Mechanisms for Successful Rehabilitation of Cough in Parkinson's Disease Using Expiratory Muscle Strength Training

2017 ◽  
Vol 2 (13) ◽  
pp. 93-102
Author(s):  
Alyssa Huff ◽  
Alyssa Brown ◽  
Barbara K. Smith ◽  
Teresa Pitts
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Muscle Strength ◽  
Strength Training ◽  
Speech Language Pathology ◽  
Expiratory Muscle ◽  
Language Pathology ◽  
Maximum Expiratory Pressure ◽  
Expiratory Muscle Strength Training ◽  
The Relationship

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.

scholarly journals The Impact of Expiratory Muscle Strength Training on Speech Breathing in Individuals With Parkinson's Disease: A Preliminary Study

2017 ◽  
Vol 26 (4) ◽  
pp. 1159-1166 ◽  
Author(s):  
Meghan Darling-White ◽  
Jessica E. Huber
Keyword(s):  
Parkinson’S Disease ◽  
Muscle Strength ◽  
Strength Training ◽  
Lung Volume ◽  
Expiratory Muscle ◽  
Speech Breathing ◽  
Maximum Expiratory Pressure ◽  
Utterance Length ◽  
Expiratory Muscle Strength Training ◽  
The Impact

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.

scholarly journals Expiratory Muscle Strength Training for Therapy of Pharyngeal Dysphagia in Parkinson's Disease

2021 ◽  
Author(s):  
Inga Claus ◽  
Paul Muhle ◽  
Judith Czechowski ◽  
Sigrid Ahring ◽  
Bendix Labeit ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Muscle Strength ◽  
Strength Training ◽  
Expiratory Muscle ◽  
Pharyngeal Dysphagia ◽  
Expiratory Muscle Strength Training

scholarly journals Expiratory muscle strength training for radiation-associated aspiration after head and neck cancer: A case series

2017 ◽  
Vol 128 (5) ◽  
pp. 1044-1051 ◽  
Author(s):  
Katherine A. Hutcheson ◽  
Martha P. Barrow ◽  
Emily K. Plowman ◽  
Stephen Y. Lai ◽  
Clifton David Fuller ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Muscle Strength ◽  
Strength Training ◽  
Head And Neck ◽  
Neck Cancer ◽  
Case Series ◽  
Expiratory Muscle ◽  
Expiratory Muscle Strength Training

scholarly journals Assessment of tongue weakness and fatigue

2004 ◽  
Vol 30 (1) ◽  
pp. 8-19
Author(s):  
Nancy Solomon
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Critical Level ◽  
Tongue Strength ◽  
Speech Language Pathology ◽  
Bite Block ◽  
Language Pathology ◽  
Dysarthric Speech ◽  
Neurologically Normal ◽  
Jaw Position

Assessment of nonspeech tongue function is common in speech-language pathology. This paper reviews techniques used to determine tongue strength and endurance, and describes a constant-effort task. These techniques are intended to reveal and quantify the presence of weakness or fatigue of the tongue. The consequences of performing these tasks with and without a bite block, used to fix jaw position, are considered. Whether nonspeech tongue impairment is associated with speech dysfunction in Parkinson’s disease is another topic of interest. Past studies indicated reduced tongue strength and endurance in Parkinson’s disease, but these measures did not correlate with speech measures. It was hypothesized that weakness and fatigue need to be impaired to a “critical” level before speech is perceptibly affected. To examine whether experimentally induced tongue fatigue affects speech, normal speakers performed prolonged strenuous tongue exercise. Speech deteriorated following these exercises. A new investigation examines whether 1 hour of speech-like tongue exercise (rapid syllable repetitions) affects dysarthric speech. Preliminary data from 6 participants with Parkinson’s disease, 1 person with bulbar ALS, and 6 neurologically normal control subjects indicate that sentences sound more precise but less natural after the exercises. Surprisingly, results did not differ significantly between the groups. Continued collection of data and refinement of tasks will contribute to our understanding of the potential relationships between weakness, fatigue, and speech.

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