This pilot clinical trial investigated the impact of two different treatment methods on respiratory infections in patients with amyotrophic lateral sclerosis (ALS). The researchers compared the efficacy of combining two devices versus using only one of them. Specifically, it involved a combination of a high-frequency chest wall oscillation (HFCWO) vest and a mechanical cough assist device. This combined therapy was compared with a treatment that utilized solely the mechanical cough assist device. The main objective was to monitor the occurrence and course of respiratory infections in patients with this severe neurodegenerative disease. The study was sponsored and conducted by the hospital Hospital Universitario Virgen Macarena. According to the available information, this clinical trial is currently officially completed.