Respiratory Muscle Strength Training

First Edition

Christine Sapienza, Bari Hoffman

Details: 279 pages, B&W, Softcover, 6" x 9"

ISBN13: 978-1-63550-257-2

© 2021 | Available


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Respiratory Muscle Strength Training is a clinical guide, intended to provide clinicians with the background information they need to understand respiratory muscle strength training (RMST). With a variety of case studies provided by well-known authors and clinicians, this text acts as a guidebook to the RMST protocol and provides practical information for use in the field of healthcare.

In addition to real-world case studies, Respiratory Muscle Strength Training includes a chapter devoted to Frequently Asked Questions, a representative sample of the devices commonly used for respiratory training, and instructions for using them in patient care.


"The purpose of the book is to provide historical background on the development and use of RMST protocols relevant to practice in speech-language pathology. This book is very relevant and needed as use of RMST is rapidly expanding in the field of speech-language pathology. The authors meet their objectives, providing a strong historical background and evidence base regarding practical application of RMST.
[...] it is an excellent resource for practitioners in speech-language pathology who are wanting to learn more about RMST in order to start or expand use of RMST with their patients. The authors are known experts in the area of RMST and have extensive experience with research and education on this topic.  ...The book contains a thorough review of anatomy and physiology relevant to RMST, the background and history of RMST, a description of what RMST is and how it works, information about RMST devices, and practical information and case studies that offer guidance on how to use RMST with various patient populations. The authors write on a complex topic in a way that is clear and accessible for professionals at different levels of knowledge in this area. Appendix A provides a comprehensive list of available RMST devices and appendix B provides specific instructions on how to use RMST devices. Chapter 18 includes a very helpful 'frequently asked questions' list.  This book is practical and helpful. I most appreciated the case studies, which makes the book content feel relevant and useful. The FAQ chapter was also very helpful and addressed several of the questions I had while reading."

—Teri A. Clemons, SLPD, Biola University, in Doody's Book Reviews (May 2021)

About the Editors

Chapter 1. Respiratory Anatomy and Physiology
Christine Sapienza

Chapter 2. Neuroanatomy and Neurophysiology of the Respiratory Muscle System 
Christine Sapienza

Chapter 3. The Laryngeal Valve
Gayle Woodson

Chapter 4. Skeletal Muscle Structure and Function
David Hooper, Catherine Saenz, and Carena Winters

Chapter 5. Respiratory Muscle Training
Scott K. Powers, Mustafa Ozdemir, Matthew P. Bomkamp, and Hayden Hyatt

Chapter 6. Respiratory Muscle Strength Training Devices
Christine Sapienza

Chapter 7. Respiratory Training for Special Populations
Christine Sapienza and Michelle Troche

Chapter 8. Case: Inspiratory Muscle Strength Training in an Adolescent With Grade 1 Subglottic Stenosis
Susan Baker Brehm and Barbara D. Weinrich

Chapter 9. Exercise-Induced Laryngeal Obstruction and Inspiratory Muscle Training
Astrid Sandnes, Hege Havstad Clemm, Tiina Andersen, Thomas Halvorsen, and Ola Drange Røksund 

Chapter 10. Using Expiratory Muscle Strength Training With Velopharyngeal Insufficiency (VPI) Conditions 
Yaser S. Natour and Wesam B. Darawsheh

Chapter 11: Incorporating RMST Into Voice Therapy for a Patient with Vocal Fold Paresis
Adam T. Lloyd, Michelle M. Bretl, and Jennylee Diaz

Chapter 12. Using EMST for Treatment of Dysphagia for a Complex Patient in the Acute Care Setting 
Vicki Lewis

Chapter 13. The Use of Expiratory Muscle Strength Training in the Treatment of Chronic Refractory Cough and Presbyphonia 
Austin Collum and Emily Dunn

Chapter 14. Respiratory Muscle Strength Training for Treatment of Communication and Swallowing Deficits in Tracheostomy and Ventilator-Dependent Patients
Maribel Ciampitti

Chapter 15. Respiratory Muscle Strength Training for a Patient with Head and Neck Cancer
Irene de Pedro Netto Vartanian, Jose Guilherme Vartanian, and Renan Bezerra Lira

Chapter 16. RMST Case: Late Radiation-Associated Dysphagia (Late-RAD) in Head and Neck Cancer Survivorship 
Carly E. A. Barbon and Katherine A. Hutcheson

Chapter 17. Expiratory Muscle Strength Training (EMST) in the Laryngectomized Patient
Bari Hoffman, Vicki Lewis, and Henry Ho

Chapter 18. Frequently Asked Questions
Christine Sapienza

Appendix A. Representative Sample of Devices Used for Respiratory Training
Appendix B. Instructions for Using Respiratory Training Devices


Christine Sapienza

Christine Sapienza, PhD, CCC-SLP, serves as Provost of Jacksonville University. Previously, Dr. Sapienza was a longstanding tenured professor and chair of the Department of Communication Sciences and Disorders at the University of Florida, as well as a research career scientist at the Brain Rehabilitation Research Center at the Malcom Randall Veterans Administration Hospital. As a principal investigator of National Institutes of Health grants, VA Research Rehabilitation Research and Development Awards, and a M.J. Fox Foundation grant, Dr. Sapienza has provided extensive mentoring to 16 doctoral students, all of whom have contributed back to academics and clinical service. She has built a strong national and international reputation for expertise in the design and implementation of larger scale randomized clinical trials examining treatments as well as the careful reporting of peer-reviewed outcomes from these studies. Dr. Sapienza methodically disseminates this information to the scientific community at large in the form of invited presentations, workshops, and clinical teaching platforms. Through writing, she works to integrate research findings in journal articles, textbooks, and clinical manuals. As a frequent contributor to patient support groups she aspires to assist patients and caregivers as they navigate available treatments and emerging science. 

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Bari Hoffman

Bari Hoffman, PhD, CCC-SLP, is an Associate Dean in the College of Health Professions and Sciences, Professor in the Department of Communication Sciences and Disorders, with a joint appointment in Internal Medicine within the College of Medicine at the University of Central Florida. Dr. Hoffman serves as Director of the Center for Voice Care and Swallowing Disorders at the Ear Nose Throat and Plastic Surgery Associates. She has worked clinically in this setting for more than 20 years treating individuals with voice and upper airway disorders specializing in pediatric, professional, and neurogenic populations, along with individuals undergoing treatment for head and neck cancer. Dr. Hoffman received her doctoral degree from the University of Florida in 2001. Her current research involves studying novel treatment technologies and biomechanical mechanisms for disorders of laryngeal function, while defining the high impact on quality of life factors. She implements 3-D computer modeling of upper and lower airway function, coping strategies of individuals with dysphonia, and respiratory muscle strength paradigms in a variety of patient groups. Dr. Hoffman has a significant record of peer-reviewed publications, authorship of two other textbooks: Cases in head and Neck Cancer: A Multidisciplinary Approach and Respiratory Muscle Training. She actively lectures across the country and internationally on these topics. In recognition of her contributions to teaching, research, and service, she has received numerous awards within her university, state, and national associations.

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