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Device type | Subtypes | Commercial products | Strengths | Limitations |
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Voluntary isocapnic hyperpnea | N/A | SpiroTiger | Real-time biofeedback | Relatively expensive and complex equipment Limited portability Training is strenuous and time-consuming |
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Flow-resistive loading | Analog | Breather, P-Flex | Inexpensive Highly portable | Load varies with flow rate Limited biofeedback capability |
| Digital | POWERbreathe K-series | Highly programmable
Automated data collection Real-time biofeedback with Breathe-Link software for K4/K5 KH1 allows measurement of MIP Wide range of resistance (5–200 cm H2O) | Relatively expensive Full functionality for K4/K5 devices requires a computer, which increases cost and decreases portability |
| | PrO2 | Highly portable Highly programmable
Automated data collection Real-time biofeedback provided via smartphone app Measurement of MIP | Relatively expensive Full functionality requires a smartphone/tablet and an app |
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Pressure-threshold loading | N/A | Threshold IMT | Inexpensive Highly portable Load is relatively independent of flow rate Calibration markings are easy to interpret and set | Limited biofeedback capability Available load is low range and narrow (9–41 cm H2O) |
| | Analog devices from POWERbreathe (e.g., Medic, Classic, Plus) | Inexpensive Highly portable Load is relatively independent of flow rate Relatively wide range of loads available | Limited biofeedback capability Can be difficult to determine range of load for various models Ordinal calibration markings do not quantify load |
| | EMST75/150 with IA150 | Relatively inexpensive Highly portable Load is relatively independent of flow rate (mm) Relatively wide range of loads available (5–75 cm H2O with EMST75; 30–150 cm H2O with EMST150) | Limited biofeedback capability For inspiratory training, both expiratory device (EMST75 or EMST150) and inspiratory adapter (IA150) are required Calibration markings to quantify load may be difficult to interpret |
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