자료유형  

 학위논문

Control Number  

0017161074

International Standard Book Number  

9798382809076

Dewey Decimal Classification Number  

150

Main Entry-Personal Name  

Dakin, Avery Elizabeth Giomi.

Publication, Distribution, etc. (Imprint  

[S.l.] : Columbia University., 2024

Publication, Distribution, etc. (Imprint  

Ann Arbor : ProQuest Dissertations & Theses, 2024

Physical Description  

154 p.

General Note  

Source: Dissertations Abstracts International, Volume: 85-12, Section: B.

General Note  

Advisor: Troche, Michelle.

Dissertation Note  

Thesis (Ph.D.)--Columbia University, 2024.

Summary, Etc.  

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.

Subject Added Entry-Topical Term  

Behavioral sciences.

Subject Added Entry-Topical Term  

Physiology.

Subject Added Entry-Topical Term  

Physical therapy.

Index Term-Uncontrolled  

Dysphagia

Index Term-Uncontrolled  

Rehabilitation

Index Term-Uncontrolled  

Expiratory muscle strength training

Index Term-Uncontrolled  

Ratings of perceived exertion

Added Entry-Corporate Name  

Columbia University TC: Communication Sciences and Disorders

Host Item Entry  

Dissertations Abstracts International. 85-12B.

Electronic Location and Access  

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Control Number  

joongbu:654501