Physiologic Adaptations to Modifying Resistive Load and Time Under Tension During Expiratory Muscle Strength Training.

Purpose: The purpose of this study was to test the impact of modifying resistive load and time under tension (TUT) on respiratory excursion, submental excitation, and ratings of perceived exertion/effort (RPE) during expiratory muscle strength training (EMST). Task specificity between EMST, cough, a...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 69; no. 8; pp. 3589 - 3622
Autores principales: Dakin, Avery E., Rau, Sydney, Villarreal-Cavazos, Katya, Easterly, Kelly, Huber, Jessica E., Garber, Carol Ewing, Quinn, Lori, Hegland, Karen W., Troche, Michelle S.
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Aug2026
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2026
      vid: 69
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      pub: American Speech-Language-Hearing Association
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        10.1044/2026_JSLHR-25-00953
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        atl: Physiologic Adaptations to Modifying Resistive Load and Time Under Tension During Expiratory Muscle Strength Training.
      aug:
        au:
          Dakin, Avery E.
          Rau, Sydney
          Villarreal-Cavazos, Katya
          Easterly, Kelly
          Huber, Jessica E.
          Garber, Carol Ewing
          Quinn, Lori
          Hegland, Karen W.
          Troche, Michelle S.
        affil:
          Laboratory for the Study of Upper Airway Dysfunction, Department of Biobehavioral Sciences, Teachers College, Columbia University, New York, NY
          Speech Physiology Laboratory, Department of Communicative Disorders and Sciences, College of Arts and Sciences, University at Buffalo, NY
          EXerT Clinic for Exercise Testing and Prescription, Department of Biobehavioral Sciences, Teachers College, Columbia University, New York, NY
          Neurorehabilitation Research Laboratory, Department of Biobehavioral Sciences, Teachers College, Columbia University, New York, NY
          Laboratory for the Study of Upper Airway Dysfunction, Department of Speech, Language and Hearing Sciences, College of Public Health and Health Professions, University of Florida, Gainesville
      su:
        Exercise
        Task performance
        Respiratory muscle physiology
        Physiology of abdominal muscles
        Physiological adaptation
        Research funding
        Data analysis
        Kinematics
        Respiration
        Questionnaires
        Signal processing
        Descriptive statistics
        Muscle strength
        Resistance training
        Crossover trials
        Longitudinal method
        Electromyography
        Mathematical models
        Statistics
        Intraclass correlation
        Chin
        Theory
        Comparative studies
        Cough
        Deglutition
        Transducers
        Inter-observer reliability
      sug:
        subj:
          Exercise
          Task performance
          Semiconductor and other electronic component manufacturing
          Other Electronic Component Manufacturing
          Respiratory muscle physiology
          Physiology of abdominal muscles
          Physiological adaptation
          Research funding
          Data analysis
          Kinematics
          Respiration
          Questionnaires
          Signal processing
          Descriptive statistics
          Muscle strength
          Resistance training
          Crossover trials
          Longitudinal method
          Electromyography
          Mathematical models
          Statistics
          Intraclass correlation
          Chin
          Theory
          Comparative studies
          Cough
          Deglutition
          Transducers
          Inter-observer reliability
      ab: Purpose: The purpose of this study was to test the impact of modifying resistive load and time under tension (TUT) on respiratory excursion, submental excitation, and ratings of perceived exertion/effort (RPE) during expiratory muscle strength training (EMST). Task specificity between EMST, cough, and swallowing was also explored. Method: Participants were outfitted with respiratory bands, submental surface electromyography, and a microphone. Tasks included maximal expiratory pressure (MEP) testing, voluntary and reflex cough testing, cup sips, and EMST. EMST included three sets of 10 repetitions in four conditions: short (0.2 s) at 50% MEP, long (1 s) at 50% MEP, short at 75% MEP, and long at 75% MEP (L75). Outcomes were respiratory kinematics, cough airflow, submental excitation, and RPE. Multilevel models and pairwise comparisons were used for statistical analysis. Results: Twenty healthy adults (M = 27 ± 5 years) participated. There were significant effects between EMST conditions where rib cage excursion ranged from 5% to 24% (of maximum), abdominal excursion ranged from 6% to 19%, submental excitation ranged from 40% to 57%, and RPE varied (p < .05). Several pairwise contrasts during cough and swallowing showed no significant differences with EMST conditions. Submental excitation during L75 was higher than the swallowing condition (p = .03). Conclusions: Exercise parameters including resistive load and TUT that impacted the acute physiologic responses to EMST should be considered during exercise prescription to maximize physiologic adaptations and training specificity. Future research will examine the longitudinal impacts of modifying EMST exercise parameters on coughing and swallowing outcomes.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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