This article and any supplementary material should be cited as follows: Troche MS, Rosenbek JC, Okun MS, Sapienza CM. Detraining outcomes with expiratory.

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This article and any supplementary material should be cited as follows: Troche MS, Rosenbek JC, Okun MS, Sapienza CM. Detraining outcomes with expiratory muscle strength training in Parkinson disease. J Rehabil Res Dev. 2014;51(2):305– Slideshow Project DOI: /JRRD JSP Detraining outcomes with expiratory muscle strength training in Parkinson disease Michelle S. Troche, PhD; John C. Rosenbek, PhD; Michael S. Okun, MD; Christine M. Sapienza, PhD

This article and any supplementary material should be cited as follows: Troche MS, Rosenbek JC, Okun MS, Sapienza CM. Detraining outcomes with expiratory muscle strength training in Parkinson disease. J Rehabil Res Dev. 2014;51(2):305– Slideshow Project DOI: /JRRD JSP Aim – Examine changes in maximum expiratory pressure (MEP) and swallowing safety after 3 mo of expiratory muscle strength training (EMST) detraining in persons with Parkinson disease (PD). Relevance – EMST improves MEP, cough function, and swallowing safety in PD. However, no published reports describe detraining effects after EMST in persons with PD or after any behavioral swallowing intervention.

This article and any supplementary material should be cited as follows: Troche MS, Rosenbek JC, Okun MS, Sapienza CM. Detraining outcomes with expiratory muscle strength training in Parkinson disease. J Rehabil Res Dev. 2014;51(2):305– Slideshow Project DOI: /JRRD JSP Method 10 participants with PD underwent 3 mo of detraining following EMST. MEP and swallowing safety measured: – Pre-EMST (baseline). – Post-EMST (predetraining). – 3 mo postdetraining.

This article and any supplementary material should be cited as follows: Troche MS, Rosenbek JC, Okun MS, Sapienza CM. Detraining outcomes with expiratory muscle strength training in Parkinson disease. J Rehabil Res Dev. 2014;51(2):305– Slideshow Project DOI: /JRRD JSP Results Participants demonstrated 19% improvement in MEP from pre- to post-EMST. Following 3 mo detraining period: – MEP declined by 2% yet remained 17% above baseline. – 7 participants demonstrated no change in swallowing safety, 1 worsened, and 2 improved. Swallowing safety did not significantly change from post-EMST to postdetraining.

This article and any supplementary material should be cited as follows: Troche MS, Rosenbek JC, Okun MS, Sapienza CM. Detraining outcomes with expiratory muscle strength training in Parkinson disease. J Rehabil Res Dev. 2014;51(2):305– Slideshow Project DOI: /JRRD JSP Conclusion This preliminary study highlights need for maintenance programs designed to sustain function following intensive periods of training.