Systematic review of techniques to enhance peak cough flow and maintain vital capacity in neuromuscular disease: the case for mechanical insufflation–exsufflation

JL Anderson, KM Hasney… - Physical Therapy …, 2005 - Taylor & Francis
Patients with neuromuscular disease risk developing chest infections due to the inability to
cough effectively and to maintain adequate lung volume. This systematic review aimed to …

Mechanical insufflation/exsufflation: has it come of age? A commentary

JR Bach - European Respiratory Journal, 2003 - Eur Respiratory Soc
12 In 1852, the English physician MERYON [1] described how a 16-yr-old male with what
was to become known as Duchenne muscular dystrophy, died from acute respiratory failure …

The effect of pressure changes during mechanical insufflation-exsufflation on respiratory and airway physiology

NM Shah, C Apps, G Kaltsakas, S Madden-Scott… - Chest, 2024 - Elsevier
Background Respiratory muscle weakness can impair cough function, leading to lower
respiratory tract infections. These infections are an important contributor to morbidity and …

Effect of manually assisted cough and mechanical insufflation on cough flow of normal subjects, patients with chronic obstructive pulmonary disease (COPD), and …

P Sivasothy, L Brown, IE Smith, JM Shneerson - Thorax, 2001 - thorax.bmj.com
BACKGROUND It has been suggested that cough effectiveness can be improved by
assisted techniques. The effects of manually assisted cough and mechanical insufflation on …

Considerations about the effect of cough assist on laryngeal function in neurologic disease

AM Esquinas, G Fiorentino - Respiratory Care, 2018 - rc.rcjournal.com
We read with interest the work by Andersen et al1 about transnasal laryngoscopy during
mechanical insufflation-exsufflation in amyotrophic lateral sclerosis (ALS). We believe the …

AMYOTROPHIC LATERAL SCLEROSIS: Successful Treatment of Mucous Plugging by Mechanical Insufflation-Exsufflation: 1

K Hanayama, Y Ishikawa, JR Bach - American journal of physical …, 1997 - journals.lww.com
Bronchial mucous plugging is the main precipitating factor of acute respiratory failure for
patients with neuromuscular disease. Manually assisted coughing and mechanical …

Expiratory muscle weakness and assisted cough in ALS

H Lahrmann, M Wild, F Zdrahal… - … Lateral Sclerosis and …, 2003 - Taylor & Francis
Elimination of airway secretion is a major issue in the care of patients with ALS. Sufficient
cough flows have to be generated by expiratory muscles to allow airway clearance. Bulbar …

Pilot observational cohort study to determine whether waveform and flow traces from mechanical insufflation–exsufflation (MI-E) can be used to identify laryngeal …

SK Mansell, R Parry, A Shah… - BMJ Open …, 2024 - bmjopenrespres.bmj.com
Introduction Patients with neuromuscular disease often have a weak and ineffective cough
due to respiratory muscle weakness. One treatment option is mechanical insufflation …

[PDF][PDF] A comparison of cough assistance techniques in patients with respiratory muscle weakness

SM Kim, WA Choi, YH Won… - Yonsei Medical …, 2016 - synapse.koreamed.org
Purpose To assess the ability of a mechanical in-exsufflator (MI-E), either alone or in
combination with manual thrust, to augment cough in patients with neuromuscular disease …

Mechanical insufflation-exsufflation: comparison of peak expiratory flows with manually assisted and unassisted coughing techniques

JR Bach - Chest, 1993 - Elsevier
Pulmonary complications are major causes of morbidity and mortality for patients with
severe expiratory muscle weakness. The purpose of this study was to compare peak cough …