Directed coughing is useful in helping to maintain bronchial hygiene in all of the following cases except:

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Directed coughing is a technique used to help clear mucus from the airways, which is beneficial in conditions like bronchiectasis, cystic fibrosis, and in patients with spinal cord injury who may have difficulty clearing their airways due to muscle weakness. However, in acute asthma, the primary issue is bronchoconstriction and inflammation, not mucus clearance, and coughing can potentially worsen the condition by increasing bronchospasm.

Directed Coughing Is Useful in Helping to Maintain Bronchial Hygiene