Figure 1.

Maximum expiratory pressure (MEPs cm H₂0) in a 71‐year‐old male patient with amyotrophic lateral sclerosis who underwent 8 weeks of sham training followed by 8 weeks of expiratory muscle strength training at 50% of individualized MEP. Three‐ and six‐month follow‐up MEP data are also included. MEPs decreased by 9% between baseline and post‐sham and increased by 102% pre‐ versus post‐EMST. Six‐month follow‐up data indicate that treatment gains were maintained at 100 cm H₂0, representing a 3% decrease from the immediate post‐EMST assessment and a 79% increase from his initial baseline (pre‐sham) MEPs taken 10 months earlier.