Research & Case Studies

Pitts T, Bolser D, Rosenbek JC, Troche M, Okun MS, Sapienza C. Impact of expiratory muscle strength training on voluntary cough and swallow function in Parkinson disease.Chest 2009; 135:1301–1308.

Sapienza CM, Davenport PW, Martin AD. Expiratory muscle training increases pressure support in high school band students. J Voice. 2002 16(4): 495-501.

E. Tong, M.L. Ng, N. Yan. Impact of expiratory muscle strength training (EMST) on phonatory performance in Parkinson’s patients [abstract]. Mov Disord. 2016; 31 (suppl 2). Accessed September 18, 2016.

S. Park, CGimhae, D. H. Oh, Close, Gangwon-do, M. Y. Chang, K. M. Kim, Kyeong Mi Kim, 197 Inje-ro, Gimhae-si, Gyeongsangnam-do Effects of expiratory muscle strength training on oropharyngeal dysphagia in subacute stroke patients: a randomized controlled trial J Oral Rehabil. 2016 May; 43(5): 364-72. doi: 10.1111/joor.12382. Epub 2016 Jan 24. 621-749, 24

Plowman EK, Watts SA, Tabor L, Robison R, Gaziano J, Domer AS, Richter J, Vu T, Gooch C. Impact of expiratory strength training in amyotrophic lateral sclerosis. Muscle Nerve. 2016 Jun; 54(1): 48-53. Doi: 10.1002/mus.24990. Epub 2016 Mar 3.PMID: 26599236

The Effects of Expiratory Muscle Strength Training on Voice and Associated Factors in Medical Professionals With Voice Disorders.Tsai YC, Huang S, Che WC, Huang YC, Liou TH, Kuo YC.J Voice. 2015 Nov 10. pii: S0892-1997(15)00212-X. doi: 10.1016/j.jvoice.2015.09.012.

Kim J, Sapienza CM. Implications of expiratory muscle strength training for rehabilitation of the elderly: J Rehabil Res Dev. 2005 42(2): 211-24.

Baker S, Davenport P, Sapienza C. Examination of strength training and detraining effects in expiratory muscles. J Speech Lang Hear Res. 2005 48(6): 1325-33.

Wingate JM, Brown WS, Shrivastav R, Davenport P, Sapienza CM. Treatment outcomes for professional voice users. J Voice. 2007 21(4): 433-49.

Roth EJ, Stenson KW, Powley S, Oken J, Primack S, Nussbaum SB, Berkowitz M. Expiratory muscle training in spinal cord injury: a randomized controlled trial. Arch Phys Med Rehabil 2010;91:857-

Functional outcomes associated with expiratory muscle strength training: narrative review. Laciuga H, Rosenbek JC, Davenport PW, Sapienza CM. J Rehabil Res Dev. 2014;51(4):535-46. doi: 10.1682/JRRD.2013.03.0076. Review.PMID: 25144167

Sapienza CM, Wheeler K. Respiratory muscle strength training: functional outcomes versus plasticity. Semin Speech Lang. 2006 27(4):236-44.

Wheeler KM, Chiara T, Sapienza CM. Surface electromyographic activity of the submental muscles during swallow and expiratory pressure threshold training tasks. 2007 22(2):108-16.

Chiara T, Martin D, Sapienza C. Expiratory muscle strength training: speech production outcomes in patients with multiple sclerosis. Neurorehabil Neural Repair. 2007 21(3):239-49.

Kim J, Davenport P, Sapienza C. Effect of expiratory muscle strength training on elderly cough function. Arch Gerontol Geriatr. 2009 48(3):361-6.

Sapienza CM. Respiratory muscle strength training applications. Curr Opin Otolaryngology Head Neck Surg. 2008 16(3): 216-20.

Wheeler-Hegland KM, Rosenbek JC, Sapienza CM. Submental sEMG and hyoid movement during Mendelsohn maneuver, effortful swallow, and expiratory muscle strength training. J Speech Lang Hear Res. 2008 51(5): 1072-87.

Susana Motaa,b, Rosa Gu¨ella, Esther Barreiroc, Ingrid Solanesa, Alba Ramı´rez-Sarmientoc, Mauricio Orozco-Levic, Pere Casana, Joaquim Geac, Joaquı´n Sanchisa. Clinical outcomes of expiratory muscle training in severe COPD patients

Troche MS, Okun MS, Rosenbek JC, Musson N, Fernandez HH, Rodriguez R, Romrell J, Pitts T, Wheeler-Hegland KM, Sapienza CM. Aspiration and swallowing in Parkinson disease and rehabilitation with EMST: a randomized trial. Neurology 2010; 75(21): 1912-9.

Sapienza C, Troche M, Pitts T, Davenport P. Respiratory strength training: concept and intervention outcomes. Semin Speech Lang. 2011 32(1):21-30.

Olsen, D.C., P.W. Davenport, C.M. Sapienza, A.D. Martin and M. Knafelc Specific Expiratory Muscle Strength Training (EMST) in Adult Male Deep Water Divers. FASEB Journal, 2001.

Hoffman, B., J.L. Lehman, P.W. Davenport, A.D. Martin and C.M. Sapienza. The effects of expiratory pressure threshold training on “high risk” singers. Annual Symposium on the Care of the Professional Voice, 2000.

Baker, S., C. Sapienza, P.W. Davenport, W.S. Brown and H. Rothman. Evaluation of Expiratory Muscle Strength Training Paradigms: Effects on Ventilation, Cough and Voice. 32nd Annual Symposium: Care of the Professional Voice, 2003.

Hoffman Ruddy, B., C. Sapienza, P.W. Davenport, J. Lehman and B. Spector. Expiratory Pressure Threshold Training on Vocal Percussion Performers. 32nd Annual Symposium: Care of the Professional Voice, 2003.

Baker, S., C, M, Sapienza, and P.W. Davenport. Expiratory Muscle Strength Training: Effects on Speech and Cough Production. Twelfth Biennial Conference on Motor Speech: Motor Speech Disorders & Speech Motor Control. 2004.

Fitsimones,L.B., C. M. Sapienza and P. W. Davenport. The effect of expiratory muscle strength training on low cervical and thoracic SCI patients. American Thoracic Society, 2004.

Wingate, J.M., Shrivastav, R., Brown, W.S., Davenport, P., & Sapienza, C. Therapy outcomes for professional voice users following combined modality treatment: final results. 34th Annual Symposium of the voice Foundation: Care of the Professional Voice, 2005

Kim, J., P.W. Davenport and C.M. Sapienza. The effect of expiratory muscle strength training of sedentary elderly humans on irritant elicited cough. The 4th International Symposium on Cough, 2006.

Bernhardt, V., S.M. Nedrud, G. Troy and P.W. Davenport. The Effects of Expiratory Muscle Strength Training (EMST) in Elite College Swimmers. FASEB J, 24:618.4, 2010

Bernhardt, V., S.M. Nedrud, M.T. Hotchkiss and P.W. Davenport. Expiratory Muscle Strength Training on Subjective Ratings and Performance in Elite Swimmers. International Society for the Advancement of Respiratory Psychophysiology (ISARP), 2011.