Clinical Effectiveness of Mechanical Insufflation Exsufflation (MI:E) and Chest Physiotherapy Protocol for Airway Clearance in Children with Neuromuscular Diseases: A Case Study Report

Mohandass Gnanasekaran; lowast; T P Manjunatha; Senthilkumar Natarajan; Ilin Kinimi; Prema Kulkarni; K Vadivelan

doi:10.54839/ijprcp.v4i2.25.34

Article

Clinical Effectiveness of Mechanical Insufflation Exsufflation (MI:E) and Chest Physiotherapy Protocol for Airway Clearance in Children with Neuromuscular Diseases: A Case Study Report

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International Journal of Physiotherapy Research and Clinical Practice

DOI: 10.54839/ijprcp.v4i2.25.34

Year: 2025, Volume: 4, Issue: 2, Pages: 17-20

Case Report

Clinical Effectiveness of Mechanical Insufflation Exsufflation (MI:E) and Chest Physiotherapy Protocol for Airway Clearance in Children with Neuromuscular Diseases: A Case Study Report

Mohandass Gnanasekaran^1,2,∗, T P Manjunatha³, Senthilkumar Natarajan⁴, Ilin Kinimi⁵, Prema Kulkarni⁶, K Vadivelan⁷

¹Ph.D Research Scholar, Garden City University, Bengaluru, Karnataka, India
²Senior Paediatric Physiotherapist, Manipal hospitals, Old airport road, Bengaluru, Karnataka, India
³Professor, Department of Life Sciences, School of Sciences, Garden City University, Bengaluru, Karnataka, India
⁴Professor, Department of Physiotherapy, School of Health Sciences, Garden City University, Bengaluru, Karnataka, India
⁵HOD and Consultant, Department of Paediatric Pulmonology and Sleep Medicine, Manipal hospitals, Old airport road, Bengaluru, Karnataka, India
⁶Department of Life Sciences, School Sciences, Garden City University, Bengaluru, Karnataka, India
⁷Professor, SRM College of Physiotherapy, SRM Institute of Science and Technology, Chennai, Tamil Nadu, India

*Corresponding Author
Email: [email protected]

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Children with Neuro Muscular Diseases (NMD) are hospitalised with respiratory distress; ineffective airway clearance mechanism, poor functional cough effort demands the need of Mechanical Insufflation Exsufflation (MI:E) therapy along with chest physiotherapy to clear secretions over deeper lung zones. This case study describes the effectiveness of MI:E therapy with chest physiotherapy on a 5 years old child with SMA type 2. Therapy frequency were 4th hourly in PICU and 6th hourly in ward based on severity of respiratory distress, throughout the hospitalisation for 10 days. MI:E therapy can be used as an effective airway clearance modality along with chest physiotherapy to reduce the respiratory distress and improve better clinical outcomes to decrease the duration of shifting out transitions from intensive care unit to ward thereby prepare plan for early hospital discharge.

Keywords: Neuromuscular diseases, Spinal muscular atrophy, Mechanical Insufflation Exsufflation therapy, Chest Physiotherapy, Respiratory distress in children