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 Neuroljournal_title
Developmental medicine and child neurologyauthors
Gauld LMdoi
10.1111/j.1469-8749.2008.03260.xsubject
Has Abstractpub_date
2009-05-01 00:00:00pages
350-5issue
5eissn
0012-1622issn
1469-8749pii
DMCN3260journal_volume
51pub_type
杂志文章,评审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
更新日期:1998-11-01 00:00:00
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...
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journal_title:Developmental medicine and child neurology
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doi:10.1111/j.1469-8749.1975.tb04953.x
更新日期:1975-02-01 00:00:00
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
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journal_title:Developmental medicine and child neurology
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journal_title:Developmental medicine and child neurology
pub_type: 杂志文章
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更新日期:1989-02-01 00:00:00
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journal_title:Developmental medicine and child neurology
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更新日期:1981-08-01 00:00:00
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更新日期:1999-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1469-8749.1997.tb07410.x
更新日期:1997-03-01 00:00:00
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journal_title:Developmental medicine and child neurology
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更新日期:2020-02-01 00:00:00
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journal_title:Developmental medicine and child neurology
pub_type: 杂志文章
doi:10.1111/j.1469-8749.1995.tb11998.x
更新日期:1995-03-01 00:00:00
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journal_title:Developmental medicine and child neurology
pub_type: 杂志文章
doi:10.1111/j.1469-8749.1982.tb13674.x
更新日期:1982-10-01 00:00:00
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doi:10.1111/j.1469-8749.2011.03931.x
更新日期:2011-06-01 00:00:00
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journal_title:Developmental medicine and child neurology
pub_type: 杂志文章,评审
doi:10.1111/dmcn.12246
更新日期:2013-10-01 00:00:00
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journal_title:Developmental medicine and child neurology
pub_type: 杂志文章
doi:10.1111/j.1469-8749.1984.tb04414.x
更新日期:1984-02-01 00:00:00
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更新日期:2017-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1469-8749.1980.tb03712.x
更新日期:1980-06-01 00:00:00
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doi:10.1111/j.1469-8749.1993.tb11552.x
更新日期:1993-01-01 00:00:00
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journal_title:Developmental medicine and child neurology
pub_type: 杂志文章
doi:10.1111/j.1469-8749.1975.tb04968.x
更新日期:1975-02-01 00:00:00
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pub_type: 杂志文章,实务指引,评审
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更新日期:2017-07-01 00:00:00
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更新日期:1985-06-01 00:00:00
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journal_title:Developmental medicine and child neurology
pub_type: 杂志文章,多中心研究
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更新日期:2020-11-01 00:00:00
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更新日期:2006-06-01 00:00:00
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更新日期:2007-10-01 00:00:00
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更新日期:2003-10-01 00:00:00
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journal_title:Developmental medicine and child neurology
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doi:10.1111/j.1469-8749.2010.03832.x
更新日期:2011-03-01 00:00:00
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...
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pub_type: 杂志文章,多中心研究
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更新日期:2011-10-01 00:00:00