Neuromuscular Disease Clinical Trial
Official title:
Long-Term Effect of LIAM (Lung Insufflation Assist Maneuver) on Respiratory Performance in Non-invasive Ventilated Patients Suffering From Neuromuscular Disease
The long-term effect of LIAM (Lung Insufflation Assist Maneuver) on respiratory performance in home non-invasively ventilated (NIV) patients suffering from neuromuscular disease will be assessed in a prospective, randomized, cross over, open label study
In advanced neuromuscular disorders, respiratory complications represent the main cause of
morbidity and mortality. Beside chronic respiratory insufficiency, necessitating a
ventilatory support, mostly performed by non-invasive ventilation (NIV), cough is impaired
due to the muscle weakness, and respiratory physiotherapy becomes an essential part of the
management.
Various techniques have been proposed to improve lung recruitment and cough in neuromuscular
patients. The assisted techniques based on a positive pressure insufflation maneuver have
shown an improvement in physiological variables on the short term, but there is to date no
good-quality prospective study allowing to evaluate the long term efficacy of mechanical
cough assistance devices in neuromuscular patients.
We designed a randomized, cross over, open label study to assess the long-term effect of LIAM
(Lung Insufflation Assist Maneuver) on respiratory performance in NIV patients suffering from
neuromuscular disease.
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