@article{Allen:2024:10.3390/jcm13174991,
author = {Allen, J and Clunie, G and Newman, H and Slinger, C},
doi = {10.3390/jcm13174991},
journal = {Journal of Clinical Medicine},
title = {Comment on Chatwin et al. Waves of precision: a practical guide for reviewing new tools to evaluate mechanical in-exsufflation efficacy in neuromuscular disorders. J. Clin. Med. 2024, 13, 2643},
url = {http://dx.doi.org/10.3390/jcm13174991},
volume = {13},
year = {2024}
}

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TY  - JOUR
AB  - We read with interest the paper published by Chatwin et al. [1], Waves of Precision: A Practical Guide for Reviewing New Tools to Evaluate Mechanical In-Exsufflation Efficacy in Neuromuscular Disorders in the April 2024 edition of the Journal of Clinical Medicine. The ways in which the respiratory (physio)therapy profession is embracing new tools to refine the efficacy of mechanical in-exsufflation (MI-E) are both innovative and fascinating, and we would like to congratulate the authors for establishing such an informative review. We do, however, have a couple of issues to query. As members of a speech and language therapy (SLT) group with a special interest and expertise in upper airway assessment using ultrasound and other adjuvant tools, we believe that this review is missing reference to contemporary literature specific to two key upper airway assessment methods: (1) cervical auscultation and (2) ultrasound. We write this letter in the interest of drawing the reader’s attention to this work. In the absence of empirical evidence, expert opinion plays an important role in clinical decision-making and the development of practice guidelines [2]. However, where evidence does exist, a balanced critique of current literature is necessary. This includes recognising the limitations of emerging assessment tools to ensure that readers are well-informed and that risks of misapplication are mitigated [2,3,4]. We hope our contribution will encourage appropriate use of cervical auscultation and ultrasound in clinical practice and facilitate a well-balanced understanding of their potential and, more importantly, constraints as tools to evaluate the upper airway.
AU  - Allen,J
AU  - Clunie,G
AU  - Newman,H
AU  - Slinger,C
DO  - 10.3390/jcm13174991
PY  - 2024///
SN  - 2077-0383
TI  - Comment on Chatwin et al. Waves of precision: a practical guide for reviewing new tools to evaluate mechanical in-exsufflation efficacy in neuromuscular disorders. J. Clin. Med. 2024, 13, 2643
T2  - Journal of Clinical Medicine
UR  - http://dx.doi.org/10.3390/jcm13174991
VL  - 13
ER  - 

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