{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:04:24Z","timestamp":1756425864492,"version":"3.44.0"},"reference-count":49,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["8K00AG076123"],"award-info":[{"award-number":["8K00AG076123"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K76AG068590"],"award-info":[{"award-number":["K76AG068590"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Alzheimer's Disease Reports"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Oropharyngeal dysphagia frequently occurs in persons living with Alzheimer's disease and related dementias (PLWD) and results in negative health consequences. Strength-based exercises may address swallowing biomechanical impairments. Expiratory muscle strength training (EMST) is an intervention examined in other neurodegenerative populations and has demonstrated promise for improving respiratory muscle strength and airway defense physiologic capacity, potentially improving swallowing safety. We describe a case of a patient with Alzheimer's disease who participated in five consecutive weeks of EMST. We demonstrate that EMST is a feasible intervention for PLWD. Further research should be conducted to assess efficacy and benefit of EMST for PLWD.<\/jats:p>","DOI":"10.1177\/25424823251361032","type":"journal-article","created":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:32:39Z","timestamp":1756380759000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility of expiratory muscle strength training to address oropharyngeal dysphagia in a patient living with mixed dementia: A case report"],"prefix":"10.1177","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8517-6416","authenticated-orcid":false,"given":"Joanne","family":"Yee","sequence":"first","affiliation":[{"name":"Geriatric Research Education and Clinical Center, William S. Middleton Veterans Hospital, Madison, WI, USA"},{"name":"Division of Geriatrics and Gerontology, Department of Medicine, University of Wisconsin Madison, Madison, WI, USA"},{"name":"UW School of Medicine and Public Health, Graduate Program of Clinical Investigation, Madison, WI, USA"},{"name":"UW Center for Health Disparities Research, Madison, WI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8473-3102","authenticated-orcid":false,"given":"Sara","family":"Gustafson","sequence":"additional","affiliation":[{"name":"Geriatric Research Education and Clinical Center, William S. Middleton Veterans Hospital, Madison, WI, USA"},{"name":"Division of Geriatrics and Gerontology, Department of Medicine, University of Wisconsin Madison, Madison, WI, USA"},{"name":"UW Center for Health Disparities Research, Madison, WI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4750-0769","authenticated-orcid":false,"given":"Raele Donetha","family":"Loy","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Gerontology, Department of Medicine, University of Wisconsin Madison, Madison, WI, USA"},{"name":"UW Center for Health Disparities Research, Madison, WI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7294-4180","authenticated-orcid":false,"given":"Nicole","family":"Rogus-Pulia","sequence":"additional","affiliation":[{"name":"Geriatric Research Education and Clinical Center, William S. Middleton Veterans Hospital, Madison, WI, USA"},{"name":"Division of Geriatrics and Gerontology, Department of Medicine, University of Wisconsin Madison, Madison, WI, USA"},{"name":"UW Center for Health Disparities Research, Madison, WI, USA"},{"name":"Department of Surgery, UW Hospitals, Madison, WI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,28]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1159\/000367783"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3390\/nu12030863"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glt099"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0213825"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1159\/000052811"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.2008.02503.x"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-2010-1316"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/PL00009539"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/geroni\/igad104.3532"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1044\/2020_PERSP-19-00152"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/alz.078836"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1044\/2020_AJSLP-19-00136"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2005.12.035"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.msard.2021.103187"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/mds.28552"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-022-10408-6"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269215514564087"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000206830"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/mus.26292"},{"key":"e_1_3_3_21_2","first-page":"3","article-title":"A review on respiratory muscle training devices","volume":"8","author":"Menzes K","year":"2018","unstructured":"Menzes K, Nascimento L, Avelino P, et al. A review on respiratory muscle training devices. J Pulm Respir Med 2018; 8: 3.","journal-title":"J Pulm Respir Med"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1044\/2023_JSLHR-23-00381"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3181fef115"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1002\/mus.24990"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00417897"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1111\/ajag.12717"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2011.03778.x"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0170547"},{"key":"e_1_3_3_29_2","first-page":"653","article-title":"Functional assessment staging (FAST)","volume":"24","author":"Reisberg B","year":"1988","unstructured":"Reisberg B. Functional assessment staging (FAST). Psychopharmacol Bull 1988; 24: 653\u2013659.","journal-title":"Psychopharmacol Bull"},{"key":"e_1_3_3_30_2","first-page":"391","volume-title":"Geriatrics models of care: bringing \u2018best practice\u2019 to an aging America","author":"Dryden EM","year":"2015","unstructured":"Dryden EM, Pimentel CB, Hartz S, et al. GRECC Connect: a VA geriatric telemedicine consult model of care. In: Malone ML, Boltz M, Macias Tejada J, et al. (eds) Geriatrics models of care: bringing \u2018best practice\u2019 to an aging America. Cham: Springer International Publishing, 2015, pp.391\u2013397."},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-013-9488-3"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2016.03.059"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348940811701210"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-016-9758-y"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arbres.2023.08.016"},{"key":"e_1_3_3_36_2","first-page":"503","article-title":"Predictive equations for peak cough flow in healthy senior persons","volume":"34","author":"Srithawong A","year":"2019","unstructured":"Srithawong A, Poncumhak P, Kumfu S, et al. Predictive equations for peak cough flow in healthy senior persons. SRIMEDJ 2019; 34: 503\u2013508.","journal-title":"SRIMEDJ"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2018.01.012"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414558107"},{"key":"e_1_3_3_39_2","unstructured":"Steele C. Mapping Bracco\u2019s Varibar\u00ae barium products to the IDDSI Framework https:\/\/www.iddsi.org\/images\/Publications-Resources\/Publications\/mapping-varibar-to-iddsi-framework.pdf (2017 accessed 28 April 2025)."},{"key":"e_1_3_3_40_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-008-9185-9"},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.1044\/2020_AJSLP-19-00080"},{"key":"e_1_3_3_42_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13933"},{"key":"e_1_3_3_43_2","doi-asserted-by":"publisher","DOI":"10.1044\/2019_AJSLP-19-00107"},{"key":"e_1_3_3_44_2","first-page":"7","article-title":"Increasing access to care with VA video connect","volume":"28","author":"Swanson H","year":"2019","unstructured":"Swanson H, Rowe D, Vick L. Increasing access to care with VA video connect. Nev Rnformation 2019; 28: 7.","journal-title":"Nev Rnformation"},{"key":"e_1_3_3_45_2","doi-asserted-by":"publisher","DOI":"10.1044\/2022_AJSLP-22-00063"},{"key":"e_1_3_3_46_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.30283"},{"key":"e_1_3_3_47_2","doi-asserted-by":"publisher","DOI":"10.1044\/2020_AJSLP-19-00132"},{"key":"e_1_3_3_48_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-014-9556-3"},{"key":"e_1_3_3_49_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-017-9852-9"},{"key":"e_1_3_3_50_2","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12332"}],"container-title":["Journal of Alzheimer's Disease Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/25424823251361032","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/25424823251361032","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/25424823251361032","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:32:41Z","timestamp":1756380761000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/25424823251361032"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":49,"alternative-id":["10.1177\/25424823251361032"],"URL":"https:\/\/doi.org\/10.1177\/25424823251361032","relation":{},"ISSN":["2542-4823","2542-4823"],"issn-type":[{"value":"2542-4823","type":"print"},{"value":"2542-4823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"article-number":"25424823251361032"}}