Effectiveness of Expiratory Muscle Strength Training for Improving Communication in ALS

Effectiveness of Expiratory Muscle Strength Training for Improving Communication in ALS

A tele-health treatment study for individuals with early stage ALS with the aim to improve communication, cough response, and respiratory strength. All participants complete a respiratory strength training program using an Expiratory Muscle Strength Training (EMST 150) device from the comfort of their homes for 6 weeks.

The investigators are looking for people with early stage ALS to participate in a completely tele-health (no in-person visits required) treatment study examining the effects of an Expiratory Muscle Strength Training device (EMST-150) on communication, cough, and respiratory strength. Participants will be required to attend 2 virtual baseline assessment sessions followed by 12 additional virtual training sessions (2 per week for 6 weeks). Participants should plan to be actively enrolled in the study for ~10 weeks (3 weeks of baseline monitoring followed by 6 weeks of training). Participants will also be required to fill out a series of questionnaires assessing the EMST's effectiveness via tele-health.

Inclusion Criteria:

• Diagnosis of ALS
• Within the early stages of disease progression (i.e., able to talk, breathe, and eat independently)
• Speaker of English
• Have a family member/caregiver willing to assist as needed
• Have access to an electronic device and internet for tele-health

Exclusion Criteria:

• A history of neurological disease (besides ALS)
• A history of asthma or respiratory problems (e.g., COPD, emphysema)
• A history of head, neck, or chest surgery (except mastectomy)
• A history of smoking within the last 5 years
• Reliance on mechanical ventilation (including CPAP)