Breathing control Thoracic expansion exercises Forced expiration ...

Study Conclusions
‘A combination of insufflation and exsufflation
increases peak cough flow in children and adults
with severe respiratory muscle weakness secondary
to childhood-onset neuromuscular disease …….
randomised trials are now warranted, not only to
assess whether regular use of an insufflator/
exsufflator can reduce the long-term impact of chest
infections but also to investigate whether the
combination of insufflation and exsufflation during
acute respiraotry tract infections can improve
clinical outcome.’