Overview
it will be conducted a randomized parallel controlled trial with patients diagnosed with Amyotrophic Lateral Sclerosis (ALS) to compare two techniques to lung recruitment and cough augmentation, to assess their effects on pulmonary function, global functionally, swallowing and ability to speech in these population.
Description
age over 18 years preserved cognition, evidenced by a score greater than or equal to 24 points in the Mini-Mental Status Exam; no barium allergies; without tracheostomy or invasive mechanical ventilation; no diaphragmatic pacemaker and without associated respiratory disease.Participants are excluded if they have pregnancy; previous kidney disease or other concomitant diseases; respiratory diseases and hospitalization in intensive care units (ICUs) during the study.
Eligibility
Inclusion Criteria:
- diagnosis of neuromuscular disease confirmed by neurologists at the referral center for neuromuscular diseases at Braslia prior to screening for recruitment
- age over 18 years
- preserved cognition, evidenced by a score greater than or equal to 24 points in the Mini-Mental Status Exam;
- no barium allergies
- without tracheostomy or invasive mechanical ventilation
- no diaphragmatic pacemaker
- without associated respiratory disease
Exclusion Criteria:
- pregnancy
- previous kidney disease or other concomitant diseases .respiratory diseases and hospitalization in intensive care units (ICUs) during the study.