“…Other factors, such as gravity, airway geometry, fluid rheological properties and quantities, as well as regional lung mechanics (local airway resistance and compliance) interact to influence the net movement of secretions [4]. Because the mucociliary system represents an important part of the respiratory defenses [5], the potential influence of MV on the tracheal epithelia and mucociliary system deserves close consideration. The mucociliary functions depend on the integration of ciliated epithelium, periciliary fluid, and mucus [6] and may be disturbed by several factors, such as increased mucus production, abnormal mucus rheology, abnormal ciliary activity, or loss of ciliated cells [7,8].…”