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This article and any supplementary material should be cited as follows: Laciuga H, Rosenbek JC, Davenport PW, Sapienza CM. Functional outcomes associated.

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Presentation on theme: "This article and any supplementary material should be cited as follows: Laciuga H, Rosenbek JC, Davenport PW, Sapienza CM. Functional outcomes associated."— Presentation transcript:

1 This article and any supplementary material should be cited as follows: Laciuga H, Rosenbek JC, Davenport PW, Sapienza CM. Functional outcomes associated with expiratory muscle strength training: Narrative review. J Rehabil Res Dev. 2014;51(4):535–46. http://dx.doi.org/10.1682/JRRD.2013.03.0076 Slideshow Project DOI:10.1682/JRRD.2013.03.0076JSP Functional outcomes associated with expiratory muscle strength training: Narrative review Helena Laciuga, MA; John C. Rosenbek, PhD; Paul W. Davenport, PhD; Christine M. Sapienza, PhD

2 This article and any supplementary material should be cited as follows: Laciuga H, Rosenbek JC, Davenport PW, Sapienza CM. Functional outcomes associated with expiratory muscle strength training: Narrative review. J Rehabil Res Dev. 2014;51(4):535–46. http://dx.doi.org/10.1682/JRRD.2013.03.0076 Slideshow Project DOI:10.1682/JRRD.2013.03.0076JSP Aim – Review available evidence for effects of expiratory muscle strength training (EMST) with use of pressure threshold device. Relevance – Reduced expiratory muscle strength may decrease ability to generate adequate expiratory pressure for voice production or airway clearance during cough.

3 This article and any supplementary material should be cited as follows: Laciuga H, Rosenbek JC, Davenport PW, Sapienza CM. Functional outcomes associated with expiratory muscle strength training: Narrative review. J Rehabil Res Dev. 2014;51(4):535–46. http://dx.doi.org/10.1682/JRRD.2013.03.0076 Slideshow Project DOI:10.1682/JRRD.2013.03.0076JSP Method Searched for articles published after 1994 in PubMed, Cochrane, and Google Scholar databases. – Used phrases “expiratory muscle training” and “expiratory muscle strength training.” Further reviewed articles uncovered after initial search to determine use of expiratory pressure threshold device. Selected 24 articles based on predetermined criteria.

4 This article and any supplementary material should be cited as follows: Laciuga H, Rosenbek JC, Davenport PW, Sapienza CM. Functional outcomes associated with expiratory muscle strength training: Narrative review. J Rehabil Res Dev. 2014;51(4):535–46. http://dx.doi.org/10.1682/JRRD.2013.03.0076 Slideshow Project DOI:10.1682/JRRD.2013.03.0076JSP Results EMST has been successfully applied to increase maximum expiratory pressure, with potential to improve some aspects of speech, swallow, respiration, and physical performance requiring adequate expiratory pressure. EMST could be future therapeutic approach to voice impairments or dysphagia.

5 This article and any supplementary material should be cited as follows: Laciuga H, Rosenbek JC, Davenport PW, Sapienza CM. Functional outcomes associated with expiratory muscle strength training: Narrative review. J Rehabil Res Dev. 2014;51(4):535–46. http://dx.doi.org/10.1682/JRRD.2013.03.0076 Slideshow Project DOI:10.1682/JRRD.2013.03.0076JSP Conclusion Further research should assess supportive function for EMST in combination with task- specific exercise programs targeting voice loudness, cough effectiveness, and swallow safety.


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