Are there instructions for how long or often to use the device? If so, what is recommended?

Respiratory Muscle Training Target: 6 days a week----2 sessions per day (morning and evening)...2 sets of 10 breathes per session with a few minute rest between sets if needed. We always state to start at 1and 1 on the dial settings and increase weekly as tolerated. continue to use as directed, and you should be experiencing decreased dyspnea, increased O2 Saturations,better cough clearance, as well as better speech and swallow. Improved Quality of Life!!!! Your daily activities will improve due to the respiratory muscle strengthening and the strengthening of the diaphragm. THE KEY IS COMPLIANCE!!!!!! Don't ever give up- take it one day at a time, using The Breather will make a difference!!!!!!!!!!! --------- Susanne Summers, RRT, Clinical Specialist, PN Medical Makers of The Breather

Is this the new design(2017)with the bigger mouthpiece and easy to turn dial as bob and brad mention in "simple breathing exercise for copd" video?

Yes, this is the device as seen on Bob and Brad. The device was redesigned and has a really comfortable mouthpiece for a good lip seal and it is especially good if you have a weak lip strength. The dials are very easy to turn and the settings are clearly market and nice and large so you can see the desired setting. The manufacturer, PN Medical has really good training videos on their website: www.pnmedical.com

Is there resistance on each inhalation and each exhalation?

Yes, it have resistance. The breather have 5 levels. 5 levels for inhalation and 5 levels for exhalation. If you are in therapy, the therapist evaluated your performance and increase the level. Personally, my therapist start me at second level. After 2 1/2 months are in third level. Part of the routine using the breather is how many inhalations and exhalations doing in specific time. But is great. If your consistence, you will be feeling the increase of your respiration and better vocal respond.

How does this compare to the Air Physio?

A slightly different device. But both are effective. I found the airphysio device very difficult to clean as the cap on the device was difficult to unscrew. Mike merbaum

ASIN	B00FE8N7Y4
Best Sellers Rank	#72,746 in Health ( See Top 100 in Health ) #149 in Monitors
Brand	The Breather
Brand Name	The Breather
Color	Blue
Colour	Blue
Customer Reviews	4.4 out of 5 stars 8,535 Reviews
Drive System	Chain
Handle Material	Plastic
Item Dimensions D x W x H	11D x 32.9W x 11.6H centimeters
Item Weight	45 Grams
Item height	1.8 inches
Item weight	45 Grams
Manufacturer	The Breather
Material	Plastic
Maximum Height	44.5 Inches
Model Name	The Breather
Model Number	BD12438
Number of Resistance Levels	2
Power Source	Pedal Powered
Power source	Pedal Powered
Recommended Uses For Product	Respiratory muscle training for individuals with medical conditions and athletes, singers, and musicians
Recommended uses for product	Respiratory muscle training for individuals with medical conditions and athletes, singers, and musicians Recommended uses for product Respiratory muscle training for individuals with medical conditions and athletes, singers, and musicians See more
Resistance Mechanism	Air
Special Features	Portable
Special features	Portable
UPC	712392447850 703570485771 703570514709
Unit Count	1 Count

Inspiratory/Expiratory Trainer - Breathing Training Exerciser

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