Evidence map›Paper›PMID 41816727›Full record

ArticleTurkish journal of medical sciences2026

Individualized respiratory exercise device originated in Türkiye: design, prototype, and first results.

Çiğdem Emirza Cilbir, Özge Ertan Harputlu, Hikmet Uçgun, Büşra Ülker Ekşi, Sarper Kara, Esen Kiyan, Gökşen Kuran Aslan, Buket Akinci

Abstract read
In one paragraph

Article in Turkish journal of medical sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Çiğdem Emirza CilbirDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, İstanbul Kültür University, İstanbul, Turkiye.ORCID https://orcid.org/0000-0002-9817-1021
Özge Ertan HarputluDepartment of Physiotherapy and Rehabilitation, Institute of Graduate Studies, İstanbul University-Cerrahpaşa, İstanbul, Turkiye.ORCID https://orcid.org/0000-0002-3353-2770
Hikmet UçgunDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, İstanbul Atlas University, İstanbul, Turkiye.ORCID https://orcid.org/0000-0002-7211-1805
Büşra Ülker EkşiDepartment of Physiotherapy and Rehabilitation, Institute of Graduate Education, Biruni University, İstanbul, Turkiye.ORCID https://orcid.org/0000-0002-2048-4992
Sarper KaraDivision of Biomedical Device Technology Program, Vocational School, Biruni University, İstanbul, Turkiye.ORCID https://orcid.org/0000-0001-9288-3936
Esen KiyanDepartment of Chest Diseases, Faculty of İstanbul Medical, İstanbul University, İstanbul, Turkiye.ORCID https://orcid.org/0000-0003-0023-6518
Gökşen Kuran AslanDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, İstanbul University-Cerrahpaşa, İstanbul, Turkiye.ORCID https://orcid.org/0000-0002-0169-0707
Buket AkinciDepartment of Physiotherapy and Rehabilitation (English), Faculty of Health Sciences, Biruni University, İstanbul, Turkiye.ORCID https://orcid.org/0000-0002-9878-256X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/aim: Respiratory muscle training (RMT) and breathing exercises are crucial components in cardiopulmonary rehabilitation. RMT includes inspiratory muscle training (IMT) and expiratory muscle training (EMT); however, existing RMT devices typically support only one of these. Incentive spirometers, which also provide visual feedback for breathing exercises, are frequently used. Achieving an RMT program requires multiple devices, which increases both the cost and complexity of the training regimen. This study aimed to design, calibrate, and test a novel individualized respiratory exercise device that integrates both IMT and EMT functions into a single unit, thereby offering a cost-effective, user-friendly alternative for comprehensive cardiopulmonary rehabilitation. Materials and methods: The design process involved a comparative analysis of existing RMT devices. A concept design was developed, followed by a three-dimensional-printed prototype. Calibration was performed using a pressure meter, with tests conducted on ten healthy volunteers across a range of inspiratory and expiratory pressures. Additionally, a pilot clinical study involving six healthy adults assessed the device's impact on maximum inspiratory and expiratory pressures (MIP, MEP) and functional exercise capacity during an eight-week RMT period. Results: The internal consistency of the lowest (0.919) and the highest (0.841) levels of inspiration pressure, and of the lowest (0.901) and the highest (0.856) levels of expiration pressure, were highly reliable. Each healthy participant who completed the eight-week RMT program showed increases in MIP, MEP, and six-minute walking distance. Conclusion: The novel respiratory exercise device successfully combines IMT and EMT functions with an incentive spirometer, enabling comprehensive respiratory exercises and RMT within a single unit. Its ease of use and adaptability make it a promising option for both clinical and home-based rehabilitation, potentially improving accessibility and adherence to cardiorespiratory rehabilitation protocols. Further clinical studies will investigate the effects of this novel device in cardiopulmonary rehabilitation.

Indexed as

Breathing ExercisesEquipment DesignRespiratory MusclesAdultFemaleHumansMalePilot ProjectsbreathingexerciseinnovationRespiratory muscle training

Identifiers

PMID41816727
PMCPMC12974280

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.