CPAP improves the daytime sleepiness as does oral appliances in patients who successfully wear the therapy at night.

Some aspects of disease are not successfully treated with CPAP or OAT. Inspiratory muscles need to be exercised to alleviate the oxidative stress that is present in patients with OSAS. Oxidative stress is NOT relieved with long term use of CPAP.

Exercises with the Respironics Threshold IMT for just 7-10 minutes a day helps to alleviate higher levels of proteins and reduce oxidative muscle stress. Less stress means higher stamina in daily activities as well as lower blood pressure and reduced RLS symptoms in patients for both OAT and CPAP.

Oxidative stress in the external intercostal muscles of patients with obstructive sleep apnoea. {Barreiro, 2007 #18}

Compared with controls, the intercostal muscles of patients with OSAS had higher levels of protein carbonylation (median values 3.06 and 2.45, respectively, p = 0.042), nitration (median values 1.64 and 1.05, respectively, p = 0.019) and proportions of type I fibres (median values 57% and 48%, respectively, p = 0.035) and reduced respiratory muscle endurance (median values 3.2 and 9.5 min, respectively, p = 0.001). Positive correlations were found between MDA-protein and HNE-protein adducts (r = 0.641, p = 0.02 and r = 0.594, p = 0.05, respectively) and 3-nitrotyrosine (r = 0.625, p = 0.03) and the apnoea-hypopnoea index (AHI) in all the patients with OSAS. Although treatment with CPAP significantly improved the AHI and oxygen desaturation, muscle oxidative stress levels and respiratory muscle endurance were not affected

Features

• Respironics Threshold IMT Inspiratory Muscle Trainer improves exercise tolerance and respiratory muscle strength and endurance

• Flow-independent one-way valve is suitable for all patients

• Adjustable pressure for all levels of training

• Easy to set, truly adjustable pressure

• Can be set in 2 cm H2O increments

• Mouthpiece or mask option for flexibility (not included)

• Convenient design is reliable and easy to clean

• Made of durable, high-impact acrylic

• Packaged in a plastic bag with instructions for use, mouthpiece and nose clip

  Specification

• Accuracy ±2 cm H2O

• Reproducibility ±1 cm H2O

• Measurement Range 9 - 41 cm H2O

• Resolution 2 cm H2O

• Length 4.6" Diameter 1.6"Scale

• Hot stamped, alcohol resistant

• Main Body Impact-resistant acrylic

• Mouthpiece Polypropylene

• Nose Clip Polypropylene

  Warranty

• 1 year warranty