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Expiratory muscle strength training ...

Saleem, Ahmad Faris.

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Expiratory muscle strength training in patients with idiopathic Parkinson's disease: Effects on pulmonary, cough, and swallow functions.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Expiratory muscle strength training in patients with idiopathic Parkinson's disease: Effects on pulmonary, cough, and swallow functions./
作者:	Saleem, Ahmad Faris.
面頁冊數:	177 p.
附註:	Source: Dissertation Abstracts International, Volume: 66-05, Section: B, page: 2551.
Contained By:	Dissertation Abstracts International66-05B.
標題:	Health Sciences, Speech Pathology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3174995
ISBN:	0542132265

Expiratory muscle strength training in patients with idiopathic Parkinson's disease: Effects on pulmonary, cough, and swallow functions.
Saleem, Ahmad Faris.

Expiratory muscle strength training in patients with idiopathic Parkinson's disease: Effects on pulmonary, cough, and swallow functions. - 177 p.

Source: Dissertation Abstracts International, Volume: 66-05, Section: B, page: 2551.

Thesis (Ph.D.)--University of Florida, 2005.

Respiratory dysfunction is a frequent comorbidity among patients with idiopathic Parkinson's disease (IPD). Respiratory muscles control both ventilatory and non-ventilatory functions and their strength reduction might cause serious consequences to these functions. This study investigated the effects of an expiratory muscle strength training (EMST) program on the strength of the expiratory muscles and the effects of EMST on ventilatory (pulmonary) and non-ventilatory (pulmonary, cough, and swallow) functions of the respiratory muscles in patients with IPD. It further investigated the effects of antiparkinsonian medications on pulmonary and cough functions.

ISBN: 0542132265Subjects--Topical Terms:

1018105
Health Sciences, Speech Pathology.

Expiratory muscle strength training in patients with idiopathic Parkinson's disease: Effects on pulmonary, cough, and swallow functions.
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245 1 0 $a Expiratory muscle strength training in patients with idiopathic Parkinson's disease: Effects on pulmonary, cough, and swallow functions.
300 $a 177 p.
500 $a Source: Dissertation Abstracts International, Volume: 66-05, Section: B, page: 2551.
500 $a Chairs: John C. Rosenbek; Christine M. Sapienza.
502 $a Thesis (Ph.D.)--University of Florida, 2005.
520 $a Respiratory dysfunction is a frequent comorbidity among patients with idiopathic Parkinson's disease (IPD). Respiratory muscles control both ventilatory and non-ventilatory functions and their strength reduction might cause serious consequences to these functions. This study investigated the effects of an expiratory muscle strength training (EMST) program on the strength of the expiratory muscles and the effects of EMST on ventilatory (pulmonary) and non-ventilatory (pulmonary, cough, and swallow) functions of the respiratory muscles in patients with IPD. It further investigated the effects of antiparkinsonian medications on pulmonary and cough functions.
520 $a Participants included 10 (4 females, 6 males) individuals with IPD of moderate clinical severity (Hoehn & Yahr II--III) with an average age of 58.8 years. Respiratory measures included maximum expiratory pressure (MEP), forced expiratory volume in 1 second (FEV1), the ratio of FEV1 to forced vital capacity (FEV1/FVC), and maximum expiratory flow (MEF). Cough measures included inspiratory and compression phase durations, peak expiratory flow rate, and amplitude and duration of the post-peak plateau. Swallowing measures included temporal measures of pharyngeal response, hyoid movements, and velopharyngeal closure during swallowing of 5cc and 10cc of thin liquid and pudding boluses as well as displacement measures for hyoid superior and anterior movements. In addition, the total duration and number of swallows for a 3oz thin liquid, average penetration-aspiration (P-A) scores of different bolus sizes and consistencies, and scores in the swallowing quality of life questionnaire (SWAL-QOL) were included.
520 $a EMST resulted in significant improvements in most pulmonary function measures (MEP, FEV1, MEF, not FEV1/FVC), only cough inspiratory phase duration, and hyoid elevation displacement ratio and P-A scores during swallowing. Antiparkinsonian medications did not alter any of the pulmonary function measures but negatively affected the cough inspiratory phase duration and peak expiratory flow. Males significantly outperformed females in most pulmonary (except FEV1/FVC) and cough (except compression phase duration) measures and the total SWAL-QOL score. Females, on the other hand, significantly outperformed males in the measure of hyoid anterior movement displacement ratio during swallowing. (Abstract shortened by UMI.)
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773 0 $t Dissertation Abstracts International $g 66-05B.
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790 1 0 $a Sapienza, Christine M., $e advisor
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