Enhancing Adherence to Home-Based Expiratory Muscle Strength Training in Parkinson Disease: Randomized Controlled Trial of an mHealth Intervention - PubMed
12 hours ago
- #EMST
- #mHealth
- #Parkinson disease
- Aspiration pneumonia is a leading cause of death in Parkinson disease (PD).
- Expiratory muscle strength training (EMST) is a promising intervention for respiratory and swallowing dysfunction in PD, but long-term adherence is often poor.
- A randomized controlled trial tested mHealth-assisted EMST using the SpiroGym app versus conventional EMST in 75 individuals with PD.
- The SpiroGym app provides real-time performance monitoring, visual feedback, and progress tracking.
- Participants underwent 8 weeks of supervised EMST followed by 16 weeks of unsupervised maintenance training.
- The primary outcome was adherence during weeks 8 to 24 among participants at risk for nonadherence (SEHEPS <59).
- The experimental group (SpiroGym-assisted EMST) showed better long-term adherence and greater gains in maximum expiratory pressure than the control group.
- SEHEPS improved in both groups, but only the experimental group exceeded the minimal detectable change.
- mHealth-assisted EMST is a practical approach for sustaining exercise adherence in PD patients.