Acclimatisation to High Altitude – POWERbreathe IMT is Beneficial

There is a new Review Article in Frontiers in Physiology (January 2019) that looks into using respiratory/inspiratory muscle training for acclimatisation to altitude.

Respiratory muscle training

Respiratory muscle training, or RMT, is a programme of exercises that aim to improve the function of the respiratory muscles. Otherwise known as the ‘breathing pump’ muscles, the expiratory muscles and the inspiratory muscles make up the respiratory muscles. It’s the inspiratory muscles that we use when we breathe in. The main inspiratory muscle is the diaphragm, but to a lesser extent, the intercostal muscles also help with inhalation. To help improve the strength and stamina of these inspiratory muscles, respiratory muscle training will include Inspiratory Muscle Training (IMT).

Inspiratory Muscle Training

Inspiratory muscle training, such as with POWERbreathe, uses resistance to provide the training effect. When breathing in against the resistance, the breathing muscles have to work harder. As a result, they get stronger. Consequently, breathing stamina improves resulting in a reduction in breathing fatigue. There is numerous research validating this form of breathing training and, as a result, it is the most commonly used.

The review

For the review, researchers perform a comprehensive search, analysing seven appropriate studies. Three of these studies refer to using respiratory muscle endurance training (RME with isocapnic hyperpnea). However, the remaining four studies use respiratory muscle strength training (RMS with POWERbreathe IMT).

Acclimatisation to altitude

Studies suggest that respiratory muscle training with IMT is a useful preparatory method for enhancing respiratory muscle efficiency 4-6 weeks before being exposed to hypoxia/altitude.

It is evident that breathing during exercise in hypoxia is associated with increased energy costs (20–30%) when compared to normoxia. Therefore, it is more likely to cause respiratory muscle fatigue. However, inspiratory muscle training will help to combat this. This is because IMT trains the inspiratory muscles to become stronger, increasing stamina. Consequently, breathing muscle fatigue reduces.

It, therefore, seems apparent that breathing muscle training has the potential to minimise at least some of the limiting respiratory factors that occur during training and competition in hypoxia/at altitude.

Benefits of acclimatisation to altitude using IMT

The Review suggests that both elite athletes and non-elite individuals may benefit from RMT, including:

  1. A delay in the onset of premature fatigue.
  2. A delay in respiratory muscle metaboreflex onset/activation.
  3. An improvement in clearance and tolerance to anaerobic metabolite products.
  4. A decrease in the perception of dyspnea (‘air hunger’).
  5. An increase in oxygen saturation values.
  6. A more favourable blood redistribution to the locomotor muscles.

Finally, evidence from this review finds that respiratory muscle training is an effective stimulus for improving the strength and endurance of the respiratory muscles. In fact, it’s these adaptive responses that contribute to the improvement of ventilatory function and efficiency. In translation, this means that respiratory muscle training is very likely to improve exercise performance in normoxia and particularly in hypoxia/altitude.

Lower Blood Pressure with POWERbreathe IMT

The University of Colorado Boulder is using the POWERbreathe K-Series in their independent research. They are investigating the effects of just 30 breaths of inspiratory muscle strength training (IMST). Specifically, they are looking to see if it could lower blood pressure and reduce heart attack risk. They are also investigating whether it could help you think more clearly and boost sports performance.

Lower blood pressure

One of the key findings of the research so far is that 30 breaths of IMST (about five minutes) will lower blood pressure. Crucially, with about half the tests completed, researchers report significant drops in blood pressure and improvements in large-artery function. In fact, their findings show that about 5-minutes of IMST lowers blood pressure as much as aerobic exercise and more than some medications.

Other preliminary findings

The research findings also suggest that just 5-minutes of IMST may also boost cognitive function. Furthermore, their findings show that it may also improve fitness and increase sports performance. In fact, these improvements are already proven in previous research studies. However, this study reiterates such findings.

With the help of the university’s new National Institute on Ageing grant, researchers are launching a clinical trial.

The research

Research subjects will either be a part of a sham group (using low/no IMST) or the IMST group. The IMST group will perform 30 breaths of inspiratory muscle strength training (taking approximately 5-minutes). IMST is strength training for the muscles you use to inhale. Both groups will be performing their version of IMST over a period of 6 weeks. Researchers are hoping that by doing this for 5 minutes a day in the comfort of their own home, people will get health benefits they otherwise might not get.

The tests

Researchers will be performing tests to evaluate:

  • Vascular function – how healthy the blood vessels are
  • Cerebral vascular function – how healthy the blood vessels in the brain are
  • Cognitive function
  • Physical performance – VO2 max testing assesses this
  • Motor function

Results so far are showing that the IMST group, compared to sham subjects, are lowering their blood pressure and improving blood vessel health. Also, the IMST group is performing better on certain cognitive and memory tests. In addition, the IMST group are able to keep their heart rate and oxygen consumption lower during exercise. Consequently, subjects are also showing an increase in exercise tolerance time too.

Positive outcomes

With all this evidence, researchers hope that by using IMST, people may be able to get their blood pressure under control, decrease their risk of chronic conditions and live healthier lives.

Pilates Plus IMT Improves Lung Function

Researchers from Brazil are looking at the effects of combining Inspiratory Muscle Training (IMT) with Pilates on lung function in elderly women. The reason for this is because ageing affects the respiratory system. In fact, it can change the composition of the lung’s connective tissue.

Ageing and the lungs

Ageing will ultimately affect bones and muscles. Moreover, natural ageing also affects the bones and muscles of the chest. Consequently, it may affect the shape of the ribcage. As a result, the ribcage may no longer expand or contract as well as it once did, during breathing. Additionally, the main breathing muscle, the diaphragm, becomes weaker too. This will affect how much air a person is able to breathe in and out.

Furthermore, ageing affects lung tissue and the airways may lose their ability to stay open. Additionally, the air sacs begin to lose their shape. Consequently, air may become trapped in the lungs. This affects how well you’re able to breathe.

Why inspiratory muscle training?

Inspiratory Muscle Training (IMT) is a form of resistance training that exercises the inspiratory muscles. The main inspiratory muscles are the diaphragm and intercostals. It’s these muscles that are responsible for drawing air into the lungs. Furthermore, it’s these muscles that will be affected by ageing. Therefore, exercising these muscles with IMT will limit the effects of ageing. IMT will help them to become stronger and less prone to fatigue.

The IMT device that participants use in this trial is the POWERbreathe K5.

Participants breathe in through the K5 for 30 breaths. They perform this twice, with a one-minute interval between each set. After two weeks’ training, they must increase the training resistance by 10%. Researchers then assess an individual’s results following Pilates exercise.

Why Pilates?

Pilates is an exercise programme, developed in the 20th Century by Joseph Pilates. The exercises focus on improving core strength and muscular imbalance. Furthermore, Pilates improves flexibility, overall muscle strength and is low-impact, making it ideal for the age group in this study.

As we age, we become less active and more sedentary. Consequently, sitting for long periods limits movement and affects the body. In fact, age affects the entire musculoskeletal system: joints, muscles and bones. As a result, posture is affected and we also start to lose muscle tone, balance and joint mobility. Pilates can help to minimise these age-related changes.

For this study, participants use the Cadillac, Combo Chair and Reformer devices for the Pilates method. The researchers recommend nine exercises per session. Participants perform up to three sets of 12 repetitions of each exercise. They do this for a maximum of 45-minutes.

Study results

To establish if IMT positively effects breathing muscle strength, each participant’s maximum inspiratory pressure (MIP) is measured. MIP is an index of diaphragm strength and an independent predictor of all-cause mortality (longevity). Study findings show that MIP significantly evolved in the elderly. Additionally, the study highlights:

“the use of the POWERbreathe K5 device, which further favoured the gain in this variable.”

Findings also show:

“that all the variables were significantly better in the intervention groups than in the Control Group, thus strengthening the importance of the association between IMT and Pilates.”

In conclusion

“In conclusion, physiotherapy is an excellent ally in the prevention, promotion, and maintenance of health, quality of life and functional capacity in the gerontological population. The use of the Pilates Studio method, associated with technological equipment that allows more detailed analysis and treatment of pulmonary conditions, strength, function and mobility, was shown to be beneficial for this type of application.”

The influence of inspiratory muscle training combined with the Pilates method on lung function in elderly women: A randomized controlled trial >

New Asthma Treatment for Severe Asthma

The National Institute for Health and Care Excellence (NICE), are consulting again on the safety and efficacy of a new asthma treatment. The new treatment, bronchial thermoplasty, is likely to be offered to adults with severe asthma. The procedure involves applying thermal energy (heat) to the inside walls of the airways.

New asthma treatment

Bronchial thermoplasty will take place under sedation or general anaesthetic. Short pulses of radiofrequency energy are applied to the airway wall. Following that, patients will need to attend an additional two sessions, with 3-week intervals, to complete the procedure.

The aim of this new treatment is to reduce the smooth muscle mass lining the airways, decreasing their ability to constrict. Hopes are that by having this procedure, the severity and frequency of severe asthma attacks may decrease. NICE is currently in the process of considering the evidence for this treatment. Additionally, it’s listening to the views of specialist advisers with knowledge of the procedure.

Furthermore, to ensure safety, NICE is recommending that only a multidisciplinary team treat patients. In addition, they recommend that only specialist centres with on-site access to intensive care should carry out the procedure. Finally, they are proposing that only clinicians with experience of bronchial thermoplasty and managing severe asthma should perform the procedure.

As it stands, NICE believe there is adequate evidence to support the use of this new asthma treatment.

Severe asthma

In their consultation document, NICE say that in severe asthma, the lining of the airways becomes inflamed and narrow. Furthermore, this narrows the airways, making it harder for air to pass through. This makes it harder to breathe. And it is this that bronchial thermoplasty aims to tackle.

Complementary treatment for asthma

Research shows there to be an alternative, complimentary asthma treatment for opening up the airways and assist in easier breathing. This treatment is Inspiratory Muscle Training (IMT). Simply put, it is breathing muscle training, such as with the POWERbreathe IMT device. It too is clinically proven. Furthermore, it is drug-free.

The research reaches the conclusion that six-months of specific inspiratory muscle training improves inspiratory muscle strength and endurance. It also results in improvement in asthma symptoms, hospitalisations for asthma, visits to the emergency department, absence from school or work, and medication consumption in patients with asthma.

Alternative treatment for asthma – IMT

Inspiratory Muscle Training, such as with POWERbreathe IMT, is easy to use, straight out of the box. Because it is drug-free, there are only minimal precautions and contraindications that the Healthcare Professional needs to be aware of before prescribing IMT.

POWERbreathe IMT is an evidence-based, non-invasive asthma treatment. In fact, it is the amount of medical research behind the rigorous assessment that led to the POWERbreathe Medic being made available for prescription on the NHS. It offers people with asthma a clinically-proven method of reducing symptoms and putting them in control of their asthma.

Research shows that after only 3-weeks of IMT, asthma symptoms improve by up to 75%. Furthermore, patients with asthma experience improvement of symptoms, quality of life and a reduction in the consumption of medication of up to 79%.

In fact, three separate studies show an average 51% reduction in β2-agonist consumption (from 3.9 to 1.6 puffs per day) after IMT. One study also shows a decrease in corticosteroid use ~80%.

Finally, longer observations show that 6-months of IMT reduces absence from school/work (by ~95%) and use of healthcare resources (by ~75%).

S-Index assessment improves inspiratory muscle performance

S-Index stands for Strength-Index. It is one of the POWERbreathe K-Series’ test modes. Its purpose is to calculate inspiratory muscle strength based upon peak inspiratory flow.

Peak Inspiratory Flow (PIF)

We can evaluate improvements in inspiratory muscle strength by monitoring changes in a person’s peak inspiratory flow.

Peak Inspiratory Flow is a measure which reflects the ability of the inspiratory muscles (the muscles we use to breathe in) to contract rapidly and overcome the inherent resistance and elastance of the respiratory system.

Another of the K-Series’ test modes is the measurement of maximal inspiratory pressure (MIP). In fact, MIP is the most common measure in use for gauging inspiratory muscle strength. It is used as a diagnostic tool and an independent predictor of all-cause mortality.

Purpose of study

Currently, the most common test for assessing inspiratory muscle performance is the maximum ‘quasi-static’ inspiratory pressure (PImax).

However, the K-Series’ S-Index test has since become available for ‘dynamically’ evaluating the maximum inspiratory pressure.

In fact, it is suggested that the S-Index might be more appropriate for measuring inspiratory muscle performance than PImax.

Therefore, this study investigates this premise. It also assesses its reliability and whether an inspiratory muscle warm-up effects strength—index assessment.

Measurement validity of the K-Series

There are, in fact, current studies that have independently verified the measurement validity of the K-Series. Consequently, findings from these previous studies demonstrate its accuracy to measure dynamic inspiratory muscle pressure 1,2.

Therefore, this study feels that a proper assessment and the reliability of the S-Index should be addressed. In particular, it investigates the variability in response to repeated measurements. Furthermore, it evaluates whether an inspiratory muscle warm-up effects strength-index assessment. It is investigating whether using strength-index assessment improves clinical outcomes by reducing the bias effect.

Reliable values of the S-Index

What this study demonstrates is that at least 8 inspiratory manoeuvres are necessary to reach maximum and reliable values of the S-Index. Moreover, it also shows that specific inspiratory muscle warm-up could improve inspiratory muscle performance.

The authors believe this to be the first study to evaluate S-Index reliability in healthy subjects. Furthermore, they believe it to be the first study to investigate the effect of inspiratory warm-up in strength-index assessment.

In conclusion, inspiratory muscle warm-up should be used for detecting the true maximum values of the S-Index to evaluate the performance of inspiratory muscles for any intervention.

Assessment of Maximum Dynamic Inspiratory Pressure >

References

  1. Measurement validity of an electronic inspiratory loading device during a loaded breathing task in patients with COPD
  2. Repeated-Sprint Cycling Does Not Induce Respiratory Muscle Fatigue in Active Adults: Measurements from The POWERbreathe Inspiratory Muscle Trainer 

Rugby & the Beneficial Effects of Inspiratory Muscle Training

The nature of the game of rugby involves high and low-intensity action. Also, the physical demands of the game are specific to each player’s positional role. However, despite the player’s position, all need to be aerobically fit. Each must also have a high lactate tolerance and be strong and powerful.

Challenges facing rugby players

Most of the game of rugby is sub-maximal. This means that the intensity at which the player performs increases at a steady rate. Furthermore, this sub-maximal exercise will only work the player up to 85% of their maximum heart rate.

However, integral to the game are intermittent sprints, tackling, scrums, rucks and mauls. These are supra-maximal. And it’s this part of the game that pushes players beyond their maximum limit. Consequently, breathing effort will be a challenge.

The pattern of exertion rugby has on players places extreme demands upon their breathing. This is because these activities are anaerobic and generate high levels of lactic acid. Furthermore, the lactic acid stimulates their breathing to increase. In addition, a unique feature of rugby is the involvement of high-intensity upper body activity. This can induce conflicting demands upon the breathing muscles, which as well as bringing about breathing, are also essential in activities that involve the upper body.

This 2018 study from Brazil reiterates the fact that the respiratory muscles need adequate work to maintain sustained effective breathing in the sport of rugby.

The scientific study

This scientific study set about analysing the effects of high-intensity inspiratory muscle training (IMT) in 20 amateur rugby players. These players are from the city of Uberaba, Minas Gerais, Brazil.

For the trial, the amateur players undergo a pulmonary function test, respiratory muscle strength and physical capacity assessment. Researchers then split them into two groups: the IMT group and the control group, each consisting of 10 players. The study has approval from the Research Ethics Committee of the Federal University of Triângulo Mineiro under protocol no. 2398.

Rugby training & conditioning for the trial

During the trial, players begin training with a warm-up by jogging for 5-minutes. They then perform dynamic stretching of the major muscle groups. Following this, the researchers have the players simulate specific moves applied to the game of rugby to improve its fundamentals. These include such moves as passing, blocking, feinting and collective strategic moves. Ultimately, the training session ends with stretching.

Players in the Inspiratory Muscle Training group perform three weekly sessions of an inspiratory muscle training programme, using the POWERbreathe Plus, for 12 consecutive weeks. These sessions are supervised by a physiotherapist and a physical education professional.

The IMT group protocol

This group protocol consists of:

  • 10 minutes’ stretching of the trunk muscles, upper and lower limbs
  • 10-minute inspiratory warm-up by performing a full and vigorous inspiration through the POWERbreathe Plus IMT device
  • A series of 30 repetitions using 80% of maximal inspiratory pressure using the POWERbreathe Plus IMT device. After the fourth training session, the level is increased.

The control group protocol

This group of 10 players perform the same protocol as above, except they do not perform the 30 repetitions of inspiratory muscle training using the POWERbreathe Plus.

Effects of high-intensity IMT in Rugby Players

Results show that the 12-week course of high-intensity POWERbreathe IMT provides significant increases in maximal voluntary ventilation (22%), maximum inspiratory pressure (38%), PEmax (32%), and distance travelled (13%) in the YoYo Test.

Also worthy of note is how physical capacity will be compromised if the respiratory system does not provide sufficient oxygen supply to satisfy the demands. Researchers explain that when the arrival of blood to the respiratory muscles decrease, it experiences fatigue and leads to lactic acid buildup. Consequently, this situation causes a decrease in the strength and resistance of the respiratory muscles.

Results of this trial suggest therefore that the POWERbreathe IMT training protocol provides beneficial, positive effects for rugby players.

The study

Effects of high-intensity Inspiratory Muscle Training in Rugby Players >

Training Diary for Classic and Plus Users

One of the key features of the POWERbreathe K-Series is that it records a user’s progress, like a training diary. This is available to view on the device itself, and using the Breathe-Link Live Feedback Software.

However, users of the Classic and Plus series of POWERbreathe IMT devices are not able to automatically save their progress to a training diary for future assessment. This is because they are not electronic models, but mechanical.

Progress on the mechanical models is made as you increase the training load. And the load increases with every turn of the load adjustment knob. It’s this that changes the level at which you’re training. And so by recording your training level over a period of time, training progress can be reviewed.

Training Diary for users of mechanical models

Keeping a training diary is the simplest way of assessing your progress. To help, we’ve created a TRAINING DIARY for you to download. Simply print off the sheet and complete the fields, following the example given.

We suggest you record your training level as this is what you increase as your breathing strength and stamina improves. On the Classic model, it starts at Level 1 and increases to Level 9. On the Plus model, it starts at Level 0 and increases to Level 10.

DOWNLOAD TRAINING DIARY >

How to use the Training Diary

The scientifically proven POWERbreathe training regimen is 30 breaths IN through the device, twice a day. Therefore, the record sheet asks you to note your training Level at each Morning and Evening session. In addition, the Duration of the session can also be recorded. So if you’ re unable to manage 30 breaths at one of the sessions, make a note of what you can manage.

Over a period of time, you will have a record of how you are moving up through the training levels. And if the duration of your sessions is improving too, this is progression. As a result, it is showing you that your breathing muscle strength and stamina is improving.

After 4 – 6 weeks of daily training, your breathing muscles should have improved substantially. Consequently, you should feel less breathless during activity. At this stage, you will not need to use your device every day to maintain your improved breathing. Instead, using your device twice every other day will be sufficient to continue to enjoy reduced breathlessness and improved exercise performance.

Metaboreflex & Performance in Elite Female Soccer

ECSS is the European College of Sport Science (ECSS). Part of its purpose is to promote junior scientists and foster state-of-the-art research. And in order to do this, ECSS have created the Young Investigators Award (YIA). This award-winning research, presented in the video, is for Metaboreflex and Performance in Elite Female Soccer: Effects of Inspiratory Muscle Training.

Video presentation of ECSS YIA winning research

Metaboreflex & Performance in Elite Female Soccer

This research aims to determine the effects of Inspiratory Muscle Training (IMT) on respiratory and peripheral muscles oxygenation. It examines this during a maximal exercise tolerance test and on repeated-sprint ability (RSA) performance in professional women football players.

Inspiratory Muscle Training

All participants in the study perform 6-weeks of IMT. The device they use for IMT is the POWERbreathe K5 with Breathe-Link Live Feedback software.

At the end of their 6 weeks’ training, all participants are reevaluated.

Research Findings

The findings show that,

“…only the IMT group present lower deoxyhaemoglobin and total haemoglobin blood concentrations on intercostal muscles concomitantly to an increased oxyhemoglobin and total haemoglobin blood concentrations on vastus lateralis muscle during time-to-exhaustion”

Research Conclusions

Results suggest the potential role of IMT to attenuate inspiratory muscles metaboreflex. Consequently, oxygen and blood supply to limb muscles during high-intensity exercise improves. Furthermore, there is also a potential impact on inspiratory muscle strength, exercise tolerance and sprints performance in professional women football players.

ECSS YIA Award

ECSS presents scientists with the opportunity of entering this prestigious competition for scientific excellence, every year. And it’s at the ECSS annual congress where young scientists present their scientific work, as they compete to win the YIA Award.

Following presentations, members of the ECSS Scientific Board and ECSS Scientific Committee, grant the awards. They base this decision upon an oral and mini-oral presentation for the top ten presentations respectively.

Bruno Archiza is the winner of this 2016 YIA award, and his presentation took place at the 21st annual congress of the ECSS in Vienna.

Tennis Players’ Endurance Improves after POWERbreathe IMT

New research shows tennis players’ endurance and strength improves after Inspiratory Muscle Training (IMT). The research from Pune, India, is in the International Journal of Current Research (February 2018).

What affects tennis performance

The main characteristics of this game are intense bouts of running, such as sprinting to reach a ball. Consequently, breathing is driven to its highest levels. And this induces extreme breathlessness. This affects performance.

In order to continue to play effectively while maintaining a high level of skill performance, breathing mustn’t hinder performance.

Breathing effort in tennis

Playing tennis involves using your breathing muscles in your torso to brace and twist during a racket stroke. Also, experienced players use their inflated lungs to brace the impact of the ball and racket. This helps them to control the release of air from their lungs and optimise the transmission of force. However, breathing muscle fatigue impairs this control. Thankfully though, breathing muscle strengthening training will improve this. Using a device that specifically trains the breathing muscles, the inspiratory muscles, is the easiest way of doing this. These are called Inspiratory Muscle Training (IMT) devices, such as POWERbreathe IMT. And training your breathing muscles to become stronger can help with a player’s postural control and movement too.

Research into players’ endurance

The research from Pune highlights the fact that tennis matches feature high-intensity, short- duration bouts of extreme activity with a short rest time. And it’s the competition of blood flow between the arms and legs and the breathing muscles which ultimately increases breathing fatigue.

For this study, researchers use the POWERbreathe KH1 Inspiratory Muscle Training (IMT) device to strengthen participants’ breathing muscles. Furthermore, each participant performed a prescribed protocol for using the device for five days over four weeks. Researchers were aiming to assess the effect of IMT on cardiovascular endurance in lawn tennis players.

Research findings

The findings of this latest research show there to be,

“significant improvement in cardiovascular endurance and strength in lawn tennis players after progressive inspiratory muscle training.”

How to improve tennis performance

POWERbreathe IMT specifically targets the breathing muscles, strengthening them by around 30-50%, significantly improving performance and helping to eliminate breathing fatigue. And these findings are a result of studies with tennis players who, after IMT, took less time to recover and were ready sprint maximally again more quickly.

 

 

Get Fit Quick

One of the most popular New Year resolutions is to get fitter and healthier, quickly. But staying fit and healthy is more difficult. However the latest trend for HIIT can help. HIIT stands for High Intensity Interval Training. It will help you get fit quick. Doctor Michael Mosley tried out HIIT for himself in the acclaimed BBC TV series, Trust Me I’m a Doctor. He believes you can get the benefits of exercise in just a few minutes a week.  But it is an extremely intense workout.

It is advised that you consult your doctor or other healthcare professional before undertaking any form of exercise.

Here are our tips for getting fit quick

  1. Perform HIIT (High Intensity Interval Training) workouts – ensure you warm up for two minutes beforehand.
  2. Workout with a friend – you’ll not want to let them down (and vice versa).
  3. Pick something you love – you’re more likely to want to do it on the days you feel less inclined to exercise.
  4. Use an activity monitor – they’ll help you reach your goals by keeping you motivated, as they track and log your activity.
  5. Train your breathing muscles. Really? Yes, breathing training improves strength and stamina, reducing fatigue, which in turn makes exercise feel easier.

What is breathing training?

Your breathing muscles, just like any other muscle, will adapt and get stronger if you exercise them. To do this, you need to expose your breathing to a training stimulus. In addition, it must of sufficient duration or with sufficient frequency for the breathing muscles to experience a full training adaptation. Inspiratory Muscle Training (IMT), such as the POWERbreathe breathing training device, is ideal for this. IMT targets the breathing muscles, specifically the muscles you use to breathe in.

Breathing exercises and techniques

To get the most from your inspiratory muscle training you need to ensure that you’re using the device properly. Firstly, ensure you are breathing IN through the device. IN for INspiratory.  It’s the inspiratory muscles that play a vital role in the efficiency of breathing at rest and also during exercise. Expiration, however, is normally passive  and only during heavy exercise workloads does it become forced.

Tips for using POWERbreathe during exercise

  1. Ensure you first have a good POWERbreathe breathing technique.
  2. Perform your exercise firstly without your POWERbreathe device. Then perform the exercise with your POWERbreathe device set to the lowest setting (load).
  3. As you continue to perform your workout, gradually increase the load on your POWERbreathe device over a period of the next few weeks.
  4. You can also incorporate a breathing training station into interval training, drills and circuits, or during the recovery phase.