The benefits of respiratory muscle strength training benefits include improved dyspnea, peak cough flow, laryngeal function, QOL, vent weaning, speech, voice and swallow performance. These benefits can translate to patients with tracheostomy and mechanical ventilation. This is a sample protocol to be used only as a guide. Individualized treatment is recommended for each patient. A doctor’s order is recommended prior to RMST for patient’s with tracheostomy and mechanical ventilation.