Expiratory muscle strength training in Parkinson's disease patients: a pilot study of mobile monitoring application

Author(s):  
Martin Srp ◽  
Rebeka Korteová ◽  
Radim Kliment ◽  
Robert Jech ◽  
Evžen Růžička ◽  
...  
2017 ◽  
Vol 2 (13) ◽  
pp. 93-102
Author(s):  
Alyssa Huff ◽  
Alyssa Brown ◽  
Barbara K. Smith ◽  
Teresa Pitts

Rehabilitation of cough is now moving under the purview of speech-language pathology as our understanding of the relationship between disorders of cough and swallow increases. The purpose of this review is to provide a guide in understanding the mechanisms of weak or disordered cough in Parkinson's disease, and mechanisms for why expiratory muscle strength training is an effective therapy. Additionally, this review provides resources for performing clinical evaluations of maximum expiratory pressure and dosage information for expiratory muscle strength training.


2017 ◽  
Vol 26 (4) ◽  
pp. 1159-1166 ◽  
Author(s):  
Meghan Darling-White ◽  
Jessica E. Huber

PurposeThe purpose of this study was to examine the impact of expiratory muscle strength training on speech breathing and functional speech outcomes in individuals with Parkinson's disease (PD).MethodTwelve individuals with PD were seen once a week for 8 weeks: 4 pretraining (baseline) sessions followed by a 4-week training period. Posttraining data were collected at the end of the 4th week of training. Maximum expiratory pressure, an indicator of expiratory muscle strength, and lung volume at speech initiation were the primary outcome measures. Secondary outcomes included lung volume at speech termination, lung volume excursion, utterance length, and vocal intensity. Data were collected during a spontaneous speech sample. Individual effect sizes > 1 were considered significant.ResultsMaximum expiratory pressure increased in a majority of participants after training. Training resulted in 2 main respiratory patterns: increasing or decreasing lung volume initiation. Lung volume termination and excursion, utterance length, and vocal loudness were not consistently altered by training.ConclusionsPreliminary evidence suggests that the direct physiologic intervention of the respiratory system via expiratory muscle strength training improves speech breathing in individuals with PD, with participants using more typical lung volumes for speech following treatment.


2017 ◽  
Vol 128 (5) ◽  
pp. 1044-1051 ◽  
Author(s):  
Katherine A. Hutcheson ◽  
Martha P. Barrow ◽  
Emily K. Plowman ◽  
Stephen Y. Lai ◽  
Clifton David Fuller ◽  
...  

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