title: Respiratory strength training: concept and intervention outcomes.
abstract: Respiratory muscle strength training (RMST) focuses on increasing the force-generating capacity of the inspiratory and expiratory muscles. The choice of respiratory muscles that are targeted using RMST depends on the outcome desired. For example, if an individual has reduced inspiratory muscle strength due to a neurogenic injury and is unable to ventilate the lungs, then inspiratory muscle strength training may be the chosen rehabilitation target. On the other hand, if a professional voice user is complaining of difficulty generating adequate vocal loudness during song production and is suffering from laryngeal dysfunction, then an expiratory muscle strength training paradigm may be the chosen rehabilitation target. Our most recent work with RMST has focused on increasing expiratory muscle force generation for those with Parkinson's disease who have difficulty with breathing, swallowing, and cough production. This difficulty typically worsens as the disease progresses. Highlights of these outcomes are summarized in this article.
authors.affiliation: Department of Speech Language and Hearing Sciences, Brain Rehabilitation Research Center, Malcom Randall VA, University of Florida, Gainesville, Florida 32611, USA. sapienza@ufl.edu
authors.forename: Christine
authors.initials: C
authors.lastname: Sapienza
authors.forename: Michelle
authors.initials: M
authors.lastname: Troche
authors.forename: Teresa
authors.initials: T
authors.lastname: Pitts
authors.forename: Paul
authors.initials: P
authors.lastname: Davenport
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001945:Breathing Exercises; D003371:Cough / Q000503:physiopathology; D003679:Deglutition; D045853:Exhalation; D005260:Female; D006801:Humans; D001239:Inhalation; D008297:Male; D008875:Middle Aged; D053580:Muscle Strength; D010300:Parkinson Disease / Q000503:physiopathology / Q000534:rehabilitation*; D011446:Prospective Studies; D055070:Resistance Training; D012119:Respiration; D012132:Respiratory Muscles / Q000503:physiopathology*