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EMST150

The EMST 150 is the first calibrated expiratory muscle strength trainer designed specifically to str

The EMST150 is the most scientifically tested, clinically proven, handheld muscle strength trainer available! Designed by a well-respected team of researchers, the one-of-a-kind EMST150 device has two decades worth of evidence-based outcomes.

06/17/2026

Did you know that improving cough function may also improve swallowing safety?

In a landmark study by Pitts et al. (2009), individuals with Parkinson’s disease at risk for aspiration completed 4 weeks of Expiratory Muscle Strength Training (EMST) resulting in improved cough effectiveness and significantly reduced penetration-aspiration scores.

These findings highlight that cough and swallowing are both critical components of airway protection, and deficits in one system can directly impact the other.

This month, we’re excited to welcome Dr. Pitts for an Aspire webinar focused on the relationship between cough and swallowing, including the evaluation and treatment of cough dysfunction in patients with dysphagia.

If you’ve ever wondered how cough assessment can strengthen your airway protection toolkit, this is a session you won’t want to miss.

Registration is now open. link in bio!

ParkinsonsDisease SwallowingDisorders AspireRespiratoryProducts SLP HealthcareEducation

Pitts, T., Bolser, D., Rosenbek, J., Troche, M., Okun, M. S., & Sapienza, C. (2009). Impact of expiratory muscle strength training on voluntary cough and swallow function in Parkinson disease. Chest, 135(5), 1301–1308. https://doi.org/10.1378/chest.08-1389

06/15/2026

Expiratory muscle strength training (EMST) is understudied in pediatric asthma. Most research focuses on inspiratory muscle training, leaving a gap in how we approach the full respiratory picture in kids.

This study assigned 30 children with asthma, ages 8 to 18, to either EMT at 30% of maximal expiratory pressure plus chest physiotherapy, or a sham protocol, for 8 weeks.

The EMT group showed significant improvements in FVC, FEV₁, peak expiratory flow, maximal expiratory pressure, peak cough flow, quadriceps strength, 6-minute walk distance, and Asthma Control Test scores. The sham group improved in some measures, but consistently less.

EMT appears to be a safe, practical adjunct to pediatric asthma management, with benefits that extend beyond pulmonary function.

Kaya, M., Ucgun, H., Gemici Karaaslan, B. et al. Is it time to focus on expiratory muscle training in children with asthma? A randomized controlled trial. Eur J Pediatr 185, 460 (2026). https://doi.org/10.1007/s00431-026-07114-y

06/11/2026

Why do ICU patients need RMST?

Inspiratory muscle training DURING ventilator-
dependence:
→ increases strength of diaphragm & intercostals

→ accelerates ventilator weaning

→ reduces dyspnoea

Inspiratory muscle training FOLLOWING ventilator-
dependence:
→ increases strength of diaphragm & intercostals
→ Improves Quality of Life

References:

Bissett, B. M., Leditschke, I. A., Neeman, T., Boots, R., & Paratz, J. (2016). Inspiratory muscle training to enhance recovery from mechanical ventilation: a randomised trial. Thorax, 71(9), 812-819.

Bissett, B. M., Leditschke, I. A., Neeman, T., Green, M., Marzano, V., Erwin, K., ... & Paratz, J. (2023). Does mechanical threshold inspiratory muscle training promote recovery and improve outcomes in patients who are ventilator-dependent in the intensive care unit? The IMPROVE randomised trial. Australian Critical Care, 36(4), 613-621.

McCormack, E., McDonough, S., Kelly, Y. P., Baily-Scanlan, M., Holden, N., Hammond, L., ... & O’Shea, O. (2025). What is the effect of measurable respiratory muscle training on respiratory muscle strength in mechanically ventilated adults in intensive care units? A systematic review and meta-analysis. Australian Critical Care, 38(6), 101418.

06/10/2026

Children who undergo kidney transplantation may continue to experience respiratory muscle weakness and reduced functional capacity well into the post-transplant period, a clinical reality that rehabilitation protocols don’t always address.

This RCT examined the effects of an 8-week combined IMT + EMT program integrated with chest physiotherapy in pediatric kidney transplant recipients ages 8 to 18. Compared to chest physiotherapy alone, the combined training group showed significantly greater improvements in pulmonary function, respiratory muscle strength, and 6-minute walk distance.

The findings support respiratory muscle training as a structured component of post-transplant rehabilitation in this population.

Ucgun, H., Kaya, M., Tombul, A.T. et al. Effects of combined inspiratory and expiratory muscle training in pediatric kidney transplant recipients: a randomized controlled study. Pediatr Nephrol (2026). https://doi.org/10.1007/s00467-026-07370-y

06/09/2026

Registration is now open!
Cough is one of the body’s most important airway protection mechanisms, yet it is often underassessed in patients with dysphagia and aspiration risk.
Join us for an engaging webinar exploring the relationship between cough and swallowing, including the evaluation and treatment of cough dysfunction in clinical practice. We’ll discuss voluntary and reflex cough, assessment tools, emerging treatment approaches, and real-world case studies that can help inform patient care.
Whether you work in acute care, outpatient rehabilitation, or research, this session will provide practical insights you can immediately apply in your practice.
Register today and join us for this important conversation on airway protection and cough function. Link in bio!
SLP ContinuingEducation HealthcareEducation

06/02/2026

If you missed this essential talk for everyone working in the ICU, it’s now available on demand.

Watch it via link in bio

Much gratitude to Dr. Bissett for this very thorough and practical guide to RMST in this population.

06/01/2026

A 2026 systematic review and meta-analysis in Frontiers in Physiology examined the effects of respiratory muscle training on competitive swimmers — looking at respiratory muscle function, pulmonary function, and athletic performance across 14 studies.
RMT significantly improved inspiratory muscle strength and dynamic lung function parameters, including FEV1 and FIV1. Aerobic swimming performance also improved. Effects on sprint and middle-distance times were not significant, which the authors attribute in part to high inter-study heterogeneity.
Combined RMT — inspiratory and expiratory together — showed stronger outcomes than inspiratory training alone.
Swimming places unique demands on the respiratory system. The research here suggests that training the muscles responsible for meeting those demands has measurable value, particularly for aerobic capacity and respiratory function. Worth following as the evidence base continues to develop.

Chen, Y., Yi, Q., Meng, K., Tao, K., Qin, S., Yue, Y., ... & Jiang, G. (2026). Effects of respiratory muscle training on swimming performance, respiratory muscle function, and pulmonary function of competitive swimmers: a systematic review and meta-analysis. Frontiers in Physiology, 17, 1770925.

05/29/2026

The evidence continues to support the potential benefits of Inspiratory Muscle Training (IMT) across rehabilitation, mobility, balance, surgical recovery, chronic disease management, and healthy aging.

This perspective paper (Sheraz et al., 2026) highlights how IMT can improve inspiratory strength, reduce dyspnea, support exercise tolerance, improve postural stability, and enhance quality of life.

IMT sits at the intersection of respiratory care, rehabilitation, prevention, and functional health. It is portable, scalable, relatively low cost, and increasingly relevant as healthcare looks for accessible interventions that support long-term function and quality of life.

There is still important work ahead around protocol standardization and long-term outcomes, but the growing body of evidence is encouraging to see.

Sheraz, S., Faghy, M. A., Severin, R. S., Ferraro, F. V., Mansouryar, N., & Roldán, A. (2026). Inspiratory Muscle Training Across Clinical Populations: Mechanisms, Protocol Variability, and the Need for Standardized Prescriptive Frameworks. Cardiopulmonary Physical Therapy Journal https://doi.org/10.1097/CPT.0000000000000328

05/28/2026

At Aspire Respiratory Products, we are encouraged to see continued research exploring the role of inspiratory muscle training in cardiovascular health.

This systematic review and meta-analysis (Gurovich et al., 2026) found that inspiratory muscle training (IMT) may help improve inspiratory muscle strength while also contributing to modest reductions in diastolic blood pressure and pulse pressure in adults with elevated or high blood pressure.

The authors also highlighted strong adherence rates, good safety outcomes, and potential vascular benefits, reinforcing IMT’s promise as a practical, home-based adjunct within cardiopulmonary rehabilitation.

As always, more long-term research is needed, but it is exciting to see the growing evidence supporting respiratory muscle training across healthcare settings.

Gurovich, A. N., Contreras, C., De Castro, J., Rojero, A., Saenz, D., Melendez, A., & Cortez, S. (2026). The Effectiveness of Respiratory Muscle Training on Blood Pressure and Arterial Function in Individuals With High Blood Pressure: A Systematic Review and Meta-Analysis. Cardiopulmonary Physical Therapy Journal https://doi.org/10.1097/CPT.0000000000000325

05/21/2026

The conversation around respiratory muscle training keeps expanding.

A 2026 mini review in Frontiers in Rehabilitation Sciences examined RMT’s potential role in cognitive function across older adults, post-COVID patients, COPD, and OSA populations. The findings are preliminary, only one study reported statistically significant between-group differences in specific cognitive domains, but the direction is worth watching.

Zekis, T., Grammatopoulou, E., Tsimouris, D., Sakellari, V., & Patsaki, I. (2026). The effectiveness of respiratory training as a preventive strategy against cognitive decline: a mini review. Frontiers in Rehabilitation Sciences, 7, 1778837.

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Tuesday	10am - 4pm
Wednesday	10am - 4pm
Thursday	10am - 4pm
Friday	10am - 4pm

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http://www.emst150.com/

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