{"id":"https://openalex.org/W7225708264","doi":"https://doi.org/10.1097/cpt.0000000000000335","title":"Innovations in Respiratory Muscle Training in Older Adults: Implications for PT and SLP Practice","display_name":"Innovations in Respiratory Muscle Training in Older Adults: Implications for PT and SLP Practice","publication_year":2026,"publication_date":"2026-11-10","ids":{"openalex":"https://openalex.org/W7225708264","doi":"https://doi.org/10.1097/cpt.0000000000000335"},"language":"en","primary_location":{"id":"doi:10.1097/cpt.0000000000000335","doi":"https://doi.org/10.1097/cpt.0000000000000335","is_oa":false,"landing_page_url":"https://doi.org/10.1097/cpt.0000000000000335","pdf_url":null,"source":{"id":"https://openalex.org/S2764921947","display_name":"Cardiopulmonary Physical Therapy Journal","issn_l":"1541-7891","issn":["1541-7891","2374-8907"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cardiopulmonary Physical Therapy Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5120227815","display_name":"Zeeshan Bhimani","orcid":"https://orcid.org/0009-0003-6702-4816","observed_orcids":["https://orcid.org/0009-0003-6702-4816"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Zeeshan Bhimani","raw_affiliation_strings":["LHC Group, HomeCall Rockville, MD"],"raw_orcid":"https://orcid.org/0009-0003-6702-4816","affiliations":[{"raw_affiliation_string":"LHC Group, HomeCall Rockville, MD","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069407365","display_name":"Juhi Vora","orcid":"https://orcid.org/0009-0007-3295-9880","observed_orcids":["https://orcid.org/0009-0007-3295-9880"]},"institutions":[{"id":"https://openalex.org/I4210139950","display_name":"Winchester Medical Center","ror":"https://ror.org/04svanq44","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210139950"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Juhi Vora","raw_affiliation_strings":["Winchester Medical Center"],"raw_orcid":"https://orcid.org/0009-0007-3295-9880","affiliations":[{"raw_affiliation_string":"Winchester Medical Center","institution_ids":["https://openalex.org/I4210139950"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5102973308","display_name":"Dhruti M. Patel","orcid":"https://orcid.org/0009-0002-7301-0480","observed_orcids":["https://orcid.org/0009-0002-7301-0480","https://orcid.org/0000-0001-7559-004X"]},"institutions":[{"id":"https://openalex.org/I86755215","display_name":"MedStar Health","ror":"https://ror.org/05atemp08","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I86755215"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Dhruti Patel","raw_affiliation_strings":["Medstar Health home care"],"raw_orcid":"https://orcid.org/0009-0002-7301-0480","affiliations":[{"raw_affiliation_string":"Medstar Health home care","institution_ids":["https://openalex.org/I86755215"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11209","display_name":"Cardiovascular and exercise physiology","score":0.30469998717308044,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11209","display_name":"Cardiovascular and exercise physiology","score":0.30469998717308044,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11358","display_name":"Dysphagia Assessment and Management","score":0.2087000012397766,"subfield":{"id":"https://openalex.org/subfields/3616","display_name":"Speech and Hearing"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10863","display_name":"Voice and Speech Disorders","score":0.12449999898672104,"subfield":{"id":"https://openalex.org/subfields/3616","display_name":"Speech and Hearing"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/respiratory-muscle-training","display_name":"respiratory muscle training","score":0.996999979019165},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.8700000047683716},{"id":"https://openalex.org/keywords/inspiratory-muscle-training","display_name":"inspiratory muscle training","score":0.9449999928474426},{"id":"https://openalex.org/keywords/expiratory-muscle-training","display_name":"expiratory muscle training","score":0.9990000128746033},{"id":"https://openalex.org/keywords/real-time-biofeedback","display_name":"real-time biofeedback","score":0.9229999780654907},{"id":"https://openalex.org/keywords/remote-monitoring","display_name":"remote monitoring","score":0.7170000076293945},{"id":"https://openalex.org/keywords/home-based-treatment","display_name":"home-based therapy","score":0.5550000071525574},{"id":"https://openalex.org/keywords/frailty","display_name":"frailty","score":0.7440000176429749},{"id":"https://openalex.org/keywords/swallowing-safety","display_name":"swallowing safety","score":0.7480000257492065},{"id":"https://openalex.org/keywords/voice-disorders","display_name":"voice disorders","score":0.7680000066757202},{"id":"https://openalex.org/keywords/dyspnea","display_name":"dyspnea","score":0.8339999914169312},{"id":"https://openalex.org/keywords/balance","display_name":"balance","score":0.6190000176429749},{"id":"https://openalex.org/keywords/cough-strength","display_name":"cough strength","score":0.621999979019165},{"id":"https://openalex.org/keywords/interprofessional-collaboration","display_name":"interprofessional collaboration","score":0.6150000095367432},{"id":"https://openalex.org/keywords/physical-therapy","display_name":"physiotherapy","score":0.8349999785423279},{"id":"https://openalex.org/keywords/speech-language-pathology","display_name":"speech-language pathology","score":0.9990000128746033},{"id":"https://openalex.org/keywords/internet-of-things","display_name":"Internet of Things","score":0.6399999856948853},{"id":"https://openalex.org/keywords/adherence","display_name":"adherence","score":0.43799999356269836},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.7070000171661377},{"id":"https://openalex.org/keywords/pulmonary-rehabilitation","display_name":"pulmonary rehabilitation","score":0.5609999895095825}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8203999996185303},{"id":"https://openalex.org/C3020000205","wikidata":"https://www.wikidata.org/wiki/Q2412849","display_name":"Narrative review","level":2,"score":0.6207000017166138},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.5763000249862671},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.49880000948905945},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.47540000081062317},{"id":"https://openalex.org/C112497637","wikidata":"https://www.wikidata.org/wiki/Q211669","display_name":"Swallowing","level":2,"score":0.46239998936653137},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.39660000801086426},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.38269999623298645},{"id":"https://openalex.org/C39300077","wikidata":"https://www.wikidata.org/wiki/Q9530","display_name":"Breathing","level":2,"score":0.3671000003814697},{"id":"https://openalex.org/C2776035688","wikidata":"https://www.wikidata.org/wiki/Q1606558","display_name":"Affect (linguistics)","level":2,"score":0.3652999997138977},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.36320000886917114},{"id":"https://openalex.org/C2909060799","wikidata":"https://www.wikidata.org/wiki/Q9530","display_name":"Breathing exercises","level":2,"score":0.33489999175071716},{"id":"https://openalex.org/C2780247198","wikidata":"https://www.wikidata.org/wiki/Q633403","display_name":"Weakness","level":2,"score":0.2955999970436096},{"id":"https://openalex.org/C3017721199","wikidata":"https://www.wikidata.org/wiki/Q754438","display_name":"Respiratory care","level":2,"score":0.29249998927116394},{"id":"https://openalex.org/C110875604","wikidata":"https://www.wikidata.org/wiki/Q75","display_name":"The Internet","level":2,"score":0.2919999957084656},{"id":"https://openalex.org/C3019887659","wikidata":"https://www.wikidata.org/wiki/Q191089","display_name":"Older people","level":2,"score":0.26440000534057617},{"id":"https://openalex.org/C2776418732","wikidata":"https://www.wikidata.org/wiki/Q270421","display_name":"Muscle weakness","level":2,"score":0.2535000145435333}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1097/cpt.0000000000000335","doi":"https://doi.org/10.1097/cpt.0000000000000335","is_oa":false,"landing_page_url":"https://doi.org/10.1097/cpt.0000000000000335","pdf_url":null,"source":{"id":"https://openalex.org/S2764921947","display_name":"Cardiopulmonary Physical Therapy Journal","issn_l":"1541-7891","issn":["1541-7891","2374-8907"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cardiopulmonary Physical Therapy Journal","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":29,"referenced_works":["https://openalex.org/W1547332822","https://openalex.org/W1983686156","https://openalex.org/W2110260700","https://openalex.org/W2793798414","https://openalex.org/W2807107211","https://openalex.org/W3043787390","https://openalex.org/W3136724631","https://openalex.org/W3139065233","https://openalex.org/W3160075635","https://openalex.org/W4220890381","https://openalex.org/W4220942032","https://openalex.org/W4293473200","https://openalex.org/W4306411140","https://openalex.org/W4308866774","https://openalex.org/W4308881791","https://openalex.org/W4319959894","https://openalex.org/W4321366941","https://openalex.org/W4386529536","https://openalex.org/W4387296571","https://openalex.org/W4398216314","https://openalex.org/W4399477333","https://openalex.org/W4401499535","https://openalex.org/W4401589673","https://openalex.org/W4401768701","https://openalex.org/W4405005321","https://openalex.org/W4405183722","https://openalex.org/W4405185652","https://openalex.org/W4406240677","https://openalex.org/W4407110185"],"related_works":["https://openalex.org/W4220942032","https://openalex.org/W1926241356","https://openalex.org/W2994991171","https://openalex.org/W2108745212","https://openalex.org/W2312240721","https://openalex.org/W7151285067","https://openalex.org/W4414218006","https://openalex.org/W7120532971","https://openalex.org/W4311698895","https://openalex.org/W2153878732"],"abstract_inverted_index":{"Purpose:":[0],"Weakness":[1],"of":[2,177,251,276,281],"the":[3,139,241],"respiratory":[4],"muscles":[5],"is":[6],"common":[7],"in":[8,61,68,89,160,179,258,298,361],"older":[9,219,323],"adults":[10,78,116,220,324],"and":[11,19,30,52,64,72,82,93,133,162,175,183,193,215,248,260,273,292,301,311,341,351],"can":[12],"affect":[13],"breathing":[14],"efficiency,":[15],"walking,":[16],"balance,":[17,169,267],"swallowing,":[18],"voice.":[20],"Respiratory":[21],"muscle":[22],"training":[23,204],"(RMT)":[24],"including":[25],"inspiratory":[26,161,259],"(IMT),":[27],"expiratory":[28,163,261],"(EMT),":[29],"combined":[31,126],"approaches,":[32],"have":[33],"advanced":[34],"from":[35,98],"simple":[36],"threshold":[37,150,201],"devices":[38,44,151,187,202,310],"to":[39,104,321,333,354],"newer":[40,153],"calibrated":[41],"or":[42,120,125,130,152,223],"technology-supported":[43,135,154],"systems":[45],"that":[46,318,327],"offer":[47],"real-time":[48,189],"biofeedback,":[49,190],"progressive":[50,191],"resistance,":[51,192],"remote":[53,194,229],"monitoring.":[54],"This":[55],"narrative":[56,107],"review":[57],"examines":[58],"recent":[59],"developments":[60],"RMT":[62,127,309,344],"protocols":[63,312],"their":[65,335],"clinical":[66,282],"applications":[67],"physical":[69],"therapy":[70],"(PT)":[71],"speech-language":[73],"pathology":[74],"(SLP)":[75],"practice":[76],"with":[77,147,158,211,221,256],"age":[79,117],"65":[80,118],"years":[81,119],"older.":[83],"Methods:":[84],"Peer":[85],"reviewed":[86],"articles":[87],"published":[88],"PubMed,":[90],"Google":[91],"Scholar,":[92],"ASHA":[94],"journals":[95],"were":[96,110,206,209,254],"searched":[97],"January":[99],"2022":[100],"through":[101],"June":[102],"2025":[103],"inform":[105],"a":[106,279,346],"synthesis.":[108],"Studies":[109],"included":[111],"if":[112],"they":[113],"focused":[114],"on":[115],"older,":[121],"used":[122],"IMT,":[123],"EMT,":[124],"within":[128],"PT":[129,350],"SLP":[131,352],"practice,":[132],"incorporated":[134],"devices.":[136],"Results:":[137],"Across":[138],"20":[140],"peer-reviewed":[141],"studies":[142],"synthesized,":[143],"RMT,":[144],"whether":[145],"delivered":[146],"traditional":[148,200],"mechanical":[149],"systems,":[155,240],"was":[156],"associated":[157,210,255],"improvements":[159,257],"pressures,":[164,262],"cough":[165,263],"strength,":[166,264],"walking":[167,265],"distance,":[168,266],"swallowing":[170,268,339],"safety,":[171,269],"voice":[172,270],"measures,":[173,271],"dyspnea,":[174,272],"quality":[176,275],"life":[178,277],"geriatric/frail,":[180],"pulmonary,":[181],"neurogenic,":[182],"voice-disordered":[184],"populations.":[185],"Technology-supported":[186],"offering":[188],"monitoring":[195],"did":[196],"not":[197],"consistently":[198],"outperform":[199],"when":[203],"parameters":[205],"comparable,":[207],"but":[208],"high":[212],"reported":[213],"adherence":[214],"may":[216],"particularly":[217],"benefit":[218],"frailty":[222],"complex":[224],"medical":[225],"needs":[226],"who":[227],"require":[228],"supervision.":[230],"Devices":[231],"such":[232],"as":[233],"POWERbreathe\u00ae,":[234],"PrO":[235],"2":[236],"Fit\u2122,":[237],"EMST150,":[238],"IMT/PEP":[239],"Orygen":[242],"Dual":[243],"Valve,":[244],"Resp-in-out,":[245],"The":[246],"Breather,":[247],"several":[249],"Internet":[250],"Things\u2013based":[252],"platforms":[253],"overall":[274],"across":[278],"range":[280],"groups.":[283],"Technology-assisted":[284],"programs":[285,317],"demonstrated":[286],"higher":[287],"adherence.":[288],"However,":[289],"very":[290],"old":[291],"severely":[293],"frail":[294],"populations":[295],"remain":[296],"underrepresented":[297],"current":[299],"research,":[300],"long-term":[302],"follow-up":[303],"data":[304],"are":[305],"limited.":[306],"Conclusion:":[307],"Modern":[308],"enable":[313],"individualized":[314],"home-based":[315],"treatment":[316],"use":[319],"feedback":[320],"help":[322],"achieve":[325],"benefits":[326],"extend":[328],"past":[329],"lung":[330],"function":[331],"improvement":[332],"enhance":[334],"mobility,":[336],"airway":[337],"protection,":[338],"abilities,":[340],"communication":[342],"skills.":[343],"provides":[345],"practical":[347],"method":[348],"for":[349,357],"professionals":[353],"work":[355],"together":[356],"better":[358],"patient":[359],"results":[360],"this":[362],"specific":[363],"population.":[364]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-11-11T00:00:00"}
