Expiratory Muscle Strength Training in Persons With Multiple Sclerosis Having Mild to Moderate Disability: Effect on Maximal Expiratory Pressure, Pulmonary.

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Expiratory Muscle Strength Training in Persons With Multiple Sclerosis Having Mild to Moderate Disability: Effect on Maximal Expiratory Pressure, Pulmonary Function, and Maximal Voluntary Cough Toni Chiara, PhD, PT, A. Daniel Martin, PhD, PT, Paul W. Davenport, PhD, Donald C. Bolser, PhD Archives of Physical Medicine and Rehabilitation Volume 87, Issue 4, Pages 468-473 (April 2006) DOI: 10.1016/j.apmr.2005.12.035 Copyright © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 1 (A) Labeled phases of cough wave: inspiratory phase, compression phase (minimal flow phase), and expiratory phase. (B) Measured components of cough wave: 1, rise-time (from the end of compression phase to the peak of expiratory flow during the expiratory phase); 2, cough expiratory airflow peak amplitude. Archives of Physical Medicine and Rehabilitation 2006 87, 468-473DOI: (10.1016/j.apmr.2005.12.035) Copyright © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 2 Change in MEP from pretrain through to detrain. Significant difference was found between the MS (○) and healthy (▴) groups and across assessments: pretrain to posttrain (⁎) and pretrain to detrain (†). Significant at P<.05. Archives of Physical Medicine and Rehabilitation 2006 87, 468-473DOI: (10.1016/j.apmr.2005.12.035) Copyright © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 3 Change in PEF from pretrain through to detrain. Significant difference was found between the MS (○) and healthy (▴) groups and across assessments: pretrain to posttrain (⁎) and pretrain to detrain (†). Significant at P<.05. Archives of Physical Medicine and Rehabilitation 2006 87, 468-473DOI: (10.1016/j.apmr.2005.12.035) Copyright © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions