Investigating whether or not using a visual aid (waveform) on the "cough assist" device will enhance how helpful the machine is in helping to increase the strength of your cough

A mechanical insufflation:exsufflation (MI:E) or ‘cough assist’ device helps to clear the airways and lungs in people who have a weak cough. This study is investigating whether using a visual aid (a waveform) on the ‘cough assist’ device will enhance how helpful the machine is in helping to increase cough strength. Previous research has used a camera to assess spasms in the airway, which can occur as a result of the ‘cough assist’ machine. The researchers want to investigate whether using the visual waveform on the machine can identify airway spasms rather than using a camera.

This research aims to optimise the ability of individuals to clear secretions from their lungs and airways, which may reduce chest infections and improve symptom burden. The results of this study will help to inform clinical guidance to physiotherapists on the best way of assessing and treating airway response to the ‘cough assist’ device.

Taking Part

What does taking part involve?

Taking part in this study involves a range of assessments to look at how strong your cough is as well as your breathing muscles. The study involves using the cough assist device at the same time as having a camera placed in your nose to look at your airway. You will have a camera passed through your nose to look at your vocal cords. An adapted mask for the ‘cough assist’ device will be used by the physiotherapist whilst the camera is in place. The mask is adapted by having a small hole in it to be able to place the nose camera in place. The ‘cough assist’ will then be used by the physiotherapist whilst the camera remains in place in your nose. The video of your vocal cords and the cough assist settings will be recorded; these will not show your face. The recordings will then only be reviewed by members of the research team.

Who can take part?

• People living with MND
• 18+

How can I take part?

For more information and to take part in this study please contact Stephanie Mansell on 02074726623 or rf-tr.researchsettle@nhs.net

Study locations

North Central London, Hertfordshire, people under the care of the Royal Free Hospital, people living in Barnet.

Funding

This research is funded by the Private Physiotherapy Education Fund