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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.

08/31/2026

6 Hour RMST Clinical Training Workshop

🌎International clinicians: we heard you! We hope this time makes it easier to join us from different time zones.

We’ve received a lot of requests from clinicians outside the U.S. for a course time that’s easier to attend internationally, so we’re trying something different with our next live virtual RMST workshop.

Join us Friday, November 13 from 6:00 AM–1:00 PM ET for a practical, evidence-based training covering respiratory muscle strength training across a range of patient populations.
We’ll cover the research, safety considerations, patient selection, assessment, devices, treatment protocols, troubleshooting, and outcomes with livedemonstrations and role-playing to help bring it into clinical practice.

0.60 ASHA CEUs | Introductory Level

Designed for SLPs, PTs, and Respiratory Therapists.

Register: https://us02web.zoom.us/webinar/register/WN_oXvCVOjtTJi6VUGDEgpPGg

RespiratoryTherapy

08/28/2026

Can stronger expiratory muscles change how hard breathing feels?

A paper from 1995 that is still worth revisiting.

Suzuki, Sato, and Okubo studied 12 healthy adults to see whether expiratory muscle training could affect the sensation of respiratory effort during exercise.

Six participants completed four weeks of expiratory muscle training.

After training:

• Expiratory muscle strength increased by 25%
• Participants reported less respiratory effort at the same levels of exercise
• Minute ventilation decreased
• Breathing frequency decreased, while expiratory time increased

The authors concluded that expiratory muscle training increased expiratory muscle strength and reduced the sensation of respiratory effort during exercise.

Training changed both what the respiratory muscles could do and how exercise was experienced.

Suzuki S, Sato M, Okubo T. Expiratory muscle training and sensation of respiratory effort during exercise in normal subjects. Thorax. 1995;50:366–370. doi:10.1136/thx.50.4.366. (PubMed⁠)

08/24/2026

From Recommendations to Real-World Care

In serious illness, knowing what should happen is only part of the challenge.

How do we translate evidence-based eating and swallowing recommendations into care that actually fits a person’s goals, family priorities, resources, and everyday life?

Join Aspire Respiratory Products for a free webinar with Dr. Raele Donetha Loy, SLP, Researcher II at the University of Wisconsin–Madison, as she explores the gaps between clinical recommendations and real-world implementation—and what it takes to make goal-concordant eating care more actionable.

This conversation will examine the clinical, social, and health-system factors that shape eating care in serious illness and consider how we can move from recommendations to care that is both clinically sound and truly aligned with the person.

Free webinar | Register to attend
Emst150.com/events

08/22/2026

As per Mueller et al. (2026):

Conclusions
“We found that training specific parameters, such as intensity and number of training sessions, have a much higher impact on improvements in inspiratory training resistance than personal- or lesion characteristics for individuals with SCI (Spinal Cord Injury). We therefore suggest focusing on a high training intensity and perform such a training with about 70 repetitions per session and for 3–5 times a week, over at least several months (>3 months) for inpatients with acute SCI, independent of lesion- or personal characteristics.”

Mueller, G., Tanner, M., Gruber, A. et al. Determinants for improving respiratory muscle training after spinal cord injury using real-world clinical data. Spinal Cord (2026). https://doi.org/10.1038/s41393-026-01242-w

08/18/2026

A closer look at IMT in women with COPD.

This randomized controlled trial (Yilmaz et al., 2026) found that four weeks of combined inspiratory muscle training and aerobic exercise improved inspiratory performance, walking distance, dyspnea, and well-being in women with stable GOLD stage I–II COPD.

Several outcomes declined after training stopped, highlighting the importance of continued training and the need for longer-term research.

Yilmaz, Y.A., Tosun, M.I., Demirkan, E. et al. Short-term inspiratory muscle training, aerobic exercise, and detraining in women with COPD: a randomized controlled trial. BMC Sports Sci Med Rehabil (2026). https://doi.org/10.1186/s13102-026-01964-7

08/17/2026

Our last virtual live 6 Hour Respiratory Muscle Strength Training (RMST) Clinical Applications Workshop had such a great response, we’re opening another live session on Saturday, August 22.

At Aspire, we believe high-quality continuing education should be accessible. That’s why we’re offering this full-day, live clinical workshop for just $99, making it easier for more clinicians to gain practical skills they can immediately bring into patient care.
During this interactive course, you’ll learn how to confidently integrate RMST into clinical practice through evidence-based instruction, hands-on case discussions, and practical treatment strategies.

Understand how RMST improves breathing, swallowing, and cough function
Learn assessment and treatment techniques you can use immediately
Discuss real clinical cases with expert instructors and fellow clinicians
Earn a Certificate of Completion (Eligible for .6 ASHA CEUs*)

Saturday, August 22
9:00 AM - 4:00 PM (ET)
Only $99

Whether you’re an SLP, PT, RT, or another healthcare professional, this course provides a strong clinical foundation in one of the fastest-growing areas of rehabilitation.
Seats are limited.

Reserve your spot today: Link in Bio

Eligible for .6 ASHA CEUs. Open to all healthcare professionals.

hashtag hashtag hashtag hashtag hashtag hashtagRMST

08/12/2026

For generations, voice training has emphasized taking a deep breath. But what if the real key to vocal performance isn’t how you breathe in, but how you control your breath on the way out?

A new review by Jin et al. (2026) challenges one of the most common concepts in voice instruction, suggesting that effective voice production depends less on inspiratory capacity and more on precise expiratory control. The authors highlight that subglottal pressure, the driving force behind vocal intensity and pitch, is regulated through coordinated respiratory muscle activity during exhalation.

For clinicians working with individuals with voice disorders, this perspective is especially interesting. Expiratory Muscle Strength Training (EMST) is designed to strengthen the muscles responsible for generating expiratory pressure, the same system that contributes to cough, swallowing, and the breath support needed for voice. While EMST is not a replacement for traditional voice therapy or singing instruction, this review reinforces the importance of expiratory control as a key component of healthy voice production and highlights an area worthy of continued research.

Jin, Y. J., & Ryu, Y. J. (2026). Rethinking Breath Management in Voice Pedagogy: A Paradigm Shift from Inspiratory Capacity to Expiratory Control. Journal of Voice.

SpeechLanguagePathology RespiratoryHealth Phonation ClinicalResearch

08/11/2026

Not all Expiratory Muscle Strength Training (EMST) is created equal.
A new study explored how changing two key exercise variables, resistance and time under tension (TUT), affects the body’s response during EMST. The researchers found that these training parameters significantly influenced respiratory muscle excursion, submental muscle activation, and perceived effort.

Just as in strength training for other muscle groups, how you train matters. Adjusting the resistance and the length of each expiratory effort may influence the physiological response to EMST and could help optimize training for cough, swallowing, and respiratory function.
As respiratory muscle training continues to evolve, studies like this help move us beyond simply prescribing EMST toward prescribing it more precisely.

At Aspire Respiratory Products, we’re excited to see research that continues to refine best practices and improve clinical application of EMST.

Dakin, A. E., Rau, S., Villarreal-Cavazos, K., Easterly, K., Huber, J. E., Garber, C. E., Quinn, L., Hegland, K. W., & Troche, M. S. (2026). Physiologic Adaptations to Modifying Resistive Load and Time Under Tension During Expiratory Muscle Strength Training. Journal of speech, language, and hearing research : JSLHR, 1–33. Advance online publication. https://doi.org/10.1044/2026_JSLHR-25-00953

RespiratoryTherapy SpeechLanguagePathology Rehabilitation ClinicalResearch

08/06/2026

Can inspiratory muscle training (IMT) improve outcomes for children with cerebral palsy?

A recent randomized controlled trial explored the addition of IMT to a routine physiotherapy program in children with cerebral palsy.

After the intervention, the IMT group demonstrated:
Improved inspiratory muscle strength
Improved pulmonary function, particularly FEV₁

The study also observed improvements in trunk control, gait parameters, and functional independence. However, the authors emphasize that these findings should be interpreted with caution due to methodological limitations and baseline differences between groups.

As respiratory muscle training continues to be investigated across pediatric populations, studies like this add to the growing body of evidence supporting its role as a feasible adjunct to conventional rehabilitation.

Cil, H. B., & Aydin, G. (2026). The Effect of Inspiratory Muscle Training on Respiratory Parameters, Trunk Control, Gait, and Functional Independence in Children with Cerebral Palsy: A Randomized Controlled Trial. Pediatric Neurology.

08/05/2026

Ready to take your RMST skills beyond the basics?

Join Lauren Meffen in Arizona for a 6-hour, hands-on Respiratory Muscle Strength Training Clinical Workshopdesigned for clinicians who want practical, evidence-based training they can use immediately.

This course combines the latest research with real-world clinical application, covering patient selection, assessment, device selection, treatment planning, and implementation across a variety of patient populations. Whether you’re new to RMST or looking to build confidence in your clinical decision-making, you’ll leave with practical tools you can put into practice right away.

This workshop is ideal for speech-language pathologists, physical therapists, respiratory therapists, occupational therapists, and other healthcare professionals interested in respiratory muscle rehabilitation.
📍 Arizona
September 12, 2026
9:00 AM -4:00 PM6 ASHA CEUs

Learn more and reserve your spot at EMST150.com/events.

Address

101 VFW Road, Suite 2C
Cedar Point, NC
28584

Opening Hours

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

Website

http://www.emst150.com/

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