• Amyotroph. Lateral Scler. Other Motor Neuron Disord. · Apr 2003

    Case Reports

    Expiratory muscle weakness and assisted cough in ALS.

    • Heinz Lahrmann, Monika Wild, Franz Zdrahal, and Wolfgang Grisold.
    • Neurological Department, Kaiser Franz Josef Hospital and Ludwig Boltzmann Institute for NeuroOncology, Vienna, Austria. heinz.lahrmann@kfj.magwien.gv.at
    • Amyotroph. Lateral Scler. Other Motor Neuron Disord. 2003 Apr 1;4(1):49-51.

    AbstractElimination 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 and expiratory muscle weakness are often reasons for failure of non-invasive ventilation (NIV) and may lead to tracheostomy. Expiratory aids may help to overcome these problems, at least for some time. We report a patient with advanced ALS, receiving nocturnal NIV, who gained much benefit from regular use of a mechanical in-exsufflation device.

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