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Updated: Oct 25, 2025

A Protocol for Comprehensive Assessment of Bulbar Dysfunction in Amyotrophic Lateral Sclerosis ALS
Published on: February 21, 2011
Terry D Heiman-Patterson1, Ossama Khazaal2, Daohai Yu3
1Department of Neurology, Temple University Lewis Katz School of Medicine, Philadelphia, PA USA.
Maximum expiratory pressure (MEP) declines fastest in ALS patients, indicating early expiratory muscle weakness. Inspiratory pressure (MIP) criteria for non-invasive ventilation (NIV) are met sooner than FVC criteria.
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