A Passy Muir Valve (PMV) is much more than a speaking valve. Yes, it allows patients with a tracheostomy to phonate by redirecting exhaled air through the vocal cords. But from a rehab perspective, PMV tolerance can tell us a lot about where a patient is in their recovery. When a patient successfully tolerates a PMV, it suggests they may be: 🫁 Managing secretions effectively 🫁 Tolerating airflow through the upper airway 🫁 Building respiratory muscle endurance 🫁 Progressing toward decannulati