Expiratory muscle strength training (EMST) is an evidence-based treatment for dysphagia, voice, and more. Read the article to learn how to do EMST speech therapy exercises with your patients!

Findings from the literature, including articles on healthy participants indicate that EMST may improve, expiratory muscle function, cough function, UES opening and hyolaryngeal elevation. These improvements may increase airway protection during swallowing in a variety of dysphagia cohorts and prevent aspiration-related pulmonary complications.

Expiratory Muscle Strength Training (EMST) is a device based exercise program that improves airway protection through strengthening of the respiratory muscles. Specifically, EMST training increases hyolaryngeal movement, resulting in improvements in breathing force, swallowing, voluntary cough production, and voice. Who uses EMST?

2021年3月2日 · Four-week expiratory muscle strength training significantly reduces overall dysphagia severity in PD patients, with a sustained effect after 3 months compared with sham training. This was mainly achieved by improving swallowing efficiency.

RMST involves two types of exercise: expiratory muscle strength training (EMST) and/or inspiratory muscle strength training (IMST). EMST is perhaps the more widely researched form of RMST within the field of dysphagia - though IMST is becoming increasingly popular with growing evidence to support its use.

2019年2月22日 · Sapienza: The studies have shown that during EMST, not IMST, the suprahyoid muscles are co-contracting and generating greater muscle activity than that exhibited during normal dry or wet swallow, and that the muscle force produced is …

Results suggest that a simultaneous HRM/EMG/EMST paradigm may be used to detect previously unquantified swallowing-related muscle activity during EMST, particularly in the palate and pharynx.

To understand how to implement RMST therapy with patients with trach and vent and how to measure functional outcomes. What is Respiratory Muscle Strength Training? Why RMST ? What is normal MIP /MEP? Adults 18-85. MEP lower than 30 cmh20 can lead to ineffective cough. Functional Outcomes-what does the evidence show?

2020年3月1日 · This review aimed to assess and synthesise current EMST data and determine the effect of EMST on expiratory strength, pulmonary function and cough. Nine studies examined MEP as a primary outcome measure and, despite differences in intervention protocols, meta-analysis indicated a small but statistically significant increase in MEP following EMST.

Train at adjusted value of MEP 30 – 50% Speak need: 5 – 10 cmH2O, Cough need: 100 – 200 cmH2O, Bowel movement: 200 – 300 cmH2O. Class II evidence that EMST training increases MEP in early stages of MND. MEP declines in those not using EMST. More research needed in long-term functional outcomes. Costs. EMST device £71 – 75.