Case study demonstrates improved airway clearance and clinical outcomes in a child with neuromuscular diseases, suggesting MI:E therapy is beneficial.
Children with Neuro Muscular Diseases (NMD) are hospitalised with respiratory distress; ineffective airway clearance mechanism, poor functional cough effort demands the need of Mechanical Insufflation Exsufflation (MI:E) therapy along with chest physiotherapy to clear secretions over deeper lung zones. This case study describes the effectiveness of MI:E therapy with chest physiotherapy on a 5 years old child with SMA type 2. Therapy frequency were 4th hourly in PICU and 6th hourly in ward based on severity of respiratory distress, throughout the hospitalisation for 10 days. MI:E therapy can be used as an effective airway clearance modality along with chest physiotherapy to reduce the respiratory distress and improve better clinical outcomes to decrease the duration of shifting out transitions from intensive care unit to ward thereby prepare plan for early hospital discharge.
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Gnanasekaran et al. (2025) studied this question.
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