EMST150

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.

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

Long COVID leaves more than lung damage behind.Fatigue. Muscle weakness. Exercise intolerance. These are downstream effe...
04/30/2026

Long COVID leaves more than lung damage behind.

Fatigue. Muscle weakness. Exercise intolerance.

These are downstream effects of impaired respiratory muscle function, and a new study from Kavalci et al. (2026) shows inspiratory muscle strength training (IMST) directly addresses them.
After 8 weeks of training, participants showed improvements in walk distance, peripheral muscle strength, muscle oxygenation, and fatigue scores.

These findings support the integration of IMST into pulmonary rehabilitation programs for this specific patient group.

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Kavalcı Kol, B., Boşnak Güçlü, M., Baytok, E. et al. Effects of inspiratory muscle training on exercise capacity, muscle oxygenation and strength, physical activity, and dyspnea in patients with post-COVID-19 syndrome and pulmonary involvement: a randomized controlled triple-blinded study. BMC Pulm Med(2026). https://doi.org/10.1186/s12890-026-04249-4

Multiple sclerosis (MS) takes aim at the respiratory system quietly, and most rehab protocols aren’t targeting it direct...
04/29/2026

Multiple sclerosis (MS) takes aim at the respiratory system quietly, and most rehab protocols aren’t targeting it directly.

Fatigue, postural instability, and breathing dysfunction are hallmarks of MS. Yet respiratory muscle training is rarely part of the standard care conversation.

In this study from de la Plaza San Frutos et al. (2026), patients who added inspiratory and expiratory muscle training to their standard therapy showed meaningful improvements in respiratory function and trunk control.

The evidence for including RMT in MS rehabilitation is building.

de la Plaza San Frutos, M., Franco, A.B., Calle, D.D.A. et al. Effects of respiratory muscle training on respiratory function, trunk control and fatigue in multiple sclerosis. Sci Rep (2026). https://doi.org/10.1038/s41598-026-48817-4

Aspire Respiratory Products is honored to be an industry partner for DRS Dash for Dysphagia,-supporting awareness, advoc...
04/29/2026

Aspire Respiratory Products is honored to be an industry partner for DRS Dash for Dysphagia,-supporting awareness, advocacy, and better outcomes for individuals living with swallowing disorders.

Every step forward matters.

Respiratory muscle training in the ICU is evidence-based, but translating it to the bedside is where most clinicians get...
04/27/2026

Respiratory muscle training in the ICU is evidence-based, but translating it to the bedside is where most clinicians get stuck.

Dr. Bissett’s upcoming free webinar cuts straight to the clinical application: identifying appropriate patients, prescribing training parameters, and building practical strategies that work across a broad patient population including those with an artificial airway.

Relevant for respiratory therapists, physiotherapists, speech therapists and anyone working with ICU patients through ventilator dependence and into recovery.

“Respiratory Muscle Training in ICU: How to Translate Evidence into Practice at the Bedside”
A free webinar hosted by Aspire Respiratory Products.
Register here: emst150.com/events

New research worth bookmarking if you work with pediatric cancer survivors.A 6-week home-based IMT protocol in childhood...
04/23/2026

New research worth bookmarking if you work with pediatric cancer survivors.

A 6-week home-based IMT protocol in childhood cancer survivors (CCS) vs. healthy controls found differential responses suggesting that there might have been differences in the response to training due to cancer treatment-related late effects in CCS.

Pulmonary dysfunction is one of the most significant late effects in this population. IMT may be a meaningful part of the solution.
Though this was a small sample, we look forward to more research in this important population.

Ho S and Marchese V (2026) Differential effects of inspiratory muscle training on diaphragm thickness and exercise tolerance in childhood cancer survivors and non-cancer controls. Front. Pediatr. 14:1810953. doi: 10.3389/fped.2026.1810953

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