{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T01:20:04Z","timestamp":1790126404081,"version":"4.0.1"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T00:00:00Z","timestamp":1707264000000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","award":["RX002885"],"award-info":[{"award-number":["RX002885"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["physoc.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiological Reports"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To examine the feasibility of individuals with spinal cord injury or disease (SCI\/D) to perform combined oropharyngeal and respiratory muscle training (RMT) and determine its impact on their respiratory function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective study at a single Veterans Affairs (VA) Medical Center. Inclusion criteria included: 1) Veterans with chronic SCI\/D (&gt;6\u2009months postinjury and American Spinal Injury Association (ASIA) classification A\u2013D) and 2) evidence of OSA by apnea\u2010hypopnea index (AHI \u22655 events\/h). Eligible participants were randomly assigned to either an experimental (exercise) group that involved performing daily inspiratory, expiratory (using POWERbreathe and Expiratory Muscle Strength Trainer 150 devices, respectively), and tongue strengthening exercises or a control (sham) group that involved using a sham device, for a 3\u2010month period. Spirometry, maximal expiratory pressure (MEP), maximal inspiratory pressure (MIP), polysomnography, and sleep questionnaires were assessed at baseline and at 3\u2009months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010four individuals were randomized (12 participants in each arm). A total of eight (67%) participants completed the exercise arm, and ten (83%) participants completed the sham arm. MIP was significantly increased (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05) in the exercise group compared with the baseline.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Combined oropharyngeal and RMT are feasible for individuals with SCI\/D. Future studies are needed to determine the clinical efficacy of these respiratory muscle exercises.<\/jats:p><\/jats:sec>","DOI":"10.14814\/phy2.15930","type":"journal-article","created":{"date-parts":[[2024,2,8]],"date-time":"2024-02-08T01:47:55Z","timestamp":1707356875000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Feasibility of oropharyngeal and respiratory muscle training in individuals with <scp>OSA<\/scp> and spinal cord injury or disease: A pilot study"],"prefix":"10.14814","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2400-3375","authenticated-orcid":false,"given":"Abdulghani","family":"Sankari","sequence":"first","affiliation":[{"name":"Department of Medicine, John D. Dingell VA Medical Center  Detroit Michigan USA"},{"name":"Department of Medicine Michigan State University  East Lansing Michigan USA"},{"name":"Department of Medicine Wayne State University  Detroit Michigan USA"},{"name":"Department of Medical Education, Ascension Providence Medical Center  Southfield Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abed Alkader","family":"Najjar","sequence":"additional","affiliation":[{"name":"Department of Medicine, John D. Dingell VA Medical Center  Detroit Michigan USA"},{"name":"Department of Medicine Wayne State University  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott A.","family":"Maresh","sequence":"additional","affiliation":[{"name":"Department of Medicine Wayne State University  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel L.","family":"Prowting","sequence":"additional","affiliation":[{"name":"School of Kinesiology and Health Science York University  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Constance H.","family":"Fung","sequence":"additional","affiliation":[{"name":"Department of Medicine UCLA David Geffen School of Medicine  California Los Angeles USA"},{"name":"Geriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System  California Los Angeles USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur","family":"Knack","sequence":"additional","affiliation":[{"name":"Department of Medicine, John D. 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