No-Leak Speaking Valves and Respiratory Muscle Training: A Perfect Pairing for Early Intervention in the ICU

Research supports the use of respiratory muscle training (RMT) to improve ventilator weaning outcomes, swallow safety, and cough strength (Pitts et al., 2009; Elkins & Dentice, 2015). The use of a no- leak speaking valve, such as the Passy Muir ®Valve (PMV®), allows patients with tracheostomies, even those who are ventilator-dependent, to participate in expiratory…

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…

Coronavirus Rehabilitation

Post COVID-19 Rehab Program

COVID-19 Background A unique virus that is transmitted person to person, COVID-19 has spurred a rapid global response in search of methods for preventing, testing, and treating the acute symptoms as well as managing the long-term effects of post-COVID care. Symptoms may appear 2-14 days after exposure and include shortness of breath, cough, sore throat,…

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…