Final answer:
The standard protocol for EMST involves using an EMST device to perform regular exercises that strengthen expiratory muscles, typically over regular sessions five days a week, with progressive resistance adjustments monitored by a clinician.
Step-by-step explanation:
The standard protocol for Expiratory Muscle Strength Training (EMST) typically includes a series of exercises designed to improve the strength of the expiratory muscles. This protocol generally involves the following steps:
- Patients usually begin with an assessment to establish a baseline measure of expiratory muscle strength.
- They are then given an EMST device, which provides resistance during exhalation, and are trained on how to use it properly.
- The exercise regimen entails exhaling through the device to overcome the resistance, which is progressively increased as the muscles strengthen.
- Patients are instructed to perform these exercises regularly, most often 5 days a week for about 5 to 10 minutes per session.
- Progress is monitored by a clinician, and adjustments to the resistance level on the EMST device are made accordingly.
Research has demonstrated that EMST can be beneficial for various populations, including those with conditions like Parkinson's disease, multiple sclerosis, or individuals recovering from a stroke, as it can lead to improved cough strength, swallowing function, and voice projection. As with any exercise protocol, it is crucial for patients to receive proper instruction and supervision from a healthcare professional to ensure safety and effectiveness.