Sapienza Christine, Troche Michelle, Pitts Teresa, Davenport Paul
Department of Speech Language and Hearing Sciences, Brain Rehabilitation Research Center, Malcom Randall VA, University of Florida, Gainesville, Florida 32611, USA.
Semin Speech Lang. 2011 Feb;32(1):21-30. doi: 10.1055/s-0031-1271972. Epub 2011 Apr 13.
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.
呼吸肌力量训练（RMST）专注于提高吸气肌和呼气肌产生力量的能力。使用RMST所针对的呼吸肌的选择取决于期望的结果。例如，如果个体因神经源性损伤导致吸气肌力量下降且无法使肺部通气，那么吸气肌力量训练可能就是选定的康复目标。另一方面，如果一位职业用嗓者在唱歌时抱怨难以产生足够的嗓音响度且患有喉部功能障碍，那么呼气肌力量训练模式可能就是选定的康复目标。我们最近关于RMST的工作重点是为患有帕金森病且呼吸、吞咽和咳嗽产生困难的患者增加呼气肌力量。随着疾病进展，这种困难通常会加剧。本文总结了这些结果的要点。
