Incentive Spirometer and Inspiratory Muscle Training

Emily Franklin, Fatima Anjum, Emily Franklin, Fatima Anjum

Excerpt

An incentive spirometer is a device that measures the volume of the air inhaled into the lungs during inspiration. When breathing in through an incentive spirometer, a piston rises inside the device and measures the volume of the inspired air. The incentive spirometry device is widely used in physical, speech, and respiratory therapy as it encourages the patient to perform a slow and deep inspiration through visual feedback. Breathing in slowly is important with spirometer use as it allows the lungs to stretch and opens the airways, which is intended to imitate the deep breathing seen in yawning or sighing.

The incentive spirometer uses visual feedback to assess a patient's inspiratory effort by measuring the inhalation volume. The incentive spirometer can be used in rehabilitation as a favorable tool, as it is inexpensive and easy to manage with no known side effects. It is simple to train and does not require assistance once a patient has learned how to use it properly. Furthermore, the visual feedback encourages patient compliance.

The use of the incentive spirometer in inspiratory muscle training has been shown to maintain or increase inhaled lung volume, prevent lung infection after surgery, and improve sputum expectoration. Although research on the effectiveness of incentive spirometry for chronic conditions is mixed, inspiratory muscle training is a vital factor in reducing or preventing postoperative pulmonary complications. Using an incentive spirometer following surgery can help preserve the lungs' integrity and keep the lungs clear. Deep breathing supports the movement of secretions and assists in opening lung spaces that may have become collapsed. Inspiratory muscle training stretches and exercises the lungs, keeping them engaged, especially while recovering from surgery.

Conflict of interest statement

Disclosure: Emily Franklin declares no relevant financial relationships with ineligible companies.

Disclosure: Fatima Anjum declares no relevant financial relationships with ineligible companies.

Copyright © 2024, StatPearls Publishing LLC.

References

    1. So MW, Heo HM, Koo BS, Kim YG, Lee CK, Yoo B. Efficacy of incentive spirometer exercise on pulmonary functions of patients with ankylosing spondylitis stabilized by tumor necrosis factor inhibitor therapy. J Rheumatol. 2012 Sep;39(9):1854-8.
    1. Hristara-Papadopoulou A, Tsanakas J, Diomou G, Papadopoulou O. Current devices of respiratory physiotherapy. Hippokratia. 2008;12(4):211-20.
    1. Hsia CC, Hyde DM, Weibel ER. Lung Structure and the Intrinsic Challenges of Gas Exchange. Compr Physiol. 2016 Mar 15;6(2):827-95.
    1. Tucker WD, Weber C, Burns B. StatPearls [Internet] StatPearls Publishing; Treasure Island (FL): 2023. Jul 24, Anatomy, Thorax, Heart Pulmonary Arteries.
    1. Romano V, Reddington AL, Cazzanelli S, Mazza R, Ma Y, Strydis C, Negrello M, Bosman LWJ, De Zeeuw CI. Functional Convergence of Autonomic and Sensorimotor Processing in the Lateral Cerebellum. Cell Rep. 2020 Jul 07;32(1):107867.
    1. Fuchshuber PR, Greif W, Tidwell CR, Klemm MS, Frydel C, Wali A, Rosas E, Clopp MP. The power of the National Surgical Quality Improvement Program--achieving a zero pneumonia rate in general surgery patients. Perm J. 2012 Winter;16(1):39-45.
    1. Restrepo RD, Wettstein R, Wittnebel L, Tracy M. Incentive spirometry: 2011. Respir Care. 2011 Oct;56(10):1600-4.
    1. Teasell R, Dittmer DK. Complications of immobilization and bed rest. Part 2: Other complications. Can Fam Physician. 1993 Jun;39:1440-2, 1445-6.
    1. Shin JC, Han EY, Cho KH, Im SH. Improvement in Pulmonary Function with Short-term Rehabilitation Treatment in Spinal Cord Injury Patients. Sci Rep. 2019 Nov 19;9(1):17091.
    1. Choi JY, Rha DW, Park ES. Change in Pulmonary Function after Incentive Spirometer Exercise in Children with Spastic Cerebral Palsy: A Randomized Controlled Study. Yonsei Med J. 2016 May;57(3):769-75.
    1. Sum SK, Peng YC, Yin SY, Huang PF, Wang YC, Chen TP, Tung HH, Yeh CH. Using an incentive spirometer reduces pulmonary complications in patients with traumatic rib fractures: a randomized controlled trial. Trials. 2019 Dec 30;20(1):797.
    1. Gupta D, Agarwal R, Aggarwal AN, Maturu VN, Dhooria S, Prasad KT, Sehgal IS, Yenge LB, Jindal A, Singh N, Ghoshal AG, Khilnani GC, Samaria JK, Gaur SN, Behera D, S. K. Jindal for the COPD Guidelines Working Group Guidelines for diagnosis and management of chronic obstructive pulmonary disease: Joint ICS/NCCP (I) recommendations. Lung India. 2013 Jul;30(3):228-67.
    1. Halpin DM, Miravitlles M, Metzdorf N, Celli B. Impact and prevention of severe exacerbations of COPD: a review of the evidence. Int J Chron Obstruct Pulmon Dis. 2017;12:2891-2908.
    1. Bavarsad MB, Shariati A, Eidani E, Latifi M. The effect of home-based inspiratory muscle training on exercise capacity, exertional dyspnea and pulmonary function in COPD patients. Iran J Nurs Midwifery Res. 2015 Sep-Oct;20(5):613-8.
    1. Hill K, Vogiatzis I, Burtin C. The importance of components of pulmonary rehabilitation, other than exercise training, in COPD. Eur Respir Rev. 2013 Sep 01;22(129):405-13.
    1. Liu CJ, Tsai WC, Chu CC, Muo CH, Chung WS. Is incentive spirometry beneficial for patients with lung cancer receiving video-assisted thoracic surgery? BMC Pulm Med. 2019 Jul 08;19(1):121.
    1. Jain S, Bakshi N, Krishnamurti L. Acute Chest Syndrome in Children with Sickle Cell Disease. Pediatr Allergy Immunol Pulmonol. 2017 Dec 01;30(4):191-201.
    1. van de Wetering-van Dongen VA, Kalf JG, van der Wees PJ, Bloem BR, Nijkrake MJ. The Effects of Respiratory Training in Parkinson's Disease: A Systematic Review. J Parkinsons Dis. 2020;10(4):1315-1333.
    1. Santino TA, Chaves GS, Freitas DA, Fregonezi GA, Mendonça KM. Breathing exercises for adults with asthma. Cochrane Database Syst Rev. 2020 Mar 25;3(3):CD001277.
    1. Sokol G, Vilozni D, Hakimi R, Lavie M, Sarouk I, Bat-El Bar, Dagan A, Ofek M, Efrati O. The Short-Term Effect of Breathing Tasks Via an Incentive Spirometer on Lung Function Compared With Autogenic Drainage in Subjects With Cystic Fibrosis. Respir Care. 2015 Dec;60(12):1819-25.
    1. Bernal-Utrera C, Anarte-Lazo E, Gonzalez-Gerez JJ, De-La-Barrera-Aranda E, Saavedra-Hernandez M, Rodriguez-Blanco C. Could Physical Therapy Interventions Be Adopted in the Management of Critically Ill Patients with COVID-19? A Scoping Review. Int J Environ Res Public Health. 2021 Feb 08;18(4)
    1. Spagnolo P, Tzouvelekis A, Bonella F. The Management of Patients With Idiopathic Pulmonary Fibrosis. Front Med (Lausanne) 2018;5:148.
    1. Vacchi C, Sebastiani M, Cassone G, Cerri S, Della Casa G, Salvarani C, Manfredi A. Therapeutic Options for the Treatment of Interstitial Lung Disease Related to Connective Tissue Diseases. A Narrative Review. J Clin Med. 2020 Feb 03;9(2)
    1. Rietberg MB, Veerbeek JM, Gosselink R, Kwakkel G, van Wegen EE. Respiratory muscle training for multiple sclerosis. Cochrane Database Syst Rev. 2017 Dec 21;12(12):CD009424.
    1. Jat KR. Spirometry in children. Prim Care Respir J. 2013 Jun;22(2):221-9.
    1. Kenny JE, Kuschner WG. Pneumothorax caused by aggressive use of an incentive spirometer in a patient with emphysema. Respir Care. 2013 Jul;58(7):e77-9.
    1. Amin R, Alaparthi GK, Samuel SR, Bairapareddy KC, Raghavan H, Vaishali K. Effects of three pulmonary ventilation regimes in patients undergoing coronary artery bypass graft surgery: a randomized clinical trial. Sci Rep. 2021 Mar 24;11(1):6730.
    1. Coates AL, Graham BL, McFadden RG, McParland C, Moosa D, Provencher S, Road J, Canadian Thoracic Society Spirometry in primary care. Can Respir J. 2013 Jan-Feb;20(1):13-21.
    1. Alaparthi GK, Augustine AJ, Anand R, Mahale A. Comparison of Diaphragmatic Breathing Exercise, Volume and Flow Incentive Spirometry, on Diaphragm Excursion and Pulmonary Function in Patients Undergoing Laparoscopic Surgery: A Randomized Controlled Trial. Minim Invasive Surg. 2016;2016:1967532.
    1. Kumar AS, Alaparthi GK, Augustine AJ, Pazhyaottayil ZC, Ramakrishna A, Krishnakumar SK. Comparison of Flow and Volume Incentive Spirometry on Pulmonary Function and Exercise Tolerance in Open Abdominal Surgery: A Randomized Clinical Trial. J Clin Diagn Res. 2016 Jan;10(1):KC01-6.
    1. Lumb AB. Pre-operative respiratory optimisation: an expert review. Anaesthesia. 2019 Jan;74 Suppl 1:43-48.

Source: PubMed

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