Overheard: Using Respiratory Muscle Strength Training in Dysphagia

The objective data comes from what you measure as an outcome. The device is the trainer. Again, use pressure threshold and then set out to measure the outcomes, a scale, a swallow exam, a cough flow rate, a voice quality, etc. Participant: How do you establish goals? There are norms for peak cough, is this what you use? Kiourkas: Respiratory uses cough peak flow to qualify for noninvasive ventilation for ALS and neuromuscular patients. The norms are different for each person. Suggested ranges are used as a guide to assist in determining if the patient is getting worse at subsequent visits. We also use a SNIP (sniffing pressure) when they are extremely weak as a trending tool. Participant: Would you recommend using RMST in the pediatric population? Kiourkas: I would. Children are very resou...

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