Airway clearance in neuromuscular weakness.

Abstract:

:Impaired airway clearance leads to recurrent chest infections and respiratory deterioration in neuromuscular weakness. It is frequently the cause of death. Cough is the major mechanism of airway clearance. Cough has several components, and assessment tools are available to measure the different components of cough. These include measuring peak cough flow, respiratory muscle strength, and inspiratory capacity. Each is useful in assessing the ability to generate an effective cough, and can be used to guide when techniques of assisting airway clearance may be effective for the individual and which are most effective. Techniques to assist airway clearance include augmenting inspiration by air stacking, augmenting expiration by assisting the cough, and augmenting both inspiration and expiration with the mechanical insufflator-exsufflator or by direct suctioning via a tracheostomy. Physiotherapists are invaluable in assisting airway clearance, and in teaching patients and their families how to use these techniques. Use of the mechanical insufflator-exsufflator has gained popularity in recent times, but several simpler, more economical methods are available to assist airway clearance that can be used effectively alone or in combination. This review examines the literature available on the assessment and management of impaired airway clearance in neuromuscular weakness.

journal_name

Dev Med Child Neurol

authors

Gauld LM

doi

10.1111/j.1469-8749.2008.03260.x

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

350-5

issue

5

eissn

0012-1622

issn

1469-8749

pii

DMCN3260

journal_volume

51

pub_type

杂志文章,评审
  • Epilepsy in very preterm infants: neonatal cranial ultrasound reveals a high-risk subcategory.

    abstract::The aim of this study was to investigate the association between epilepsy and perinatal brain injury in a cohort of 610 infants born preterm at <33 weeks' gestation. The prevalence of epilepsy in this cohort was 4.3% as determined by a postal questionnaire survey. Most children with epilepsy (16 of 24) had high-risk c...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1998.tb12339.x

    authors: Amess PN,Baudin J,Townsend J,Meek J,Roth SC,Neville BG,Wyatt JS,Stewart A

    更新日期:1998-11-01 00:00:00

  • ICF mobility and self-care goals of children in inpatient rehabilitation.

    abstract:AIM:To develop a detailed priority list of family-centred rehabilitation goals on the activity level within the International Classification of Functioning, Disability and Health (ICF) chapters d4 'Mobility' and d5 'Self-care' in a paediatric population with a broad range of health conditions. METHOD:Twenty-two months...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/dmcn.14471

    authors: Rast FM,Labruyère R

    更新日期:2020-04-01 00:00:00

  • Rectus femoris release in selected patients with cerebral palsy: a preliminary report.

    abstract::Two theories concerning the effects of surgical release of the proximal origins of the rectus femoris in spastic patients are (1) that release reduces hip flexion contracture and lumbar lordosis and diminishes crouch, and (2) that release primarily enhances early swing-phase knee flexion. A series of eight patients wi...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1975.tb04953.x

    authors: Sutherland DH,Larsen LJ,Mann R

    更新日期:1975-02-01 00:00:00

  • Hemimegalencephaly in an adult with normal intellectual function and mild epilepsy.

    abstract::Hemimegalencephaly is a rare congenital brain malformation, usually associated with mental retardation, * refractory epilepsy, and progressive neurological deficits. We report the case of a 19-year-old female with de novo diagnosis of right hemimegalencephaly, normal intellectual function, and history of non-refractor...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.2011.04136.x

    authors: Beaulieu-Boire I,Lortie A,Bissonnette J,Prevost S,Bergeron D,Bocti C

    更新日期:2012-03-01 00:00:00

  • Management of apnea in infants with trisomy 18.

    abstract::This case series aimed to characterize the clinical features, management, and outcomes of apnea in infants with trisomy 18. Participants in this study were infants with trisomy 18 who were born alive and admitted to the neonatal intensive care unit in Kyushu University Hospital from 2000 to 2018. Retrospective analysi...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/dmcn.14403

    authors: Taira R,Inoue H,Sawano T,Fujiyoshi J,Ichimiya Y,Torio M,Sanefuji M,Ochiai M,Sakai Y,Ohga S

    更新日期:2020-07-01 00:00:00

  • Quantitative evaluation of thalami and basal ganglia in infants with periventricular leukomalacia.

    abstract::Quantitative analyses of cross-sectional areas of the thalami, caudate nuclei, and lentiform nuclei were performed in 29 preterm infants (16 males, 13 females; mean age 29.6 weeks, age range 27 to 24 weeks,) with periventricular leukomalacia (PVL). MRI was carried out in the infants between 9 and 18 months of correcte...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1017/s0012162201000883

    authors: Lin Y,Okumura A,Hayakawa F,Kato K,Kuno T,Watanabe K

    更新日期:2001-07-01 00:00:00

  • The general movement optimality score: a detailed assessment of general movements during preterm and term age.

    abstract:AIM:To explore the appropriateness of applying a detailed assessment of general movements and characterize the relationship between global and detailed assessment. METHOD:The analysis was based on 783 video recordings of 233 infants (154 males, 79 females) who had been videoed from 27 to 45 weeks postmenstrual age. Ap...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/dmcn.12923

    authors: Einspieler C,Marschik PB,Pansy J,Scheuchenegger A,Krieber M,Yang H,Kornacka MK,Rowinska E,Soloveichick M,Bos AF

    更新日期:2016-04-01 00:00:00

  • Children with preschool minor neurodevelopmental disorders. IV: Behaviour and school achievement at age 13.

    abstract::A cohort of children with deficits in attention, motor control and perception at seven years, drawn from a total population sample of such children in Göteborg, Sweden, was compared at 13 years with a group of normal children with regard to behaviour and school achievement. The index group showed persisting high rates...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1989.tb08406.x

    authors: Gillberg IC,Gillberg C

    更新日期:1989-02-01 00:00:00

  • Neurodevelopmental screening at five years of children who were at risk neonatally.

    abstract::A neurodevelopmental screening test with cumulative scoring for abnormal test responses was performed on 845 five-year-old Finnish children who, in the newborn period, had had disorders which placed them in a high-risk group, and on 70 controls. The results showed a significant difference between the neurodevelopmenta...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1981.tb02015.x

    authors: Michelsson K,Ylinen A,Donner M

    更新日期:1981-08-01 00:00:00

  • Bone age and linear skeletal growth of children with cerebral palsy.

    abstract::The aim of this study was to compare the linear growth of children with cerebral palsy (CP) with that of children without CP. The segmental lengths (humerus, ulna, femur, tibia, and spine), recumbent length, body weight, and bone age of 62 children with CP (age range 2.25 to 14 years, mean 7.13 years) were measured an...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1017/s0012162299001528

    authors: Kong CK,Tse PW,Lee WY

    更新日期:1999-11-01 00:00:00

  • A novel neurological disorder with progressive CNS calcification, deafness, renal tubular acidosis, and microcytic anemia.

    abstract::Progressive calcification of the brain and the spinal cord at early infantile onset was observed in two siblings. They showed growth failure, psychomotor deterioration, deafness, vestibular dysfunction, microcytic hypochromic anemia, abnormal ratios of lymphocyte subpopulations, and slightly decreased bicarbonate on b...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1997.tb07410.x

    authors: Yoshimura M,Hara T,Maegaki Y,Koeda T,Okubo K,Hamasaki N,Sly WS,Takeshita K

    更新日期:1997-03-01 00:00:00

  • Prevalence of depression, anxiety, and substance-related disorders in parents of children with cerebral palsy: a systematic review.

    abstract:AIM:To estimate the prevalence of mental illness in parents of children with cerebral palsy (CP). METHOD:This is a systematic review that follows the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols in the search for observational studies determining the prevalence of depression, anxiety, an...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/dmcn.14321

    authors: Barreto TM,Bento MN,Barreto TM,Jagersbacher JG,Jones NS,Lucena R,Bandeira ID

    更新日期:2020-02-01 00:00:00

  • Endogenous opioids and opiate antagonists in autism: brief review of empirical findings and implications for clinicians.

    abstract::Endogenous opioid dysfunction hypotheses for the development of autism are reviewed, along with clinical empirical studies of opiate antagonists in autism and self-injurious behaviour. There is not yet sufficient evidence to suggest the use of opiate antagonists in the treatment of autism. Further research, particular...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1995.tb11998.x

    authors: Gillberg C

    更新日期:1995-03-01 00:00:00

  • Neurotrichosis: hair-shaft abnormalities associated with neurological diseases.

    abstract::Six children with morphological hair-shaft abnormalities and neurological disease are presented, including two with Pollitt syndrome, one with biotin deficiency, two with Menkes diseases and one with argininosuccinic aciduria. The child with biotin deficiency grew normal hair following oral biotin therapy. Although th...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1982.tb13674.x

    authors: Coulter DL,Beals TF,Allen RJ

    更新日期:1982-10-01 00:00:00

  • In children with Friedreich ataxia, muscle and ataxia parameters are associated.

    abstract:AIM:In children with Friedreich ataxia (FRDA), ataxia is assessed using the surrogate marker the International Cooperative Ataxia Rating Scale (ICARS). We aimed to determine whether ICARS scores in children with FRDA are confounded by muscle weakness. METHOD:In 12 children with FRDA (10 males, two females; mean age 13...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.2011.03931.x

    authors: Sival DA,Pouwels ME,Van Brederode A,Maurits NM,Verschuuren-Bemelmans CC,Brunt ER,Du Marchie Sarvaas GJ,Verbeek RJ,Brouwer OF,Van Der Hoeven JH

    更新日期:2011-06-01 00:00:00

  • A systematic review of interventions for children with cerebral palsy: state of the evidence.

    abstract:AIM:The aim of this study was to describe systematically the best available intervention evidence for children with cerebral palsy (CP). METHOD:This study was a systematic review of systematic reviews. The following databases were searched: CINAHL, Cochrane Library, DARE, EMBASE, Google Scholar MEDLINE, OTSeeker, PEDr...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章,评审

    doi:10.1111/dmcn.12246

    authors: Novak I,McIntyre S,Morgan C,Campbell L,Dark L,Morton N,Stumbles E,Wilson SA,Goldsmith S

    更新日期:2013-10-01 00:00:00

  • Development of motor co-ordination by normal left-handed children.

    abstract::Ninety-six normal left-handed children were tested for motor co-ordination on a series of timed repetitive tasks, alternating left and right hands, feet and fingers. Preferred hand advantage could be demonstrated to the same degree for the left hand of these children as it had been for the preferred right hand in prev...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1984.tb04414.x

    authors: Rudel RG,Healey J,Denckla MB

    更新日期:1984-02-01 00:00:00

  • Principles of plasticity in the developing brain.

    abstract::The developing brain is especially sensitive to a wide range of experiences, showing a remarkable capacity for plastic changes that influence behavioural outcomes throughout the lifetime. We review the principles that regulate this plasticity in development and consider the factors that modulate the developing brain. ...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章,评审

    doi:10.1111/dmcn.13546

    authors: Kolb B,Harker A,Gibb R

    更新日期:2017-12-01 00:00:00

  • Dissociated visual development: electrodiagnostic studies in infants who are 'slow to see'.

    abstract::Four infants were studied who failed to show any visual interest or following responses in the first three months of life. Although no definite ocular abnormalities were found at the time of presentation, both the parents and their medical advisers initially had serious concerns about the infants' visual prognosis. In...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1980.tb03712.x

    authors: Mellor DH,Fielder AR

    更新日期:1980-06-01 00:00:00

  • EEGs in phenylketonuria. I: Follow-up to adulthood; II: Short-term diet-related changes in EEGs and cognitive function.

    abstract::The authors report the results of two EEG studies on adult patients with phenylketonuria (PKU) who had been treated early. Part I: the authors followed the EEGs of 34 PKU patients from birth to age 21. The frequency of abnormal EEG findings (especially epileptiform activity) steadily increased until age 12, then decre...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1993.tb11552.x

    authors: Pietz J,Schmidt E,Matthis P,Kobialka B,Kutscha A,de Sonneville L

    更新日期:1993-01-01 00:00:00

  • Teratogenesis and the movement of ions.

    abstract::There is evidence that in early embryos, mechanisms exist for the control of the movement of monovalent ions; that sodium is extruded during gastrulation and neurulation, and that in two- to three-day-old chick embryos with head abnormalities, ratios of sodium to potassium may be abnormally high. It is suggested that ...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1975.tb04968.x

    authors: Hughes A

    更新日期:1975-02-01 00:00:00

  • Ataxia-telangiectasia: recommendations for multidisciplinary treatment.

    abstract::Ataxia-telangiectasia is a rare, neurodegenerative, and multisystem disease, characterized by cerebellar ataxia, oculocutaneous telangiectasia, immunodeficiency, progressive respiratory failure, and an increased risk of malignancies. It demands specialized care tailored to the individual patient's needs. Besides the c...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章,实务指引,评审

    doi:10.1111/dmcn.13424

    authors: van Os NJH,Haaxma CA,van der Flier M,Merkus PJFM,van Deuren M,de Groot IJM,Loeffen J,van de Warrenburg BPC,Willemsen MAAP,A-T Study Group.

    更新日期:2017-07-01 00:00:00

  • Physical development of hyperactive boys.

    abstract::Anthropometric data were collected on groups of seven-year-old Dunedin (New Zealand) boys, identified as hyperactive-only, aggressive-hyperactive, aggressive-only and non-aggressive/non-hyperactive. Measures taken included stature, weight, skeletal maturity, mid-upper arm circumference, triceps and subscapular fatfold...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1985.tb04548.x

    authors: McGee R,Birkbeck J,Silva PA

    更新日期:1985-06-01 00:00:00

  • Pain in children with dyskinetic and mixed dyskinetic/spastic cerebral palsy.

    abstract:AIM:To evaluate pain prevalence and characteristics in children and adolescents with predominant dyskinetic and mixed (dyskinetic/spastic) cerebral palsy (CP) motor types. METHOD:Seventy-five participants with a diagnosis of CP and confirmed dyskinetic or mixed (dyskinetic/spastic) motor type took part in a multisite ...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1111/dmcn.14615

    authors: McKinnon CT,Morgan PE,Antolovich GC,Clancy CH,Fahey MC,Harvey AR

    更新日期:2020-11-01 00:00:00

  • Effect of age and sex on maturation of sensory systems and balance control.

    abstract::Maintenance of postural balance requires an active sensorimotor control system. Current data are limited and sometimes conflicting regarding the influence of the proprioceptive, visual, and vestibular afferent systems on posture control in children. This study investigated the development of sensory organization accor...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1017/S0012162206001022

    authors: Steindl R,Kunz K,Schrott-Fischer A,Scholtz AW

    更新日期:2006-06-01 00:00:00

  • Incidence and risk factors of cerebral sinovenous thrombosis in infants.

    abstract:AIM:To describe the incidence of term and preterm neonatal cerebral sinovenous thrombosis (CSVT) and identify perinatal risk factors. METHOD:This was a national capture-recapture calculation-corrected surveillance and nested case-control study. Infants born preterm and at term with magnetic resonance imaging-confirmed...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/dmcn.14816

    authors: Sorg AL,Von Kries R,Klemme M,Gerstl L,Beyerlein A,Lack N,Felderhoff-Müser U,Dzietko M

    更新日期:2021-01-27 00:00:00

  • Epidemiology of autism spectrum disorder in Portugal: prevalence, clinical characterization, and medical conditions.

    abstract::The objective of this study was to estimate the prevalence of autistic spectrum disorder (ASD) and identify its clinical characterization, and medical conditions in a paediatric population in Portugal. A school survey was conducted in elementary schools, targeting 332,808 school-aged children in the mainland and 10,91...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.2007.00726.x

    authors: Oliveira G,Ataíde A,Marques C,Miguel TS,Coutinho AM,Mota-Vieira L,Gonçalves E,Lopes NM,Rodrigues V,Carmona da Mota H,Vicente AM

    更新日期:2007-10-01 00:00:00

  • Behavior and mental health problems in children with epilepsy and low IQ.

    abstract::The purpose of this cross-sectional descriptive study was to describe the particular types of behavioral problems, self-concept, and symptoms of depression experienced by children with both low IQ and epilepsy. Three groups of children (83 males, 81 females; mean age 11 years 10 months, SD 1 year 10 months; age range ...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1017/s0012162203001270

    authors: Buelow JM,Austin JK,Perkins SM,Shen J,Dunn DW,Fastenau PS

    更新日期:2003-10-01 00:00:00

  • Gillette Functional Assessment Questionnaire 22-item skill set: factor and Rasch analyses.

    abstract:AIM:To determine dimensionality and item-level properties of the Gillette Functional Assessment Questionnaire (FAQ) 22-item skill set using factor and Rasch analyses. METHOD:A retrospective review of parent-reported FAQ 22-item skill set data was conducted of 485 individuals (273 males, 212 females; mean age 9 y 10 mo...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.2010.03832.x

    authors: Gorton GE 3rd,Stout JL,Bagley AM,Bevans K,Novacheck TF,Tucker CA

    更新日期:2011-03-01 00:00:00

  • Cerebral palsy among children born moderately preterm or at moderately low birthweight between 1980 and 1998: a European register-based study.

    abstract:AIM:The aim of this study was to describe trends in prevalence, subtypes, and severity among children with cerebral palsy (CP) born moderately preterm (MPT; (gestational age 32-36 wks) or at moderately low birthweight (MLBW; 1500-2499 g) in Europe. METHOD:We conducted trend analyses of data from 903 children with CP b...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1469-8749.2011.04079.x

    authors: Andersen GL,Romundstad P,De La Cruz J,Himmelmann K,Sellier E,Cans C,Kurinczuk JJ,Vik T

    更新日期:2011-10-01 00:00:00