Algorithm of the typical evolution of disease in patients with progressive neuromuscular disorders (gray boxes) and assessments and interventions that.

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Presentation transcript:

Algorithm of the typical evolution of disease in patients with progressive neuromuscular disorders (gray boxes) and assessments and interventions that are considered as a function of disease status (white boxes). Algorithm of the typical evolution of disease in patients with progressive neuromuscular disorders (gray boxes) and assessments and interventions that are considered as a function of disease status (white boxes). The presence of kyphoscoliosis can exacerbate the effects of respiratory and bulbar muscle weakness on airway clearance and ventilation (dotted lines). See text for further details. REM = rapid eye movement, NREM = non-REM, NIV = noninvasive ventilation. Howard B Panitch Respir Care 2017;62:826-848 (c) 2012 by Daedalus Enterprises, Inc.