While all subjects exhibited some degree of negative effort dependence, there was substantial variability among subjects. Subject 1 (a control) demonstrates >50% negative effort dependence, and there is no clear plateau. In contrast, subject 4, who has obstructive sleep apnea (OSA), shows only ∼20% decrement from peak flow with increased effort, with a clear plateau in airflow. This plateau in flow could be due to anatomy or compensatory inspiratory phasic muscle activation.