Airway Clearance in Neuromuscular Disease

Sleep Med Clin. 2024 Sep;19(3):485-496. doi: 10.1016/j.jsmc.2024.04.009. Epub 2024 Jun 6.

Abstract

High-quality respiratory care and airway clearance is essential for people with neuromuscular disease (pwNMD) as respiratory tract infections are a major cause of morbidity and mortality. This review expands on published guidelines by highlighting the role of cough peak flow along with other options for cough evaluation, and discusses recent key research findings which have influenced the practice of respiratory therapy for pwNMD.

Keywords: Amyotrophic lateral sclerosis; Cough assist; Duchenne muscular dystrophy; Lung volume recruitment (LVR); Mechanical insufflation-exsufflation (MI-E); Physiotherapy.

Publication types

  • Review

MeSH terms

  • Airway Management / methods
  • Cough / physiopathology
  • Cough / therapy
  • Humans
  • Neuromuscular Diseases* / physiopathology
  • Neuromuscular Diseases* / therapy
  • Respiratory Therapy / methods