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.

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

A 2026 systematic review and meta-analysis in Frontiers in Physiology examined the effects of respiratory muscle trainin...
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.

The evidence continues to support the potential benefits of Inspiratory Muscle Training (IMT) across rehabilitation, mob...
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

At Aspire Respiratory Products, we are encouraged to see continued research exploring the role of inspiratory muscle tra...
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

The conversation around respiratory muscle training keeps expanding.A 2026 mini review in Frontiers in Rehabilitation Sc...
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.

Postoperative pulmonary complications are one of the most preventable risks in cardiac surgery.A recent umbrella review ...
05/19/2026

Postoperative pulmonary complications are one of the most preventable risks in cardiac surgery.

A recent umbrella review by Sidik et al. (2026) found preoperative inspiratory muscle training reduced those complications by roughly half, and shortened hospital stays by up to three days without serious adverse effects.

Sidik, A. I., Khavandeev, M. L., Al-Ariki, M. K., Dontsov, V. V., Karpenko, I. G., Djumanov, A. K., ... & Shirin, D. (2026). Prehabilitation in patients undergoing cardiac surgery: an umbrella review of systematic reviews and meta-analysis. Surgeries, 7(2), 49.

Group E COPD is the most exacerbation-prone, and often the hardest to treat.A new randomized controlled trial by Jalal e...
05/14/2026

Group E COPD is the most exacerbation-prone, and often the hardest to treat.

A new randomized controlled trial by Jalal et al. (2026) looked at what happens when inspiratory muscle training with positive expiratory pressure (IMT/PEP) is added to standard care in this high-risk population.

After 3 months:
✅ Lung function improved (FEV₁, FVC, airflow)
✅ Inspiratory muscle strength increased
✅ Oxygen levels and walking distance went up
✅ Breathlessness scores went down — across every scale measured

Benefits were most pronounced in patients with lower baseline inspiratory strength and limited functional capacity.

Jalal, L., Aksakal, A., Kerget, B., Uçar, E. Y., Araz, Ö., Sağlam, L., & Akgün, M. (2026). Effects of combined inspiratory muscle training and positive expiratory pressure therapy on pulmonary function, respiratory muscle strength, exercise capacity and dyspnea in stable group E COPD patients. BMC Pulmonary Medicine.

A 2025 meta-analysis of 13 studies found that respiratory muscle training (RMT) reduced AHI by an average of 3.73 events...
05/12/2026

A 2025 meta-analysis of 13 studies found that respiratory muscle training (RMT) reduced AHI by an average of 3.73 events per hour in patients with obstructive sleep apnea (OSA), a statistically significant reduction in physiological disease severity.

When analyzed by modality, the data consistently point to targeted airway and respiratory muscle training as meaningful adjuncts in OSA management. While not a replacement for CPAP, RMT is a measurable intervention for reducing severity.

The evidence base is still developing, but the direction is worth paying attention to.​​​​​​​​​​​​​​​​

Siatkowski, S., Walencik, J., Sikora, M., & Żebrowska, A. (2026). Efficacy of therapies based on muscle strength training among individual with Obstructive Sleep Apnea-a systematic review and meta-analysis. Respiratory Medicine, 108702.

This study by Manduchi et al. (2026) demonstrated meaningful outcomes for expiratory muscle strength training in head an...
05/07/2026

This study by Manduchi et al. (2026) demonstrated meaningful outcomes for expiratory muscle strength training in head and neck cancer survivors with radiation-associated dysphagia.

After an 8-week training protocol, expiratory muscle strength improved significantly, and swallowing function improved in a meaningful subset of participants.
This population is complex. Radiation-associated dysphagia is notoriously difficult to treat, and aspiration in this group carries real risk.
The fact that EMST moved the needle in a single-arm pilot is a signal worth following.
We are looking forward to larger, randomized trials in this population.

Manduchi, B., Warneke, C. L., Barrow, M. P., Felix‐Lusterman, C., Eapen, G. A., Plowman, E. K., ... & Hutcheson, K. A. (2026). Expiratory Muscle Strength Training in Head and Neck Cancer Survivors With Radiation‐Associated Dysphagia: Results of a Pilot Prospective Trial. Head & Neck.

RMST MedicalSLP DysphagiaTherapy

This live virtual workshop covers the full scope of RMST: evidence base, safety considerations, patient selection, troub...
05/05/2026

This live virtual workshop covers the full scope of RMST: evidence base, safety considerations, patient selection, troubleshooting, and hands-on implementation. Inspiratory and expiratory training. Respiratory, swallowing, and cough impairments.

Real demonstrations and case studies are included to support critical thinking and modifications for different populations.

If you’re ready to integrate respiratory muscle strength training into your facility, this is where to start.

Register at emst150.com/events

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28584

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