title: The value of respiratory muscle testing in children with neuromuscular disease.
abstract: Routine lung function and respiratory muscle testing are recommended in children with neuromuscular disease (NMD), but these tests are based on noninvasive volitional maneuvers, such as the measurement of lung volumes and maximal static pressures, that young children may not always be able to perform. The realization of simple natural maneuvers such as a sniff or a cough, and the measurement of esophageal and gastric pressures during spontaneous breathing can add valuable information about the strength and endurance of the respiratory muscles in young children. Monitoring respiratory muscles in children with NMD may improve understanding of the natural history of NMD and the evaluation of disease severity. It may assist and guide clinical management and it may help the identification and selection of optimal end points, as well as the most informative parameters and patients for clinical trials.
authors: Pediatric Noninvasive Ventilation and Sleep Unit, Necker University Hospital, AP-HP, Paris; Research Unit Inserm U955 Equipe 13, Créteil. Electronic address: brigitte.fauroux@nck.aphp.fr.
authors: Brigitte
authors: B
authors: Fauroux
authors: Pediatric Department Centre de Référence Maladies Neuromusculaires (GNMH), Raymond Poincaré Hospital, AP-HP, Garches, Université Versailles UVSQ Inserm, UMRS_974, Paris.
authors: Susana
authors: S
authors: Quijano-Roy
authors: Paris Descartes University Paris; Pediatric Neurology Department Centre de Référence Maladies Neuromusculaires (GNMH), Necker University Hospital, AP-HP, Paris.
authors: Isabelle
authors: I
authors: Desguerre
authors: ASV Santé Gennevilliers, France; Pediatric Noninvasive Ventilation and Sleep Unit, Necker University Hospital, AP-HP, Paris; Paris Descartes University Paris.
authors: Sonia
authors: S
authors: Khirani
mesh_terms: D006801:Humans; D053580:Muscle Strength; D020388:Muscular Dystrophy, Duchenne / Q000503:physiopathology; D009468:Neuromuscular Diseases / Q000150:complications / Q000503:physiopathology* / Q000628:therapy; D063087:Noninvasive Ventilation; D010991:Plethysmography / Q000379:methods; D012129:Respiratory Function Tests; D012132:Respiratory Muscles / Q000503:physiopathology*; D012891:Sleep Apnea Syndromes / Q000150:complications / Q000503:physiopathology / Q000628:therapy