A Combined IMT & EMT Program Improves Respiratory Muscle Strength & Fatigue in MS

The Archives of Physical Medicine and Rehabilitation published an ‘Article in Press’ that looked at determining the effects of a short duration of combined inspiratory and expiratory progressive respiratory muscle training (RMT) on respiratory muscle strength, fatigue, health-related quality of life and functional performance in individuals with mild-to-moderate MS (Multiple Sclerosis).

Results showed an increase in maximal inspiratory pressure and expiratory pressure and that RMT improved fatigue.

The study concluded that a short duration of combined RMT improved inspiratory and expiratory muscle strength and reduced fatigue in patients with mild-to-moderate MS.

A Combined Inspiratory and Expiratory Muscle Training Program Improves Respiratory Muscle Strength and Fatigue in Multiple Sclerosis

Andrew D. Ray, P.T., Ph.D. , Supriya Udhoji, OTR/L, M.S., Terry Mashtare, Ph.D., Nadine M. Fisher, Ed.D.


To determine the effects of short duration, combined (inspiratory and expiratory), progressive resistance respiratory muscle training (RMT) on respiratory muscle strength, fatigue, health-related quality of life (HRQoL), and functional performance in individuals with mild-to-moderate Multiple Sclerosis (MS).

Training was a 5-week combined progressive resistance RMT program, 3 days/week, 30 min/session.

A short duration combined RMT program improved inspiratory and expiratory muscle strength and reduced fatigue in patients with mild-to-moderate MS.

Read the full Abstract.

In another study it concluded that “Inspiratory Muscle Training (IMT) significantly increased inspiratory muscle strength and resulted in generalized improvements in expiratory pulmonary function in persons with Multiple Sclerosis who have minimal to moderate disability. Future studies are needed that focus on the long-term effects of IMT with increased resistance and the impact it has on increasing pulmonary function and functional performance.”

Read about how POWERbreathe Inspiratory Muscle Training is being used for people with Medical Conditions where inspiratory muscle weakness and fatigue are symptoms.

If you’re already using POWERbreathe to help with respiratory weakness and fatigue because of MS, then please leave a comment here or on the POWERbreathe Forum as we’d really like to hear from you. You can also read more on our blog from Madeline Simon, a Multiple Sclerosis patient who’s been using POWERbreathe to help strengthen her breathing muscles.

Respiratory Muscle Training for children with Duchenne Muscular Dystrophy

Respiratory Muscle Training for children with Duchenne Muscular DystrophyRespiratory muscle training can improve respiratory muscle strength and endurance in children and young adults with Duchenne Muscular Dystrophy.

Acute respiratory failure associated with respiratory infection is the most frequent reason for unplanned hospital admission, and chronic respiratory failure is a frequent cause of death. With appropriate intervention, the incidence of unplanned hospital admission can be reduced and life expectancy can be improved.

The British Thoracic Society has produced guidelines for respiratory management of children with neuromuscular weakness and provides recommendations that will aid the healthcare professional in delivering good quality patient care.

The guidelines have been deemed by the Editor to be of special interest or importance and the article is freely available: ‘British Thoracic Society’s Respiratory Management of Children with Neuromuscular Weakness Guideline’

Home-based respiratory muscle training used to improve quality of life in patients with Chronic Heart Failure

The Journal of Cardiopulmonary Rehabilitation & Prevention published the following clinical trial to evaluate the effect of inspiratory muscle training (IMT) on cardiac autonomic modulation and on peripheral nerve sympathetic activity in patients with chronic heart failure (CHF).

The Clinical Trial:

Inspiratory Muscle Training Reduces Sympathetic Nervous Activity and Improves Inspiratory Muscle Weakness and Quality of Life in Patients With Chronic Heart Failure: A CLINICAL TRIAL


Functional capacity, low-frequency (LF) and high-frequency (HF) components of heart rate variability, muscle sympathetic nerve activity inferred by microneurography, and quality of life were determined in 27 patients with CHF who had been sequentially allocated to 1 of 2 groups: (1) control group (with no intervention) and (2) IMT group. Inspiratory muscle training consisted of respiratory exercises, with inspiratory threshold loading of seven 30-minute sessions per week for a period of 12 weeks, with a monthly increase of 30% in maximal inspiratory pressure (PImax) at rest. Multivariate analysis was applied to detect differences between baseline and follow up period.


Inspiratory muscle training significantly increased PImax (59.2 +/- 4.9 vs 87.5 +/- 6.5 cmH2O, P = .001) and peak oxygen uptake (14.4 +/- 0.7 vs 18.9 +/- 0.8 mL[middle dot]kg-1[middle dot]min-1, P = .002); decreased the peak ventilation (VE)/carbon dioxide production (VCO2) ratio (35.8 +/- 0.8 vs 32.5 +/- 0.4, P = .001) and the VE VCO2 slope (37.3 +/- 1.1 vs 31.3 +/- 1.1, P = .004); increased the HF component (49.3 +/- 4.1 vs 58.4 +/- 4.2 normalized units, P = .004) and decreased the LF component (50.7 +/- 4.1 vs 41.6 +/- 4.2 normalized units, P = .001) of heart rate variability; decreased muscle sympathetic nerve activity (37.1 +/- 3 vs 29.5 +/- 2.3 bursts per minute, P = .001); and improved quality of life. No significant changes were observed in the control group.


Home-based IMT represents an important strategy to improve cardiac and peripheral autonomic controls, functional capacity, and quality of life in patients with CHF.

(C) 2012 Lippincott Williams & Wilkins, Inc.

You can read the Abstract here on the Journal of Cardiopulmonary Rehabilitation and Prevention website.

In patients with chronic heart failure, inspiratory muscle training, such as with the POWERbreathe Medic, has been shown to:

  • Improve exercise tolerance by 19%
  • Improve quality of life by 16%

Read more about POWERbreathe inspiratory muscle training for patients with chronic heart failure (CHF).


Analysis of the use of POWERbreathe by mountain runners – by Biolaster

Image courtesy of www.corredordemontana.com

Our friends and distributor in Spain, Biolaster, recently sponsored three athletes with a POWERbreathe.  The intention was to analyse the use and results of two male runners and one female runner who’re all experienced in mountain races.  The results showed an improvement in spirometric values and better respiratory sensations, especially in situations of high intensity exercise.

Although it cannot be considered a clinical trial, it became clear that POWERbreathe had a positive effect on the runners.

Here’s a synopsis of the test, roughly translated:

POWERbreathe is a device that aims to enhance and improve the capacity and respiratory mechanics, both in people who play sports, as in people with breathing trouble, as well as amateur athletes, amateur and high performance.
The Internet site of Mountain Corridor has conducted a test of use and results of the POWERbreathe, for which three experienced mountain runners have made the typical inspiratory training, consisting of 30 breaths 2 times daily for a period of 4-6 weeks.

Trail runners who participated in this study underwent spirometry on the same day that started with training your breathing POWERbreathe, worked for 4-6 weeks at two daily sessions of 30 breaths, each starting with a very basic level (level 1) increasing it gradually to the course of the week at higher levels.

After this training period, the 3 collaborators, were again subjected to spirometry, achieving this objective data reflected in these results:In 2 of them achieved a 5% improvement in the results (the brand speaks of a performance improvement between 4 and 5%) of these simple breathing tests (spirometry), and the other was affected by a cold that undermined the results.

Regarding the perception of the runners who took the test, all 3 agreed on the good feelings and perceptions of improvement in carrying out the breath, especially in situations where the pace is higher.

Objectively, and although this was not a clinical trial with many samples, it appears that the opinion of these 3 runners on POWERbreathe has been positive, and although improvements are not spectacular (we know that in life there are no miracles) it seems that with perseverance and POWERbreathe we can beat a bit of performance, and especially (and most important) to the good feeling breath when we run down the mountain.

Link to Full Test by Mountain Corridor

We’d like to thank Biolaster for sharing this news with us, from all at POWERbreatheUK.

If you’ve used POWERbreathe to improve running performance or altitude training then please leave a comment here, as we’d love to hear from you.

David Vinall – I had no idea how much Powerbreathe would change my life

I am using my new Powerbreathe Fitness Plus and it is a great help with my fitness training.  There is a Gym nearby which is a great help; various classes are available and good equipment to use, which is all helping my training schedule.  I am also cycling, so things are going O.K.

Looking back, my love of cycling has helped me remain fairly fit for someone who has had asthma since I was 2 years old, (I am now 74!!!) and it is this interest in cycling that lead me to discover Powerbreathe!

Mary (my wife) and I were out collecting shoeboxes for Link Romania and were headed for North Devon.  As we approached Bridgewater I remembered that there is a fantastic cycle shop in Bridgewater called St John Street Cycles, so we went in and had a good look round, this was November 2002.  It was here that I picked up a leaflet about Powerbreathe, read it and subsequently bought my first Powerbreathe.

Initially I had no idea how much Powerbreathe would change my life. On a normal day I was using Ventolin or Becotide inhalers and Ventolin tablets 3 times a day, on a good day twice a day.  My January New Years Resolution 2003 was to conscientiously use my new Powerbreathe every day twice a day.  By mid February 2003 I was feeling much better and was not relying so much on medication and life was much better, in fact by Feb/March I was regularly able to go without medication for a day, sometimes days and I was enjoying life!

In the summer of 2003 we were lucky enough to be able to buy a camper van and have been using it ever since.  My medication has changed and reflects improvements in dealing with my asthma; I now use Seretide 125 with an aerochamber as and when required.

When the new Powerbreathe model came out I bought one, it is such an improvement on the original model and my health continued to improve, as you know I am now using my new Powerbreathe Fitness to help me get fit for a Sponsorship Cycle Challenge from Romania to Moldova.  In the old days although I have done some rides like the London to Brighton I could not have committed to this latest Challenge.

I am totally convinced that I am fitter and can enjoy a more enjoyable and rewarding lifestyle thanks to my Powerbreathe, I am really pleased that I picked up that leaflet all those years ago.

On many occasions when talking with people with breathing problems Powerbreathe has been recommended and I definitely know that one man immediately bought one for his wife on email.  I definitely recommend Powerbreathe – it could change your life, it did for me!

Thank you for a wonderful product.
Kind regards
David Vinall

If  POWERbreathe is helping you stay in control of your asthma or is an adjunct to your COPD treatment,  then please leave a comment and share your experience – we’d love to hear from you.

POWERbreathe meets with Roxon Med Tech in Canada

Roxon logoRecently the POWERbreathe team headed off to Canada for a training session with our newest distributor Roxon Med Tech.

Roxon were founded in 1975 and are a 100% Canadian owned corporation that is totally committed to supplying specialised equipment to medical facilities across America with their main focus being Cardiac, Respiratory and Neurology equipment.

Both Harry our MD and Jon headed off to Canada to train Roxon.

We have uploaded some pictures of our visit and they can be seen over on the POWERbreathe Official Facebook page. Although, it was mightly cold in Canada our guys and the team at Roxon seemed to have enjoyed the training session.


POWERbreathe at The London Bike Show 13th – 16th Jan

LBSIf you are a keen cyclist then you don’t want to miss a visit to the London Bike Show.

This year POWERbreathe will be attending the show and you can come and have a chat with us at the Bike Radar Training Hub – stand LB520.

This training hub is an exclusive area at the show offering you an experience fit for professionals.  The stand will have a team of experts from Koolstof Sports Coaching on hand who will put you through your paces in a series of specific tests and consultations which are all designed to enhance your cycling performance. Not only that, this consultation will show you exactly where you need to improve.

The series of tests will include a POWERbreathe K5 Inspiratory muscle training assessment using the latest K5 model.

Our very own Duncan will be on hand to test your breathing strength and power. Why not take our very own challenge and see how you fair against others on the POWERbreathe breathing challenge leaderboard. If you have a competitive streak this is something you don’t want to miss out.

So pop along to visit us and have your picture taken with the POWERbreathe team so we can upload them to our Facebook page for everyone to see. Join us on our Facebook page so we can tag you in the pictures.  Don’t forget to subscribe to our feed too so you can keep up to date with what is happening at POWERbreathe.

Check back next week for photos from the event


Exercise and respiratory muscle fatigue – Can breathing be trained?

Here is another guest blog post from guest blogger Amy Tanner. Attached is Amy’s recent presentation on respiratory fatigue. This presentation formed part of an interview at the Univerisity of Hertforshire and resulted in Amy getting the job as a lecturer relating to running and sports science in the new year. Amy will hopefully be blogging about her Powerbreathe training in the run up to the London Marathon, so keep checking back for updates from Amy.

Please leave a comment below if you found the blog post useful and interesting.

Once again thanks to Amy Tanner for this guest blog.

POWERbreathe presentation on exercise and respiratory muscle fatigue

Amy Tanner (Twitter: amy_runner)

POWERbreathe Trial – Martin Haines: Interesting few weeks

I’ve had an interesting few weeks actually.  I’ve reduced the amount of cardio training I’ve been doing and mainly focused on strength work. This includes weight lifting rather than weight training as such, so; squats, deadlift, cleans etc.  Mixing it up to reduce the boredom factor!  Some time ago I sat one of the UKSCA weight lifting courses and since then I’ve tried to practice what they taught me (often unsuccessfully I’m sure!).   Anyway, usually when I do work that puts a compressive force through my spine, my thoracic spine doesn’t like it.  In previous blogs I’ve mentioned about rib issues I have and I also have an old crush fracture of my T4 vertebra.  These issues are usually enough to cause pain when I do this type of training.

Interestingly though I still get some discomfort, I must say that I haven’t had as much as normal.  I can’t say that it’s down to the powerbreathe, but it’s the only thing that I have done differently, so maybe it is?  Maybe my ribs are moving better, maybe my intercostals are ‘stronger’, maybe its psychosomatic.  Its interesting though. I plan to keep this sort of training going for a while and over the next month or so I’ll increase my cardio work to, let’s see what happens then.



Keep moving freely