Evidence map›Paper›PMID 42637795›Full record

Trial reportScientific reports2026

Visual feedback using electrical impedance tomography during inhalation therapy for chronic obstructive lung disease: a pilot study.

Svenja Stolz, Rosa Meyer, Torben Rixecker, Robert Bals, Philipp M Lepper, André Becker

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Svenja StolzDept. of Internal Medicine V - Pneumology, Allergology and Critical Care Medicine, University Hospital of Saarland and Saarland University, Kirrberger Str. 1, 66421, Homburg, Saar, Germany.
Rosa MeyerDept. of Internal Medicine V - Pneumology, Allergology and Critical Care Medicine, University Hospital of Saarland and Saarland University, Kirrberger Str. 1, 66421, Homburg, Saar, Germany.
Torben RixeckerDept. of Internal Medicine V - Pneumology, Allergology and Critical Care Medicine, University Hospital of Saarland and Saarland University, Kirrberger Str. 1, 66421, Homburg, Saar, Germany.
Robert BalsDept. of Internal Medicine V - Pneumology, Allergology and Critical Care Medicine, University Hospital of Saarland and Saarland University, Kirrberger Str. 1, 66421, Homburg, Saar, Germany.
Philipp M LepperDept. of Internal Medicine, Pneumology and Critical Care Medicine, University Hospital OWL of the University of Bielefeld, Bielefeld, Germany.
André BeckerDept. of Internal Medicine V - Pneumology, Allergology and Critical Care Medicine, University Hospital of Saarland and Saarland University, Kirrberger Str. 1, 66421, Homburg, Saar, Germany. andre.becker@uks.eu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Airflow limitation and hyperinflation contribute to increased respiratory workload and dyspnea in COPD. Inhalation therapy plays a crucial role, but its effectiveness depends on correct technique. Electrical impedance tomography (EIT) offers real-time visualization of ventilation and may improve inhalation technique, when used as visual feedback. This study aimed to investigate the impact of feedback-guided inhalation using EIT on lung function, specifically targeting obstructive and hyperinflation parameters. In this prospective, randomized, single-blinded study, 29 patients with COPD were divided into a control group (no feedback) and an intervention group (inhalation using visual feedback). Body plethysmography was performed before and after a single inhalation session. The primary outcome was the change in lung function parameters. Secondary outcomes included real-time EIT data during inhalation and a follow-up questionnaire assessing subjective benefit. No differences were observed in obstructive lung parameters (FEV1) between groups, but the intervention group showed a significant FRC reduction compared to the control group (control - 0.1 L vs. intervention - 0.4 L, p < 0.05). Resistance indices (sRtot/sReff) tended to increase in the intervention group whereas a decrease was noted in control. No in between differences in EIT-derived data or subjective benefit at follow-up. Visual feedback using lung EIT may improve inhalation technique and breathing mechanics, which may contribute to reduced hyperinflation. However, changes in breathing pattern may also explain changes in lung parameters, highlighting the complex lung volume, ventilation and airway resistance interplay. Future research should investigate repeated EIT-feedback effects on lung function and disease symptoms.Trial registration: Registered at: DRKS.de; Clinical Trial Registration Number: DRKS-IDDRKS00037626; Registration Date: 11.08.2025.

Indexed as

Electric ImpedanceFeedback, SensoryPulmonary Disease, Chronic ObstructiveRespiratory TherapyTomographyAdministration, InhalationAgedFemaleHumansLungMaleMiddle AgedPilot ProjectsProspective StudiesRespiratory Function TestsSingle-Blind MethodCOPDElectrical impedance tomographyInhalationVisual feedback

Identifiers

PMID42637795
PMCPMC13503773

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Registered trials

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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.