228th ENMC International Workshop:

- This report provides with an algorithmic approach to ACT management in NMDs.
- ACTs are employed to compensate for weak respiratory muscles in people with NMDs.
- Peripheral ACTs aim to improve ventilation and mucus transport.
- Proximal ACTs aim to improve cough by augmenting inspiration, expiration or both.
- Cough efficacy requires peak cough flow values above 160-200 L/min in adult NMDs.