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Toward the Refinement of Expiratory Muscle Strength Training for Cough and Swallowing Rehabilitation
Toward the Refinement of Expiratory Muscle Strength Training for Cough and Swallowing Reha...
Toward the Refinement of Expiratory Muscle Strength Training for Cough and Swallowing Rehabilitation

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자료유형  
 학위논문 서양
최종처리일시  
20250211151158
ISBN  
9798382809076
DDC  
150
저자명  
Dakin, Avery Elizabeth Giomi.
서명/저자  
Toward the Refinement of Expiratory Muscle Strength Training for Cough and Swallowing Rehabilitation
발행사항  
[Sl] : Columbia University, 2024
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2024
형태사항  
154 p
주기사항  
Source: Dissertations Abstracts International, Volume: 85-12, Section: B.
주기사항  
Advisor: Troche, Michelle.
학위논문주기  
Thesis (Ph.D.)--Columbia University, 2024.
초록/해제  
요약Expiratory muscle strength training (EMST) is a resistance exercise targeting the expiratory musculature that has predominated rehabilitation research for cough and swallowing. While there have been consistent improvements in expiratory muscle strength with EMST, and promising findings in cough and swallowing, there remains a substantial gap in our understanding of the physiologic adaptations associated with training and how to optimize rehabilitative outcomes.This dissertation consists of two studies aimed at refining EMST protocols for cough and swallowing rehabilitation. Chapter 1 is an introduction that provides an overview of exercise prescription principles, outlines what is known related to exercise protocols and EMST outcome measures, and finally describes the current research gaps and dissertation aims. Chapter 2 focuses on quantifying the relationship between resistive load and ratings of perceived exertion (RPE) during EMST, examines variability in RPE in healthy adults, and compares RPE using two respiratory devices. In Chapter 3, we examine the impact of modifying exercise parameters on physiologic adaptations and RPE, while also beginning to establish links between EMST, cough, and swallowing by assessing task specificity. Chapter 4 synthesizes the research findings into the greater scientific literature, discusses the clinical implications of this work, outlines limitations, and suggests avenues for future research.
일반주제명  
Behavioral sciences
일반주제명  
Physiology
일반주제명  
Physical therapy
키워드  
Dysphagia
키워드  
Rehabilitation
키워드  
Expiratory muscle strength training
키워드  
Ratings of perceived exertion
기타저자  
Columbia University TC: Communication Sciences and Disorders
기본자료저록  
Dissertations Abstracts International. 85-12B.
전자적 위치 및 접속  
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■1001  ▼aDakin,  Avery  Elizabeth  Giomi.
■24510▼aToward  the  Refinement  of  Expiratory  Muscle  Strength  Training  for  Cough  and  Swallowing  Rehabilitation
■260    ▼a[Sl]▼bColumbia  University▼c2024
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2024
■300    ▼a154  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  85-12,  Section:  B.
■500    ▼aAdvisor:  Troche,  Michelle.
■5021  ▼aThesis  (Ph.D.)--Columbia  University,  2024.
■520    ▼aExpiratory  muscle  strength  training  (EMST)  is  a  resistance  exercise  targeting  the  expiratory  musculature  that  has  predominated  rehabilitation  research  for  cough  and  swallowing.  While  there  have  been  consistent  improvements  in  expiratory  muscle  strength  with  EMST,  and  promising  findings  in  cough  and  swallowing,  there  remains  a  substantial  gap  in  our  understanding  of  the  physiologic  adaptations  associated  with  training  and  how  to  optimize  rehabilitative  outcomes.This  dissertation  consists  of  two  studies  aimed  at  refining  EMST  protocols  for  cough  and  swallowing  rehabilitation.  Chapter  1  is  an  introduction  that  provides  an  overview  of  exercise  prescription  principles,  outlines  what  is  known  related  to  exercise  protocols  and  EMST  outcome  measures,  and  finally  describes  the  current  research  gaps  and  dissertation  aims.  Chapter  2  focuses  on  quantifying  the  relationship  between  resistive  load  and  ratings  of  perceived  exertion  (RPE)  during  EMST,  examines  variability  in  RPE  in  healthy  adults,  and  compares  RPE  using  two  respiratory  devices.  In  Chapter  3,  we  examine  the  impact  of  modifying  exercise  parameters  on  physiologic  adaptations  and  RPE,  while  also  beginning  to  establish  links  between  EMST,  cough,  and  swallowing  by  assessing  task  specificity.  Chapter  4  synthesizes  the  research  findings  into  the  greater  scientific  literature,  discusses  the  clinical  implications  of  this  work,  outlines  limitations,  and  suggests  avenues  for  future  research.
■590    ▼aSchool  code:  0054.
■650  4▼aBehavioral  sciences
■650  4▼aPhysiology
■650  4▼aPhysical  therapy
■653    ▼aDysphagia
■653    ▼aRehabilitation
■653    ▼aExpiratory  muscle  strength  training
■653    ▼aRatings  of  perceived  exertion
■690    ▼a0602
■690    ▼a0382
■690    ▼a0719
■71020▼aColumbia  University▼bTC:  Communication  Sciences  and  Disorders.
■7730  ▼tDissertations  Abstracts  International▼g85-12B.
■790    ▼a0054
■791    ▼aPh.D.
■792    ▼a2024
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17161074▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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