Original articles

Volume XLIII, n. 2 - June 2024

Practical recommendations for swallowing and speaking during NIV in people with neuromuscular disorders


Key words: swallowing, speaking, non-invasive ventilation, neuromuscular disorders
Publication Date: 2024-06-30


Objectives. The functions of eating, drinking, speaking, and breathing demand close coordination of the upper airway musculature which may be challenged by the long-term use of daytime non-invasive ventilation (NIV). This rapid review explores the challenges and practicalities of these interactions in people with neuromuscular disorders.

Methods. A search was performed on PubMed (period 2000-2023) using generic terms to refer to eating, drinking, and speaking related to people with neuromuscular disorders on NIV. A narrative approach was used to summarize the available literature.

Results. Our review shows only a small number of studies exist exploring the use of NIV on swallowing and speaking in people with neuromuscular disorders. We summarize study findings and provide practical advice on eating, drinking and speaking with NIV.

Conclusions. By understanding breathing, NIV mechanics and upper airway interactions, it is possible to optimize swallowing and speaking whilst using NIV. There is a lack of specific guidelines, and concerns regarding aspiration warrant further research and guideline development.



Tiina Maarit Andersen - Thoracic Department, Haukeland University Hospital, Bergen, Norway & The Department of Health and Functioning, Western Norway University of Applied Science, Bergen, Norway. https://orcid.org/0000-0002-0641-3653

Lee Bolton - Speech and Language Therapy, Royal Brompton and Harefield Hospitals, Guy’s and St Thomas’ NHS Trust, London, United Kingdom. https://orcid.org/0000-0002-7104-9376

Michel Toussaint - Université libre de Bruxelles (ULB), Hôpital Universitaire de Bruxelles (H.U.B), CUB Hôpital Erasme, Department of Neurology, Centre de Référence Neuromusculaire, Brussels, Belgium. https://orcid.org/0000-0002-5939-9955

How to Cite
Andersen, T. M., Bolton, L., & Toussaint, M. (2024). Practical recommendations for swallowing and speaking during NIV in people with neuromuscular disorders. Acta Myologica, 43(2). https://doi.org/10.36185/2532-1900-417
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