Functional outcomes associated with expiratory muscle strength training: Narrative review

Journal of Rehabilitation Research and Development

Volumn 51, Issue 4, 2014, Pages 535-546

  Laciuga, Helena ^a   Rosenbek, John C ^a   Davenport, Paul W ^b   Sapienza, Christine M ^c,d,e  

^a Departments of Speech Language and Hearing Sciences   (United States)

^b UNIVERSITY OF FLORIDA   (United States)

^c JACKSONVILLE UNIVERSITY   (United States)

^d VETERANS AFFAIRS MEDICAL CENTER   (United States)

^e Brooks Center for Rehabilitation Studies   (United States)

Author keywords

COPD; Cough air flow; Dysphagia; Dysphonia; Dyspnea; Exercise; Expiratory; Maximum expiratory pressure; Muscle strength training; Neuromuscular diseases; Neuroplasticity; Quality of life; Respiration

Indexed keywords

MUSCLE; NEUROPHYSIOLOGY; SEARCH ENGINES;

AIR FLOW; COPD; DYSPHAGIA; DYSPHONIA; DYSPNEA; EXERCISE; EXPIRATORY; MUSCLE STRENGTH TRAININGS; NEUROMUSCULAR DISEASE; NEUROPLASTICITY; QUALITY OF LIFE; RESPIRATION;

PULMONARY DISEASES;

ASPIRATION PNEUMONIA; BICYCLE ERGOMETRY; BREATHING RATE; CHRONIC OBSTRUCTIVE LUNG DISEASE; COUGHING; CYSTIC FIBROSIS; DEVICES; DYSPHAGIA; DYSPNEA; FORCED EXPIRATORY VOLUME; FORCED VITAL CAPACITY; HUMAN; HUMAN EXPERIMENT; LANCE ADAMS SYNDROME; LUNG MINUTE VOLUME; MULTIPLE SCLEROSIS; MUSCLE EXERCISE; MUSCLE STRENGTH; MUSCLE WEAKNESS; NEUROMUSCULAR FUNCTION; NORMAL HUMAN; PARKINSON DISEASE; PEAK EXPIRATORY FLOW; POSITIVE END EXPIRATORY PRESSURE; PRESSURE THRESHOLD DEVICE; PRIORITY JOURNAL; QUALITY OF LIFE; RESISTANCE TRAINING; RESPIRATORY FUNCTION; REVIEW; SPEECH; ST. GEORGE RESPIRATORY QUESTIONNAIRE; SWALLOWING; SYNDROME; UNIFIED PARKINSON DISEASE RATING SCALE; UPPER ESOPHAGUS SPHINCTER; VOICE; BREATHING EXERCISE; BREATHING MUSCLE; CONVALESCENCE; EXHALATION; PATHOPHYSIOLOGY; PHYSIOLOGY; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; TREATMENT OUTCOME;

BREATHING EXERCISES; COUGH; DEGLUTITION; EXHALATION; HEALTHY VOLUNTEERS; HUMANS; MULTIPLE SCLEROSIS; MUSCLE STRENGTH; PARKINSON DISEASE; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; RECOVERY OF FUNCTION; RESISTANCE TRAINING; RESPIRATORY MUSCLES; SPEECH; TREATMENT OUTCOME;

EID: 84905668275     PISSN: 07487711     EISSN: 19381352     Source Type: Journal    
DOI: 10.1682/JRRD.2013.03.0076     Document Type: Review

References (30)

1. Gosselink R, Kovacs L, Ketelaer P, Carton H, Decramer M. Respiratory muscle weakness and respiratory muscle training in severely disabled multiple sclerosis patients. Arch Phys Med Rehabil. 2000;81(6):747-51. [PMID:10857518] http://dx.doi.org/10.1016/S0003-9993(00)90105-9
2. Lahrmann H, Wild M, Zdrahal F, Grisold W. Expiratory muscle weakness and assisted cough in ALS. Amyotroph Lateral Scler Other Motor Neuron Disord. 2003;4(1):49-51. [PMID:12745619] http://dx.doi.org/10.1080/14660820310006733
3. Park JH, Kang SW, Lee SC, Choi WA, Kim DH. How respiratory muscle strength correlates with cough capacity in patients with respiratory muscle weakness. Yonsei Med J. 2010;51(3):392-97. [PMID:20376892] http://dx.doi.org/10.3349/ymj.2010.51.3.392
4. Pitts T, Bolser D, Rosenbek J, Troche M, Okun MS, Sapienza C. Impact of expiratory muscle strength training on voluntary cough and swallow function in Parkinson disease. Chest. 2009;135(5):1301-8. [PMID:19029430] http://dx.doi.org/10.1378/chest.08-1389
5. Polkey MI, Lyall RA, Green M, Nigel Leigh P, Moxham J. Expiratory muscle function in amyotrophic lateral sclerosis. Am J Respir Crit Care Med. 1998;158(3):734-41. [PMID:9730998] http://dx.doi.org/10.1164/ajrccm.158.3.9710072
6. Weiner P, Magadle R, Beckerman M, Weiner M, Berar-Yanay N. Specific expiratory muscle training in COPD. Chest. 2003;124(2):468-73. [PMID:12907530] http://dx.doi.org/10.1378/chest.124.2.468
7. Larson JL, Kim MJ, Sharp JT, Larson DA. Inspiratory muscle training with a pressure threshold breathing device in patients with chronic obstructive pulmonary disease. Am Rev Respir Dis. 1988;138(3):689-96. [PMID:3202422] http://dx.doi.org/10.1164/ajrccm/138.3.689
8. Smeltzer SC, Lavietes MH, Cook SD. Expiratory training in multiple sclerosis. Arch Phys Med Rehabil. 1996;77(9): 909-12. [PMID:8822685] http://dx.doi.org/10.1016/S0003-9993(96)90281-6
9. Kojima H, Yamada T, Takeda M, Itou Y, Yoshida M, Kimura M. Effectiveness of cough exercise and expiratory muscle training: A meta-analysis. J Phys Ther Sci. 2006; 18(1):5-10. http://dx.doi.org/10.1589/jpts.18.5
10. Mota S, Güell R, Barreiro E, Solanes I, Ramírez-Sarmiento A, Orozco-Levi M, Casan P, Gea J, Sanchis J. Clinical outcomes of expiratory muscle training in severe COPD patients. Respir Med. 2007;101(3):516-24. [PMID:16942867] http://dx.doi.org/10.1016/j.rmed.2006.06.024
11. Sapienza CM, Davenport PW, Martin AD. Expiratory muscle training increases pressure support in high school band students. J Voice. 2002;16(4):495-501. [PMID:12512637] http://dx.doi.org/10.1016/S0892-1997(02)00125-X
12. Suzuki S, Sato M, Okubo T. Expiratory muscle training and sensation of respiratory effort during exercise in normal subjects. Thorax. 1995;50(4):366-70. [PMID:7785008] http://dx.doi.org/10.1136/thx.50.4.366
13. Troche M, Okun M, Rosenbek J, Musson N, Sapienza C. Swallow outcomes following intervention with expiratory muscle strength training (EMST) in Parkinson's disease: Results of a randomized clinical trial. Dysphagia. 2009;24 (4):455-56.
14. Baker S, Davenport P, Sapienza C. Examination of strength training and detraining effects in expiratory muscles. J Speech Lang Hear Res. 2005;48(6):1325-33. [PMID:16478374] http://dx.doi.org/10.1044/1092-4388(2005/092)
15. Saleem AF, Sapienza CM, Okun MS. Respiratory muscle strength training: Treatment and response duration in a patient with early idiopathic Parkinson's disease. NeuroRehabilitation. 2005;20(4):323-33. [PMID:16403998]
16. Anand S, El-Bashiti N, Sapienza CM. Effect of training frequency on maximum expiratory pressure. Am J Speech Lang Pathol. 2012;21(4):380-86. [PMID:22628108] http://dx.doi.org/10.1044/1058-0360(2012/11-0048)
17. Weiner P, Magadle R, Beckerman M, Weiner M, Berar-Yanay N. Comparison of specific expiratory, inspiratory, and combined muscle training programs in COPD. Chest. 2003;124(4):1357-64. [PMID:14555566] http://dx.doi.org/10.1378/chest.124.4.1357
18. Silverman EP, Sapienza CM, Saleem A, Carmichael C, Davenport PW, Hoffman-Ruddy B, Okun MS. Tutorial on maximum inspiratory and expiratory mouth pressures in individuals with idiopathic Parkinson disease (IPD) and the preliminary results of an expiratory muscle strength training program. NeuroRehabilitation. 2006;21(1):71-79.[PMID:16720940]
19. Enright PL, Kronmal RA, Manolio TA, Schenker MB, Hyatt RE; Cardiovascular Health Study Research Group. Respiratory muscle strength in the elderly. Correlates and reference values. Am J Respir Crit Care Med. 1994;149(2 Pt 1):430-38. [PMID:8306041] http://dx.doi.org/10.1164/ajrccm.149.2.8306041
20. Sasaki M, Kurosawa H, Kohsuki M. Effects of inspiratory and expiratory muscle training in normal subjects. J Jpn Phys Ther Assoc. 2005;8(1):29-37. http://dx.doi.org/10.1298/jjpta.8.29
21. Griffiths LA, McConnell AK. The influence of inspiratory and expiratory muscle training upon rowing performance. Eur J Appl Physiol. 2007;99(5):457-66. [PMID:17186299]http://dx.doi.org/10.1007/s00421-006-0367-6
22. Chiara T, Martin AD, Davenport PW, Bolser DC. 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. Arch Phys Med Rehabil. 2006;87(4):468-73.[PMID:16571384] http://dx.doi.org/10.1016/j.apmr.2005.12.035
23. Kim J, Davenport P, Sapienza C. Effect of expiratory muscle strength training on elderly cough function. Arch Gerontol Geriatr. 2009;48(3):361-66. [PMID:18457885]http://dx.doi.org/10.1016/j.archger.2008.03.006
24. Wheeler KM, Chiara T, Sapienza CM. Surface electromyographic activity of the submental muscles during swallow and expiratory pressure threshold training tasks. Dysphagia. 2007;22(2):108-16. [PMID:17294298] http://dx.doi.org/10.1007/s00455-006-9061-4
25. Wheeler-Hegland KM, Rosenbek JC, Sapienza CM. Submental sEMG and hyoid movement during Mendelsohn maneuver, effortful swallow, and expiratory muscle strength training. J Speech Lang Hear Res. 2008;51(5): 1072-87. [PMID:18728114] http://dx.doi.org/10.1044/1092-4388(2008/07-0016)
26. Jones HN, Donovan NJ, Sapienza CM, Shrivastav R, Fernandez HH, Rosenbek JC. Expiratory muscle strength training in the treatment of mixed dysarthria in a patient with Lance-Adams syndrome. J Med Speech-Lang Pathol. 2006;14(3):207-17.
27. Lee HL, Lee JK. Lance-adams syndrome. Ann Rehabil Med. 2011;35(6):939-43. [PMID:22506225] http://dx.doi.org/10.5535/arm.2011.35.6.939
28. Chiara T, Martin D, Sapienza C. Expiratory muscle strength training: Speech production outcomes in patients with multiple sclerosis. Neurorehabil Neural Repair. 2007;21(3):239-49. [PMID:17351085] http://dx.doi.org/10.1177/1545968306294737
29. Wingate JM, Brown WS, Shrivastav R, Davenport P, Sapienza CM. Treatment outcomes for professional voice users. J Voice. 2007;21(4):433-49. [PMID:16581229] http://dx.doi.org/10.1016/j.jvoice.2006.01.001
30. Laciuga H, Davenport P, Sapienza C. The acute effects of a single session of expiratory muscle strength training on blood pressure, heart rate, and oxygen saturation in healthy adults. Front Physiol. 2012;3(48):48. [PMID:22419910]