Phlegm in lungs – clear naturally with drug-free Shaker

You will usually find phlegm in the back of the throat or in the lungs. It is produced by the lower airways. Mucus on the other hand will normally be found in the mucous membranes inside the nose. It acts like a filter protecting your lungs as you inhale. To clear it you simply blow your nose. Phlegm however is thicker and more viscous. You usually only notice it when you cough it up. An excess of this secretion can be a symptom of a respiratory problem such as bronchitis.

Why you should cough up phlegm

Although unpleasant, you can safely swallow mucus. This is because your body can safely reabsorb it. Phlegm however must be expelled from the body. Advice from healthcare professionals is to cough it up. This is because it will contain virus and dead bacteria. As you cough it up you are helping your body to get rid of the infection.

What to do when phlegm is problematic

Secretions will be more of a problem at night. This is simply because of gravity. These secretions will feel heavy in your chest. This can bring on coughing. You can allieviate this by elevating your sleeping position. Simply prop yourself up more with a pillow. Coughing is actually your body’s natural way of expelling the phlegm. This will help you to get better.

Expel phlegm with drugs – or drug-free

Expectorants can be prescribed to help increase bronchial secretion. They are intended to help make it easier to cough it up. But expectorants are medicines. Shaker by POWERbreathe however is an effective drug-free alternative.

Expel phlegm naturally with the Shaker

The Shaker by POWERbreathe literally ‘shakes’ secretions in your chest to make them more mobile. The shaking breaks these secretions down and makes it easier for you to cough it up.

How the Shaker works

Inside the Shaker device is a weighted ball. As you breathe in through the device the ball rises and then falls again under its own weight. This happens quickly and feels like vibrations. This vibration and gentle resistance dislodges and thins phlegm. You’re then more able to expel it by coughing.

Who can use the Shaker

Because the Shaker is drug-free and easy-to-use, children and adults can use it. And because it shakes up phlegm, it is ideal for people with respiratory problems. These include Chronic Bronchitis, Bronchiectasis, Emphysema, Asthma and Cystic Fibrosis. There are however some precautions which you will find on the Shaker Classic, Shaker Deluxe and Shaker Plus product pages.

Effectiveness Of RMT Along With Aerobic Training In Community Dwelling Elderly Individuals

“Ageing is associated with decline in performance of various systems resulting in reduced exercise capacity, fatigue and reduced respiratory muscle functioning. Studies reported that respiratory muscle training is effective to increase respiratory muscle functioning in various populations but the reports are limited in community dwelling elderly population.” Intervention: POWERbreathe Conclusion “Respiratory muscle training along with aerobic training was more effective than aerobic training alone in improving respiratory muscle function, fatigue and exercise capacity in community dwelling elderly individuals after four weeks of intervention.” Effectiveness of respiratory muscle training along with aerobic training in community dwelling elderly individuals >

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Too fat to breathe

The Sunday Mirror recently reported about how “Britain’s exploding obesity epidemic has led to children having to be put on ventilators – because they are too fat to breathe.” This is a distressing situation when children as young as 6 years old need treatment for the potentially fatal condition, alveolar ­hypoventilation, which means they can’t get enough oxygen into their blood. For children who are overweight, bullying, teasing and inappropriate comments can be a common occurrence and a hindrance to getting outside with friends and being more active. They can make a child resort to eating more, but with POWERbreathe breathing training you can help to break this cycle and help the child build a healthier self-esteem. Here’s how POWERbreathe can help POWERbreathe breathing training increases the strength and stamina of the breathing muscles and reduces fatigue, so any form of exercise, after just 4-weeks of breathing training will feel ‘easier’. This gives a great boost to morale. And when something feels easier, you’re more inclined to do it more. And because it only takes 30 breaths in the morning and 30 breaths in the evening to gain these benefits (from 4-weeks on), POWERbreathe is a great motivator and training can be performed by the child in private (under supervision) as opposed to training in front of a whole class during PE. POWERbreathe breathing training may be used by children over the age of 7 (the Plus series is more comfortable for children) who are old enough to understand how to effectively perform the breathing exercises under the supervision of an adult. Always check with your GP first before undertaking any form of training. There’s no doubt that being overweight can be hard, both physically and emotionally. But with just 5 minute’s a day of POWERbreathe training you can help a child to feel better – and breathe better! This 17-year-old POWERbreathe user came over to see us at the Desford Triathlon to tell us that he’d had POWERbreathe for about 2 months and “my fitness has increased already. I can run farther and I can run for longer.” Here he is telling us about it…

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POWERbreathe Medic helps patients with breathing problems AND saves NHS money and resources

Health bosses announced back in October 2014 that the NHS in England needed extra money and an overhaul to services in order for patient care not to suffer.

When it comes to respiratory care the NHS could save both money and resources if they prescribed POWERbreathe Medic Respiratory Muscle Training (RMT) for patients with medical conditions such as COPD, Heart Failure, Asthma, Thoracic Surgery, Ventilator Weaning, Cystic Fibrosis and Neuromuscular Disease.

In a 2005 study of the benefits of a 12-month programme of POWERbreathe RMT, researchers observed significant reductions in the use of healthcare resources.1

POWERbreathe RMT for COPD

Accordingly to Professor Peter Calverley (Lung Report III. British Lung Foundation), in the average PCT serving 250,000 people, there would be 14,200 GP consultations per year for chronic obstructive pulmonary disease (COPD), and 9,600 inpatient bed days. Reducing length of hospital stay is an NHS productivity indicator.

POWERbreathe reduced hospital bed days by 29% and GP consultations by 23% compared with placebo (see table above).

POWERbreathe RMT for Asthma

In another study, Weiner et al2 observed an 86% reduction in hospitalisations/emergency room visits following respiratory muscle training in moderate/severe asthmatics (from 1.4 to 0.2 per 3 months per patient).

And in three separate studies, Weiner et al. observed an average 51% reduction in β2-agonist consumption (from 3.9 to 1.6 puffs per day)2,3,4 after respiratory muscle training, and in one study3, corticosteroid use decreased ~80%.

How POWERbreathe Medic could save NHS money & resources

In 2005 when this study was conducted, the total potential annual savings derived from POWERbreathe Medic prescription per average PCT due to reduced hospital bed days and medication consumption (not including savings due to reduction in GP consultations) were substantial.

The POWERbreathe Medic offers an evidence-based, drug-free treatment for patients with medical conditions such as COPD, Heart Failure, Asthma, Thoracic Surgery, Ventilator Weaning, Cystic Fibrosis and Neuromuscular Disease. It is the only Inspiratory Muscle Training device for RMT available for prescription that has been used in research into the benefits of IMT for a variety of medical conditions and prescribed by medical professionals as either a standalone intervention or as part of a rehabilitation programme.

For respiratory care professionals there is a POWERbreathe Medic Try-Before-You-Prescribe demonstration kit; an educational tool designed to help healthcare professionals and patients understand and experience the effect POWERbreathe Medic has on the respiratory muscles.

Since the approval of the POWERbreathe Medic for prescription in 2006, POWERbreathe has introduced the revolutionary, electronic POWERbreathe KH1, intended for use by healthcare professionals for respiratory muscle training and assessment in patients with dyspnoea, including patients with asthma, COPD, bronchitis, cystic fibrosis, emphysema, heart disease, neuromuscular disease, Parkinson’s disease and spinal injury.

The POWERbreathe KH1 is also suitable for use with disposable TrySafe filters and can be used bedside, on the ward, as part of a pulmonary program, or for single patient use at home under medical supervision.

Launched after the POWERbreathe Medic, following the latest technological advances in research and design, is the next generation POWERbreathe Medic: the POWERbreathe Medic Plus for patients to use at home, straight out of the box, with improved airflow dynamics and a more comfortable user experience. And for healthcare professionals (and their patients), is the new POWERbreathe KH2 with Breathe-Link Medic Live Feedback Software.


  1. Beckerman M, Magadle R, Weiner M, Weiner P. The effects of 1 year of specific inspiratory muscle training in patients with COPD. Chest. 2005 Nov;128(5):3177-82.
  2. Weiner P, Azgad Y, Ganam R, Weiner M. Inspiratory muscle training in patients with bronchial asthma. Chest. 1992;102(5):1357-61.
  3. Weiner P, Berar-Yanay N, Davidovich A, Magadle R, Weiner M. Specific inspiratory muscle training in patients with mild asthma with high consumption of inhaled beta(2)-agonists. Chest. 2000;117(3):722-7.
  4. Weiner P, Magadle R, Massarwa F, Beckerman M, Berar-Yanay N. Influence of gender and inspiratory muscle training on the perception of dyspnea in patients with asthma. Chest. 2002;122(1):197-201.

Reliability of K-Series for Assessing Pulmonary Function in Post-Stroke Patients


Reliability of an Electronic Inspiratory Loading Device for Assessing Pulmonary Function in Post-Stroke Patients

Kyeong-Bong Lee, Min-Kyu Kim, Ju-Ri Jeong, Wan-Hee Lee

This recently published clinical research undertaken at the Graduate School of Physical Therapy, Sahmyook University, Seoul, Republic of Korea, was to examine the inter- and intra-rater reliability of an electronic inspiratory loading device for the assessment of pulmonary functions: maximum inspiratory pressure, peak inspiratory flow, and vital capacity.

Maximum inspiratory pressure, peak inspiratory flow, and vital capacity for pulmonary functions were assessed using an electronic inspiratory loading device – the POWERbreathe K5 with Breathe-Link Live Feedback software.


After assessment the researchers concluded, “The intra- and inter-examiner reliability of the pulmonary function measurements, maximum inspiratory pressure, peak inspiratory flow, and vital capacity, for the post-stroke patients was very high. The results suggest that the electronic inspiratory loading device would be useful for clinical rehabilitative assessment of pulmonary function.”

Read the full research paper, Reliability of an Electronic Inspiratory Loading Device for Assessing Pulmonary Function in Post-Stroke Patients

Breathing Pattern Disorder Course, Bangalore

RECOUP Hospital in Bangalore have conducted a post-graduate course for Rehabilitation and Pain Physicians, Physical Therapists and Occupational Therapists entitled ”The Palette of Breath” – Breath Support for movement, function, performance and expression in health and disease.

The course focused on evaluation and treatment of breathing pattern disorders (BPD, musculoskeletal pain, musculoskeletal dysfunction and hyperventilation syndrome), as well as secondary lung dysfunction (Stroke, Spinal Cord Injuries, Multiple Sclerosis, Parkinson’s disease, LMN disorders (Myasthenia Gravis, ALS), Spine surgeriesa and Arthroplasties).

As part of the course, respiratory muscle function evaluation and treatment were addressed. Supporting this part of the course Uri and colleagues from POWERbreathe Israel along with Mr Sanil Simon and colleagues from POWERbreathe India organised and conducted a POWERbreathe Inspiratory Muscle Training workshop, as can be seen in the photos.

Ms. Irena Paiuk, MscPT, BPT, Cert., expert in respiratory and breathing dysfunction disorders at Asaf Harofe MC, TAU, said of the POWERbreathe workshop,

“I would like to thank POWERbreathe representatives in Israel and in Bangalore for their kind support in organizing and conducting a workshop in RECOUP Hospital, Bangalore, this summer… This kind of collaboration is very helpful to health professionals! Thanks POWERbreathe.”

Effects of High-Intensity IMT Following a Near-Fatal Gunshot Wound


Effects of High-Intensity Inspiratory Muscle Training Following a Near-Fatal Gunshot Wound


A man who sustained a gunshot wound (via the left axilla which exited from the right side of the abdomen) during armed combat left him with severe thoracic and abdominal injuries. After five months he still reported severe dyspnoea on exertion and so a program of high-intensity, interval-based threshold inspiratory muscle training (IMT) was undertaken.

Discussion points and observations:

The subject tolerated well the high-intensity IMT. “It was associated with improvements in maximum forced inspiratory flow and changed the locus of symptom limitation during high-intensity exercise from dyspnea to leg fatigue.”

The purpose of this case study was to ensure every effort is made to optimise physical function following such injuries, so that individuals may continue in active service.

Systematic Review of IMT After Cerebrovascular Accident


Systematic Review of Inspiratory Muscle Training After Cerebrovascular Accident
Martín-Valero R, De La Casa Almeida M, Casuso-Holgado MJ, Heredia-Madrazo A.

The objective of this Systematic Review, published in Respiratory Care (November 2015), was to “examine levels of evidence and recommendation grades of various therapeutic interventions of inspiratory muscle training in people who have had a stroke”.

Studies of relevance were searched for in MEDLINE, PEDro, OAIster, Scopus, PsycINFO, Web of Knowledge, CINAHL, SPORTDiscus, DOAJ, Cochrane, Embase, Academic Search Complete, Fuente Académica, and MedicLatina. Out of the 20 articles identified, 6 of these studies were found to be relevant to this review.

The Review concluded that more long-term studies are needed and “It is necessary to apply respiratory muscle training as a service of the national health system and to consider its inclusion in the conventional neurological program.”

Read the Systematic Review here >

Gender differences in dimensions of dyspnea in active young adults


Sex differences in the intensity and qualitative dimensions of exertional dyspnea in physically active young adults
Julia M. Cory, Michele R. Schaeffer, Sabrina S. Wilkie et al

The purpose of this study was to explore the development of qualitative dimensions of dyspnea in a group of 70 physically active, healthy young adults.

The young participants were asked to record two things throughout each stage of a symptom limited incremental cycle exercise test:

1. Intensity of their breathing discomfort using the Borg 0-10 scale.
2. Select a phrase that best described their breathing from a standardized list (“work/effort”, “unsatisfied inspiration”, “unsatisfied expiration”).

During the study, at peak exercise women were significantly more likely to select the phrases: “my breathing feels shallow”, “I cannot get enough air in”, “I cannot take a deep breath in”, and “my breath does not go in all the way”.

Findings from the study suggested that men and women do not differ in their perceived quality of dyspnea during submaximal exercise, but subjective differences appear at maximal exercise and may be related, perhaps in part, to underlying differences in breathing patterns and operating lung volumes during exercise.

Read the full study here >

Inspiratory and expiratory muscle training in subacute stroke

Randomised Clinical Trial:

Inspiratory and expiratory muscle training in subacute stroke
Monique Messaggi-Sartor, Anna Guillen-Solà, Marina Depolo et al

The objective of this randomised clinical trial, published in Neurology (Neurology 10.1212/WNL.0000000000001827) is to assess the effectiveness, feasibility, and safety of short-term inspiratory and expiratory muscle training (IEMT) in subacute stroke patients.


Inspiratory and Expiratory Muscle Training induces significant improvement in inspiratory and expiratory muscle strength and could potentially offer an additional therapeutic tool aimed to reduce respiratory complications at 6 months in stroke patients.