ArticleCanadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR2018
Considerations for chest clearance and cough augmentation in severe bulbar dysfunction: a case study.
Article in Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 10 citations in OpenAlex.
- Exploring mechanisms of behavior change for healthcare professionals in cough and secretion management in ALS.Neurodegenerative disease management · 2025Article
- Nursing Process Related to the Nursing Focus "Airway Clearance": A Scoping Review.Nursing reports (Pavia, Italy) · 2024Article
- Practical recommendations for swallowing and speaking during NIV in people with neuromuscular disorders.Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2024Review
- Pilot observational cohort study to determine whether waveform and flow traces from mechanical insufflation-exsufflation (MI-E) can be used to identify laryngeal responses to MI-E and thus optimise treatment algorithms in neuromuscular patients in a tertiary centre: a protocol description.BMJ open respiratory research · 2024Article
- Indications for Tube Feeding in Adults with Muscular Disorders: A Scoping Review.Journal of neuromuscular diseases · 2023Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
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Abstract
This case study describes a 21-year-old male with congenital myotonic dystrophy referred to respiratory physiotherapy with a weak cough and upper respiratory tract secretions. Mechanical insufflation-exsufflation (MI-E) was prescribed. Post initiation, the patient described a worsening of secretions and increased attendances to hospital with suspected chest infection. He also described difficulties with speaking after use of MI-E. Multidisciplinary assessment of cough as well as bulbar and swallow function resulted in a primary diagnosis of oro-pharyngeal dysphagia as well as weak cough. An alternative prophylactic therapy programme including active cycle of breathing, chest wall percussions, and manually assisted cough, was prescribed to facilitate clearance of upper airway secretions and patient comfort. The case highlights some of the risks associated with cough augmentation techniques derived from single-discipline intervention in the neuromuscular patient population. Comprehensive multidisciplinary assessment and management were key to redefining this patient's diagnosis, allowing effective and individualised treatment.
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