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

Airway Clearance in Neuromuscular Disease

Nicole L Sheers  1 , Tiina Andersen  2 , Michelle Chatwin  3
Affiliations
Review

Airway Clearance in Neuromuscular Disease

Nicole L Sheers et al. Sleep Med Clin. 2024 Sep.

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.

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Conflict of interest statement

Disclosures N. L. Sheers is supported by a Motor Neurone Disease Research Australia (MNDRA) Jim Zissimopoulos MND Postdoctoral Fellowship (2024-2026). MNDRA has played no role in this work. T. Andersen is supported by a Western Norway Health Authorities Postdoctoral Scholarship. The funder has played no role in this work. M. Chatwin discloses she works in a noncommercial role for Breas Medical as Head of Education and Research 3 days a week. The article was carried out in her own time and Breas Medical has had no input into it.

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