Which of the following therapeutic strategies should the therapist deem as the most important in patients with neuromuscular disease?

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Children with neuromuscular weakness may have trouble with each phase of coughing. Inspiratory muscle weakness reduces vital capacity and maximal inhaled volume, bulbar muscle weakness can lead to impaired glottic closure, and expiratory muscle weakness reduces the maximal intrathoracic pressure and expulsive force. The significance of this cannot be overstated: in patients with neuromuscular disease, most episodes of acute respiratory failure result from the inability to eliminate airway secretions and mucus during otherwise benign chest infections. A peak cough flow less than 160 L/minute is associated with impaired secretion clearance, but early intervention at 250 to 270 L/minute is recommended for beginning cough assistance.

Which of the Following Therapeutic Strategies Should the Therapist Deem