Recovering From COVID-19 The Long Road: a Single Case Study

Introduction Battling a new and unknown Covid-19 virus over the last year resulted in challenges across healthcare settings. Patients were left with severe debility following prolonged admissions requiring multiple medical interventions. New York City (NYC) was an epicenter of the COVID-19 outbreak during the spring of 2020.   Therapists around the country were faced with the…

Patient sitting talking with doctor

Starting a Respiratory Muscle Strength Training (RMST) Program

Respiratory muscle strength training (RMST) is becoming widely used as a treatment modality in the field of speech-language pathology (SLP) for patients with impairments in speech, voice, cough, and/or swallowing. The primary goal of RMST is to increase the force-generating capacity of the inspiratory (inspiratory muscle strength training; IMST) and expiratory muscles (expiratory muscle strength…

Collage of people with sleep apnea and snoring issues.

EMST to improve deglutition and cough functions

Early on in my career, I was drawn to the wondrous world of swallowology.  I have always been amazed with the intricacy of the neural muscular underpinnings of deglutition and the power of neural plasticity through rehabilitation.  Evidence of improved swallow function with application of exercise physiology and neural plasticity principles has been shown in…

Young man sleeping

Short-term expiratory muscle strength training attenuates sleep apnea and improves sleep quality in patients with obstructive sleep apnea

Article Highlights Applying a short-term EMST program may improve sleep quality but also reduce sleep apnea symptoms in patients with mild to moderate OSA. This study demonstrates that when patients with mild-to-moderate OSA participate in a 5-week EMST program, their sleep apnea severity, sleep quality, and respiratory muscle strength are improved. Reference Kuo, Yu-Chi, et…

Transparent skull model

Expiratory muscle strength training for radiation-associated aspiration after head and neck cancer

Article Highlights Expiratory strengthening may be a novel therapeutic target to improve airway protection in this population Data suggest functional improvements in swallowing safety in chronic radiation-associated aspirators Maximum Expiratory Pressures (MEP) were reduced in chronic radiation-associated aspirators Reference Hutcheson, Katherine A., et al. “Expiratory Muscle Strength Training for Radiation-Associated Aspiration after Head and Neck…

supracricoid partial laryngectomy surgery

The safety and efficacy of expiratory muscle strength training for rehabilitation after supracricoid partial laryngectomy

Article Highlights First report of EMST intervention after supracricoid partial laryngectomy (SCPL). The clinical pilot study was undertaken to determine the safety and efficacy of a 4-week treatment program Most participants found the device easy to use and beneficial Demonstrated improvement in two measures: Increase in peak cough flow and decrease on the Dyspnea index…

Jogger running up steps

High-Intensity Respiratory Muscle Training Improves Strength and Dyspnea Post-Stroke

Article Highlights Examine whether high-intensity home-based RMST delivered more frequently and for a longer duration would increase the strength and endurance of the respiratory muscles, reduce dyspnea and respiratory complications, and improve walking capacity post-stroke. High-intensity home-based respiratory muscle training was effective in increasing the strength and endurance of the respiratory muscles and reducing dyspnea…