228th ENMC International Workshop: Airway Clearance Techniques in Neuromuscular Disorders Naarden

Toussaint M, et al Centre for Home Mechanical Ventilation and Specialized Centre for Neuromuscular Diseases, Inkendaal Rehabilitation Hospital, Vlezenbeek, Belgium.
Citation: Neuromuscul Disord. 2018;28(3):289–298,


  • This report provides with an algorithmic approach to ACT management in NMDs.
  • ACTs are employed to compensate for weak respiratory muscles in people with NMDs.
  • Peripheral ACTs aim to improve ventilation and mucus transport.
  • Proximal ACTs aim to improve cough by augmenting inspiration, expiration or both.
  • Cough efficacy requires peak cough flow values above 160–200 L/min in adult NMDs.
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