Managing Cough in Pediatric Neuromuscular Disorders: Lung Function and Care Strategies

Abstract

Children with neuromuscular disorders (NMDs) are at high risk for respiratory complications due to impaired cough and weakness of respiratory muscles. Effective cough is essential for airway clearance, infections' prevention, and maintaining lung function. This narrative review explores the physiology of cough, the consequences of cough insufficiency, and methods for assessing respiratory function in pediatric NMDs. It discusses current care strategies including airway clearance techniques, respiratory muscle training, and preventive and supportive interventions. Emphasis is placed on multidisciplinary management and early intervention to improve outcomes and quality of life.

Keywords: care strategies; cough; lung function; neuromuscular disorders; pediatrics.

Figure 1

Respiratory complications of ineffective cough in NMDs.

Figure 2

Key clinical signs and functional assessments of cough insufficiency in children with NMDs.

Figure 3

Main strategies for managing cough insufficiency in pediatric NMDs.