Mechanically assisted cough (Insufflation/exsufflation) (v no intervention) on secretion clearance in people with SCI who have abdominal muscle weakness or paralysis and an ineffective cough
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Strong For Recommendation
Mechanically assisted cough (insufflation-exsufflation) should be provided to improve secretion clearance in people with SCI who have abdominal muscle weakness or paralysis and an ineffective cough.
| Mechanically assisted cough (insufflation/exsufflation) (v no intervention) on secretion clearance in people with SCI who have abdominal muscle weakness or paralysis and an ineffective cough. | |||||||
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| P | People with SCI who have abdominal muscle weakness or paralysis and an ineffective cough. | Evidence recommendation No evidence recommendation Reason: No RCTs | Strong opinion statement FOR Mechanically assisted cough (insufflation-exsufflation) should be provided to improve secretion clearance in people with SCI who have abdominal muscle weakness or paralysis and an ineffective cough. Clinical Note: Contraindications and precautions for the use of positive pressure devices must be considered before prescribing manually assisted cough. For example, positive pressure devices are contraindicated in conditions that include but are not limited to untreated pneumothorax, tracheoesophageal fistula and acute raumatic brain injury with increased/poorly controlled intracranial pressure. |
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| I | Mechanically assisted cough (Insufflation-exsufflation) | ||||||
| C | No intervention | Consensus-based opinion statement Strong for (93%) |
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| O | Secretion clearance | ||||||
The Australian and NZ SCI Physiotherapy guideline committee recommends manually assisted cough to improve secretion clearance in people with SCI who have abdominal muscle weakness or paralysis and an ineffective cough.
This is a consensus-based opinion statement supported by the opinions of the experts. There are no randomized controlled trials on this topic. The guideline states:
Manually assisted cough should be provided to improve secretion clearance in people with SCI who have abdominal muscle weakness or paralysis and an ineffective cough.
This statement was formed by considering the opinions of the experts alongside other factors. The other factors that were considered were benefits and harms, values and preferences, resource use, equity, accessibility, and feasibility. This is a consensus-based opinion statement. Consensus-based opinion statements are less robust than evidence-based recommendations. They can be strong or weak.
This is a strong consensus-based opinion statement which means that the guideline panel is confident they can recommend manually assisted cough to improve secretion clearance based on opinion. To learn more about the research related to this intervention go to the clinicians tab on this website.