Evidence map›Paper›PMID 30652513›Full record

ArticleAmyotrophic lateral sclerosis & frontotemporal degeneration2019

Characteristics of impaired voluntary cough function in individuals with amyotrophic lateral sclerosis.

Lauren C Tabor-Gray, Alessandra Gallestagui, Terrie Vasilopoulos, Emily K Plowman

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Amyotrophic lateral sclerosis & frontotemporal degeneration, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05837520 (At-Home Skill Training Using Biofeedback for Swallowing Rehabilitation in Parkinson's Disease), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05837520 phase1unknown statusnot on this mapstarted 2023, after this paper: background citation

At-Home Skill Training Using Biofeedback for Swallowing Rehabilitation in Parkinson's Disease

TypeinterventionalSponsorUniversity of South FloridaRan2023 to 2024Enrolled40ConditionsParkinson DiseaseArmsi-BiSSkApp (tablet application) with swallowing therapy, Traditional behavioral swallowing therapy
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 57 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Clinical utility of voluntary cough peak expiratory flow outcomes to screen aspiration status in head and neck cancer survivors.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Sensorimotor Cough Dysfunction in Cerebellar Ataxias.Cerebellum (London, England) · 2024
    Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Considerations for Amyotrophic Lateral Sclerosis (ALS) Clinical Trial Design.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2022
    Review
  18. Article
  19. Cough as a neurological sign: What a clinician should know.World journal of critical care medicine · 2022
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Lauren C Tabor-Graya Department of Neurology , Phil Smith Neuroscience Institute , Fort Lauderdale , FL , USA.
Alessandra Gallestaguib Swallowing Systems Core , University of Florida , Gainesville , FL , USA.
Terrie Vasilopoulosc Department of Anesthesiology and Orthopedics, College of Medicine , University of Florida , Gainesville , FL , USA.
Emily K Plowmanb Swallowing Systems Core , University of Florida , Gainesville , FL , USA.
University of Florida · US

Funding

Training In Rehabilitation and Neuromuscular PlasticityT32HD043730 · NICHD · UNIVERSITY OF FLORIDA · PI DAVID D FULLER · 2003 to 2026
$5.3M
Landis Outstanding Mentor Award SupplementR01NS100859 · NINDS · UNIVERSITY OF FLORIDA · PI PLOWMAN, EMILY KATE · 2017 to 2021
$2.0M
NICHD NIH HHS T32 HD043730NINDS NIH HHS R01 NS100859
6 · The paper itself

Abstract

objectiveAlthough cough impairment (dystussia) is common in individuals with amyotrophic lateral sclerosis (ALS) and contributes to a reduced physiologic capacity to defend the airway, characteristics of dystussia have not yet been delineated. Therefore, we aimed to compare voluntary cough spirometry airflow patterns between individuals with ALS and healthy age and gender-matched controls.

methodsThirty-two individuals with a diagnosis of probable-definite ALS (El-Escorial Criterion) and 29 healthy age and gender-matched controls underwent voluntary cough spirometry testing. Two blinded raters derived six objective voluntary cough airflow measures including: peak inspiratory phase duration, peak inspiratory flow rate, compression phase duration, peak expiratory rise time, peak expiratory flow rate, and cough volume acceleration. Independent samples t-tests with Cohen's d effect sizes were performed between Healthy versus ALS groups for cough metrics (alpha =0.05).

resultsALS individuals demonstrated prolonged inspiratory phase and expiratory phase rise time durations, reduced inspiratory and expiratory flow rates, and lower cough volume acceleration during voluntary cough production compared with healthy controls (p < 0.05). No differences in compression phase duration were observed (p > 0.05).

conclusionsThis study compared characteristics of voluntary cough airflow patterns of individuals with ALS to healthy-matched controls. Findings identified impairments in both inspiratory and expiratory voluntary cough airflow, resulting in slower, weaker, and thus less effectiveness voluntary cough production in ALS individuals. These data afford insight into the impaired physiology underlying inadequate airway clearance and secretion management in individuals with ALS.

Indexed as

SpirometryAdultAgedAged, 80 and overAmyotrophic Lateral SclerosisCase-Control StudiesCoughFemaleHumansMaleMiddle AgedPeak Expiratory Flow RateRespiratory Musclesairway protectionamyotrophic lateral sclerosisdystussiaspirometryVoluntary cough

Identifiers

PMID30652513
PMCPMC6513719
OpenAlexW2911213676

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.