This study aims to evaluate how well tracheotomized patients can cough before and after their tracheostomy tube is removed. Cough strength is measured using two different tools-Peak Flow and Lorio. Researchers want to find out if the cough measurement taken before removing the tube can help predict how effective the patient's cough will be afterward. The study will also explore factors that might influence cough strength and compare the usefulness of the two tools. Additionally, it will assess how patients feel about using these devices and the role of diaphragm ultrasound in predicting cough effectiveness.

Inclusion Criteria:

• Adult patients (18 years or older)
• Hospitalized in post-intensive care rehabilitation unit (SRPR) or intensive care unit (ICU)
• Tracheotomized during the weaning process
• Medical prescription for physiotherapy assessment
• Medical prescription for speech therapy assessment

Exclusion Criteria:

• Patients who have undergone total laryngectomy
• Patients with severe swallowing disorders
• Patients with cognitive impairments incompatible with understanding instructions
• Patients under medical decision to stop active treatments
• Patients who refuse to participate or refuse to sign informed consent
• Patients under guardianship or curatorship
• Patients not affiliated with a social security scheme