Introduction: The West syndrome (WS) is a severe form of epilepsy manifested in the 5th month of life. It has many causes, among them organic brain dysfunction whose origins may be prenatal, perinatal, or postnatal. Accompanied by spasms, in most cases, exist change in neurological examination, often for hypotonia. The accumulation of bronchial secretions is also mentioned. It is known that respiratory capacity depends on lungs and thoracic mobility, as muscle strength and coordination of expiratory and inspiratory muscles. In syndrome, respiratory problems can be related with the restriction of exercise that may lead to respiratory movements with suction effect on the walls of the thorax, reducing the amount of air stored. Swallowing problems may exist with aspiration of food.