Journal of Medical Speech-Language Pathology Volume 14, Number 3, pp. 207–217 Copyright © 2006 by Delmar Learning, a division of Thomson Learning, Inc. Expiratory Muscle Strength Training in the Treatment of Mixed Dysarthria in a Patient with Lance-Adams Syndrome Harrison N. Jones, M.A. VA RR&D Brain Rehabilitation Research Center, Gainesville, Florida Department of Communicative Disorders, University of Florida, Gainesville Neila J. Donovan, Ph.D. VA RR&D Brain Rehabilitation Research Center, Gainesville, Florida Department of Communicative Disorders, University of Florida, Gainesville VA HSR&D/RR&D Rehabilitation Outcomes Research Center, Gainesville, Florida Christine M. Sapienza, Ph.D. VA RR&D Brain Rehabilitation Research Center, Gainesville, Florida Department of Communication Sciences and Disorders, University of Florida Rahul Shrivastav, Ph.D. VA RR&D Brain Rehabilitation Research Center, Gainesville, Florida Department of Communication Sciences and Disorders, University of Florida, Gainesville Hubert H. Fernandez, M.D. Department of Neurology, University of Florida, Gainesville John C. Rosenbek, Ph.D. VA RR&D Brain Rehabilitation Research Center, Gainesville, Florida Department of Communicative Disorders, University of Florida, Gainesville The results of an expiratory muscle strength training (EMST) program is described in the rehabilitation of mixed dysarthria in a patient with Lance-Adams syndrome sec- ondary to a motor vehicle accident (MVA) with associated traumatic brain injury (TBI). A pretest-posttest design was employed. Following EMST, maximum phonation dura- tion, intelligibility scores of 14-word sentences, and Communicative Effectiveness Sur- vey (CES) scores increased. Three months after the discontinuation of EMST, maximum phonation duration had decreased but remained increased in comparison to pretreat- ment performance, while intelligibility scores dropped below baseline level. CES scores continued to increase following the discontinuation of treatment. These data suggest that EMST was associated with a therapeutic effect for this patient, as evidenced by improved performance measured pre- and posttreatment.