Combined Respiratory Training in Persons With ALS

This study is testing a combined breathing exercise program — both inhaling (lung recruitment) and exhaling (cough strengthening) exercises — in people with ALS (Lou Gehrig's disease) to help protect breathing function and reduce the risk of pneumonia. **You may be eligible if...** - You have a confirmed diagnosis of ALS (probable or definite) - Your ALS symptoms started within the last 2 years - You have not yet used breathing exercise devices - You have a reduced peak cough (below normal for your age and gender) **You may NOT be eligible if...** - Your ALS has progressed to the point that these exercises are unsafe - You already use lung volume recruitment or cough training devices - You use a mechanical ventilator full-time Talk to your doctor to see if this trial is right for you.