Breathing With Amyotrophic Lateral Sclerosis

Inclusion Criteria: * Confirmed ALS categorized as probable or certain according to the revised Awaji-Shima criteria \[27\]. * ALS of spinal, bulbar or respiratory forms * Peak Flow measure between 160 and 255 L/min (recommendation of MIE in case of congestion, with the possibility of daily sessions) * Patient who has not benefited from treatment by MIE in the past year (less than 10 sessions in total) * Patient able to use the MIE and perform the collection, or having a caregiver able to help * Patient receiving physiotherapist treatment greater than or equal to twice a week Exclusion Criteria: * Psychiatric (DSM-5) or cognitive disorders incompatible with participation in the study * Contraindication to the use of an MIE (pneumothorax for example) * Insufficient level in French for understanding the study and completing the questionnaires * Current or past participation in another innovative research or care program relating to respiratory functions * Emergency situation for which the MIE must be set up within less than a week Exclusion during the study : * Appearance of a serious contraindication to the practice of MIE during the study (for example rib fracture during a fall) * Patient's physiotherapist refusing to do the study