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Chest Physiotherapy

Chest Physiotherapy

Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...

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Inspiratory Muscle Training as an Adjunct to the Treatment of Weaning Failure in Critically Ill Patients: A Practical Guide

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A Student-Led Tele-Expiratory Muscle Strength Training (EMST) Program for Head and Neck Cancer (HNC) Survivors-A

Katrina Blyth¹, Jessica Tam^1,2, Rachelle Robinson³

¹Discipline of Speech Pathology, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.

|February 20, 2026

Summary

A student-led telehealth program for expiratory muscle strength training (EMST) improved swallowing and quality of life in head and neck cancer survivors. This accessible approach shows promise for reducing treatment disparities in survivorship care.

Keywords:

dysphagia rehabilitation respiratory telehealth

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Published on: July 5, 2017

Area of Science:

Rehabilitation Medicine
Telehealth
Head and Neck Oncology

Background:

Expiratory muscle strength training (EMST) is an evidence-based treatment for improving swallowing in head and neck cancer (HNC) survivors.
Head and neck cancer survivors often experience dysphagia, impacting their quality of life.
Telehealth delivery models offer potential for increased accessibility to rehabilitation services.

Purpose of the Study:

To evaluate the feasibility and acceptability of a novel student-led tele-EMST program for HNC survivors.
To assess the potential clinical effectiveness of this tele-EMST program on swallowing function and quality of life.

Main Methods:

A prospective pilot study involving 13 HNC survivors who completed an eight-week student-led tele-EMST program.
Acceptability was measured using the Theoretical Framework of Acceptability Questionnaire (TFAQ) and Telehealth Usability Questionnaire (TUQ).
Swallowing performance (Timed Water Swallow Test - TWST), airway clearance (peak expiratory flow rate - PEFR), and quality of life (SWAL-QoL) were assessed.

Main Results:

The tele-EMST program demonstrated high acceptability, with significant improvements noted on the TFAQ (p<0.05) and high TUQ scores (mean 88.1%).
Significant improvements were observed in swallowing performance (TWST, p<0.05), self-reported dysphagia symptoms, and mental health scores (SWAL-QoL, p=0.03; p=0.02).
No significant changes in peak expiratory flow rate (PEFR) were detected (p=0.59), though technical issues were resolved in 24% of sessions.

Conclusions:

A student-led, tele-EMST program is a feasible and acceptable intervention for HNC survivors with dysphagia.
This approach shows promise for improving swallowing function and quality of life, potentially reducing treatment inequities.
The findings support tele-EMST as a scalable strategy for enhancing survivorship care in HNC.