Cough, Expiratory Training, and Chronic Aspiration After Head and Neck Radiotherapy

Participants receive modified barium swallow at baseline and after 8 weeks of using the EMST device

Questionnaires completed about symptoms and quality of life at baseline, after 8 weeks of using the EMST device, and 12 months after completing the study.

Participant uses the EMST device at home on a 5-5-5 schedule (5 repetitions, 5 sets, 5 days per week) for 8 weeks.

Digital manometer used to test how forcefully participant is able to exhale and cough at baseline, and one time each week for 8 weeks while using the EMST device.

Participants given neurocognitive exams at baseline.

Participants receive barium prior to modified barium swallow at baseline and after 8 weeks of using the EMST device.