiology, otolaryngology, gastroenterology, psychology neurology and sports medicine.</p> <h2>In the media</h2> <p><a class="btn btn-activity score-button secondary" title="Exertion in Adolescent Athletes - Dyspnea (or feeling short of breath)" href="https://cookchildrens.rev.vbrick.com/#/videos/d159489e-7bf0-4c60-a676-2448ad9ba49c" target="_blank" rel="noopener">Exertion in adolescent athletes - Dyspnea (or feeling short of breath)</a></p> <p><a class="btn btn-activity score-button secondary" title="Exercise Induced Laryngeal Obstruction - With Megan Karas, SLP and Jenny Arey, DPT " href="https://cookchildrens.rev.vbrick.com/#/webcasts/schoolnurse041223" target="_blank" rel="noopener">Exercise induced laryngeal obstruction (EILO) with Megan Karas,SLP and Jenny Arey,DPT </a></p> <p><a class="btn btn-activity score-button secondary" title="Breathing against yourself-Exercise limiting respiratory symptoms in competitive athletes" href="https://cookchildrens.rev.vbrick.com/#/videos/9fc542b8-f3b6-4fad-a235-66d15202b467" target="_blank" rel="noopener">Breathing against yourself-Exercise limiting respiratory symptoms in competitive athletes</a></p> <p><a class="btn btn-activity score-button secondary" title="Breathing against yourself-Exercise limiting respiratory symptoms in competitive athletes" href="https://cookchildrens.rev.vbrick.com/#/videos/8c7333e1-f778-40b1-a971-449c92b0dcb9" target="_blank" rel="noopener">Breaking bad breathing with Amber Brim, DPT</a></p> <p><a class="btn btn-activity score-button secondary" title="Breathing easier with continuous laryngoscopy during exercise (CLE)" href="https://www.cookchildrenspromise.org/about-us/stories/innovation/breathing-easier/#/videos/8c7333e1-f778-40b1-a971-449c92b0dcb9" target="_blank" rel="noopener">Breathing easier with continuous laryngoscopy during exercise (CLE)</a></p> <h2>Meet our ExRC team</h2> <ul> <li><a href="/doctors/pulmonology/dr-john-robertson/">John Robertson, M.D. </a>- Pediatric pulmonologist </li> <li><strong>Andreas Kreutzer, Ph.D.</strong> - Exercise physiologist and research scientist</li> <li><strong>Ann Nguyen, SLP </strong>- Speech-language pathologist</li> <li><strong>Amber Brim, DPT </strong>- Physical therapist</li> <li><strong>Rebecca Brovina, RN</strong> - Research nurse coordinator</li> <li><strong>Shalyni Ware, RT</strong> - Respiratory therapist</li> <li><strong>Jennifer Moreles, RT</strong> - Respiratory therapist</li> </ul> <h2>We're here to help</h2> <p>If your child has respiratory symptoms during exercise, you probably have lots of questions. We can help. If you would like to schedule an appointment, refer a patient or speak to our staff, please call our offices at <a title="682-303-4200" href="tel:+1-682-303-4200"><span style="white-space: nowrap;">682-303-4200</span></a> or send a referral fax to <span style="white-space: nowrap;">682-303-0719</span>.</p></div> </div> </div> </div> </div> </div> </div> </main> <script defer="defer" src="/Util/Find/epi-util/find.js"></script> <script> document.addEventListener('DOMContentLoaded',function(){if(typeof FindApi === 'function'){var api = new FindApi();api.setApplicationUrl('/');api.setServiceApiBaseUrl('/find_v2/');api.processEventFromCurrentUri();api.bindWindowEvents();api.bindAClickEvent();api.sendBufferedEvents();}}) </script> </main> <footer class="footer" > <div class="footer-wrapper bg-lightgrey"> <div data-react-component="FooterNavigation" data-props='{"upperFooter":{"upperFooterCol1":[{"childPages":[{"highlighted":true,"indented":false,"title":"Our 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