{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T23:09:04Z","timestamp":1787785744901,"version":"build-2784847793"},"reference-count":29,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100004410","name":"T\u00dcB\u0130TAK","doi-asserted-by":"publisher","award":["220S400"],"award-info":[{"award-number":["220S400"]}],"id":[{"id":"10.13039\/501100004410","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","heartandlung.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Heart &amp; Lung"],"published-print":{"date-parts":[[2023,9]]},"DOI":"10.1016\/j.hrtlng.2023.03.009","type":"journal-article","created":{"date-parts":[[2023,4,21]],"date-time":"2023-04-21T21:00:50Z","timestamp":1682110850000},"page":"29-36","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"special_numbering":"C","title":["High- and low-intensity expiratory muscle strength training in patients with severe obstructive sleep apnea syndrome using non-invasive mechanical ventilation: A double-blinded, randomized controlled trial"],"prefix":"10.1016","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9910-6336","authenticated-orcid":false,"given":"Nurel","family":"Erturk","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adem","family":"Celik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ebru","family":"CalikKutukcu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.hrtlng.2023.03.009_bib0001","doi-asserted-by":"crossref","first-page":"1389","DOI":"10.1001\/jama.2020.3514","article-title":"Diagnosis and management of obstructive sleep apnea: a review","volume":"323","author":"Gottlieb","year":"2020","journal-title":"JAMA"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0002","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1136\/thorax.2003.015859","article-title":"Sleep. 2: pathophysiology of obstructive sleep apnoea\/hypopnoea syndrome","volume":"59","author":"Fogel","year":"2004","journal-title":"Thorax"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0003","doi-asserted-by":"crossref","first-page":"940","DOI":"10.1016\/j.hrtlng.2020.07.014","article-title":"The effectiveness of oropharyngeal exercises compared to inspiratory muscle training in obstructive sleep apnea: a randomized controlled trial","volume":"49","author":"Erturk","year":"2020","journal-title":"Heart Lung"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0004","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.resp.2017.05.007","article-title":"Short-term expiratory muscle strength training attenuates sleep apnea and improves sleep quality in patients with obstructive sleep apnea","volume":"243","author":"Kuo","year":"2017","journal-title":"Respir Physiol Neurobiol"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0005","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1007\/s11325-011-0527-8","article-title":"Effects of continuous positive airway pressure on apnea-hypopnea index in obstructive sleep apnea based on long-term compliance","volume":"16","author":"Stuck","year":"2012","journal-title":"Sleep Breath"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0006","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1007\/s00405-017-4818-y","article-title":"Non-surgical treatment of obstructive sleep apnea syndrome","volume":"275","author":"Tingting","year":"2018","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0007","doi-asserted-by":"crossref","first-page":"962","DOI":"10.1164\/rccm.200806-981OC","article-title":"Effects of oropharyngeal exercises on patients with moderate obstructive sleep apnea syndrome","volume":"179","author":"Guimar\u00e3es","year":"2009","journal-title":"Am J Respir Crit Care Med"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0008","article-title":"Myofunctional therapy (oropharyngeal exercises) for obstructive sleep apnoea","volume":"11","author":"Rueda","year":"2020","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0009","first-page":"1013","article-title":"Expiratory muscle strength training for dysphagia in chronic obstructive pulmonary disease: a meta-analysis and systematic review","volume":"1","author":"Patchett","year":"2017","journal-title":"J Prev Med Healthc"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0010","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/j.physio.2019.06.002","article-title":"Effectiveness of expiratory muscle strength training on expiratory strength, pulmonary function and cough in the adult population: a systematic review","volume":"106","author":"Templeman","year":"2020","journal-title":"Physiotherapy"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0011","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1007\/s00455-006-9061-4","article-title":"Surface electromyographic activity of the submental muscles during swallow and expiratory pressure threshold training tasks","volume":"22","author":"Wheeler","year":"2007","journal-title":"Dysphagia"},{"issue":"1","key":"10.1016\/j.hrtlng.2023.03.009_bib0012","doi-asserted-by":"crossref","first-page":"8","DOI":"10.4103\/0974-1208.82352","article-title":"An overview of randomization techniques: an unbiased assessment of outcome in clinical research","volume":"4","author":"Suresh","year":"2011","journal-title":"J Hum Reprod Sci"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0013","doi-asserted-by":"crossref","first-page":"479","DOI":"10.5664\/jcsm.6506","article-title":"Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: an American academy of sleep medicine clinical practice guideline","volume":"13","author":"Kapur","year":"2017","journal-title":"J Clin Sleep Med"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0014","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1093\/sleep\/28.4.499","article-title":"Practice parameters for the indications for polysomnography and related procedures: an update for 2005","volume":"28","author":"Kushida","year":"2005","journal-title":"Sleep"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0015","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1016\/B978-0-444-64032-1.00025-4","article-title":"Polysomnography","volume":"160","author":"Rundo","year":"2019","journal-title":"Handb Clin Neurol"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0016","first-page":"696","article-title":"Maximal respiratory pressures: normal values and relationship to age and sex","volume":"99","author":"Black","year":"1969","journal-title":"Am Rev Respir Dis"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0017","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1007\/s11325-007-0145-7","article-title":"Reliability and validity studies of the Turkish version of the epworth sleepiness scale","volume":"12","author":"Izci","year":"2008","journal-title":"Sleep Breath"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0018","first-page":"107","article-title":"The validity and reliability of the Pittsburgh Sleep Quality Index","volume":"2","author":"Agargun","year":"1996","journal-title":"Turk Psikiyatr Derg"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0019","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1097\/MRR.0b013e3280146ec4","article-title":"The validity and reliability of the Fatigue Severity Scale in Turkish multiple sclerosis patients","volume":"30","author":"Armutlu","year":"2007","journal-title":"Int J Rehabil Res"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0020","doi-asserted-by":"crossref","first-page":"279","DOI":"10.4300\/JGME-D-12-00156.1","article-title":"Using effect size-or why the P value is not enough","volume":"4","author":"Sullivan","year":"2012","journal-title":"J Grad Med Educ"},{"issue":"1","key":"10.1016\/j.hrtlng.2023.03.009_bib0021","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1037\/1082-989X.7.1.105","article-title":"Combining effect size estimates in meta-analysis with repeated measures and independent-groups designs","volume":"7","author":"Morris","year":"2002","journal-title":"Psychol Methods"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0022","doi-asserted-by":"crossref","first-page":"863","DOI":"10.3389\/fpsyg.2013.00863","article-title":"Calculating and reporting effect sizes to facilitate cumulative science: a practical primer for t-tests and ANOVAs","volume":"4","author":"Lakens","year":"2013","journal-title":"Front Psychol"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0023","doi-asserted-by":"crossref","first-page":"48","DOI":"10.3389\/fphys.2012.00048","article-title":"The acute effects of a single session of expiratory muscle strength training on blood pressure, heart rate, and oxygen saturation in healthy adults","volume":"3","author":"Laciuga","year":"2012","journal-title":"Front Physiol"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0024","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1682\/JRRD.2013.03.0076","article-title":"Functional outcomes associated with expiratory muscle strength training: narrative review","volume":"51","author":"Laciuga","year":"2014","journal-title":"J Rehabil Res Dev"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0025","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1001\/archinte.162.8.893","article-title":"Predictors of sleep-disordered breathing in community-dwelling adults: the Sleep Heart Health Study","volume":"162","author":"Young","year":"2002","journal-title":"Arch Intern Med"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0026","doi-asserted-by":"crossref","first-page":"788","DOI":"10.1007\/s00455-021-10328-x","article-title":"Using ultrasound to document the effects of expiratory muscle strength training (EMST) on the geniohyoid muscle","volume":"37","author":"Pauloski","year":"2022","journal-title":"Dysphagia"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0027","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1007\/s00408-021-00426-w","article-title":"Evaluation and management of adults with obstructive sleep apnea syndrome","volume":"199","author":"Lee","year":"2021","journal-title":"Lung"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0028","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1136\/bmj.38705.470590.55","article-title":"Didgeridoo playing as alternative treatment for obstructive sleep apnoea syndrome: randomised controlled trial","volume":"332","author":"Puhan","year":"2006","journal-title":"BMJ"},{"key":"10.1016\/j.hrtlng.2023.03.009_bib0029","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.jvoice.2020.04.012","article-title":"Effect of respiratory muscle training on pitch range and sound duration in brass instrument players and singers","volume":"36","author":"Yilmaz","year":"2022","journal-title":"J Voice"}],"container-title":["Heart &amp; Lung"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0147956323000742?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0147956323000742?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T10:47:18Z","timestamp":1778669238000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0147956323000742"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":29,"alternative-id":["S0147956323000742"],"URL":"https:\/\/doi.org\/10.1016\/j.hrtlng.2023.03.009","relation":{},"ISSN":["0147-9563"],"issn-type":[{"value":"0147-9563","type":"print"}],"subject":[],"published":{"date-parts":[[2023,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"High- and low-intensity expiratory muscle strength training in patients with severe obstructive sleep apnea syndrome using non-invasive mechanical ventilation: A double-blinded, randomized controlled trial","name":"articletitle","label":"Article Title"},{"value":"Heart & Lung","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.hrtlng.2023.03.009","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}