Cough Peak Flows: Standard Values for Children and Adolescents

@article{Bianchi2008CoughPF,
  title={Cough Peak Flows: Standard Values for Children and Adolescents},
  author={Carlo Bianchi and Paola Baiardi},
  journal={American Journal of Physical Medicine \& Rehabilitation},
  year={2008},
  volume={87},
  pages={461-467}
}
  • C. Bianchi, P. Baiardi
  • Published 1 June 2008
  • Medicine
  • American Journal of Physical Medicine & Rehabilitation
OBJECTIVE We describe the distribution of cough peak flows (CPFs) in a random population of healthy children and adolescents. [] Key MethodDESIGN Spirometric and peak expiratory flows including CPF data were collected on 649 (341 females, 308 males) healthy children ages 4-18 yrs, using a portable spirometer and a peak flow meter. CPFs were related to anthropometric characteristics, age, and gender by linear multiple regression analysis.
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115 Citations
Highly Influential Citations
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Background Citations
28
Methods Citations
10
Results Citations
4

115 Citations

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Citation Type

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PEF and FVC may be surrogate measures of cough effectiveness in children with neuromuscular disorders and should be considered for clinical use as screening tools to identify patients at risk for pulmonary morbidity related to ineffective cough.
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An exponential model to estimate CPF from the cough peak sound pressure level (CPSL) showed that the estimation accuracy was not affected by participant’s height or gender, and indicated that the proposed model has the potential to improve the feasibility of measuring and assessing CPF.
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Cough weakness was detected in the majority of patients with Pompe disease and was influenced by both inspiratory and expiratory muscle function, and patients at risk for problems or with ineffective PCF should be urged to complete routine pulmonary hygiene.
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TLDR
The cough flow–volume curve can be applied as a method to follow cough ability in patients with Ataxia-Telangiectasia who showed a significantly reduced cough capacity.
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TLDR
Inspiratory muscle training (at an intensity of 30% Pimax) appears safe, feasible and acceptable, in a small sample of children and adolescents with NMD and was associated with improved inspiratory muscle strength, PIF and upper limb function and coordination.
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In subjects with LSD, pulmonary function impairment, daytime hypercapnia and hypoxemia, and OSA, especially REM-related OSA are frequent, and pulmonary functions and polysomnography should be performed routinely.
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