Sonmol 20221206 Breathing Exercise Device for Lungs with Travel Cas User Manual

Sonmol 20221206 Breathing Exercise Device for Lungs with Travel Cas

Test Your MEP With the Manometer

• This user manual presents respiratory muscle training’s benefits intended use and user scopes. It illustrates the efficiency of doing inspiratory muscle training (IMT) and expiratory muscle training (EMT).
• You will learn how to do breathing exercises with Sonmol respiratory muscle trainer (RMT).
• A manometer is combined with this RMT device, which aims to help you set the training goals and compare the training performance of different training periods. It acts to be the best guide to knowing your Maximum Expiratory Pressure (MEP).
• Carrying out EMT exercises will help you improve your PEF (Peak Expiratory Flow) after increasing your MEP. If you may be interested in evaluating your PEF after knowing your MEP, you can get a Sonmol Digital Peak Flow Meter for your PEF and FEV1 evaluation.

Quo.1:
Andrew D Ray et al. Stated “Maximal inspiratory pressure and expiratory pressure (mean ± SD) increased 35% ± 22% (P<.001) and 26% ± 17% (P<.001 ), respectively, whereas no changes were noted in the control group (12% ± 23% and -4% ± 17%, respectively). RMT improved fatigue (Modified Fatigue Impact Scale, P<.029), with no change or worsening in the control group.” in A Combined Inspiratory and Expiratory Muscle Training Program Improves Respiratory Muscle Strength And Fatigue In Multiple Sclerosis.

Quo. 2:
We found the following table in predictive equations for respiratory muscle strength according to international and Brazilian guidelines of Isabela M. B. S. Pessoa et al.:
Table. Values of maximal respiratory pressures obtained for each swg”‘4) wi1h the coefficient of variation.

Data presented as mean and standard deviation (+/-). N=sanl:Jle; MIP=maximal inspiratory pressure; MEP=maximal expiratory press-e; CV=COOfhcient of variation

• We have set the maximum MEP in our device as 210 cmH20 so even athletes will be able to see their breathing performances in numbers:
• To follow the performance in your training process while using RMT: Assemble the manometer and make sure to turn the dials to level T on both sides to test your MEP(Maximum
• Expiratory Pressure). Level T is designed for testing MEP especially. Testing with other levels may lead the incorrect MEP readings.
• Do breathing training constantly for 20 – 30 days, then test your MEP by the above way to
• know your improvement.

Operation Instruction

Manometer Operation Instruction

• Install the manometer only when you need to test your MEP.
• This manometer Is only for monitoring MEP (Maximum Expiratory Pressure).

Option 1
Use the manometer solely. Insert the manometer in the main body directly.

Option 2

• Lengthen the manometer with the linking tube provided for a better view.
• Connect the tube end to the manometer and insert the plug end of the tube into the device body. Please make sure both ends are well sealed.
• Please remove the manometer when you are training. The resistance dial can be easily adjusted from level 1 to level 5. Level T is for testing MEP only. And Resistance level 5 Is of the largest resistance.

Note: Attaching a manometer to the trainer won’t correctly show your practical expiratory pressure value when training. The pointer may only present your expiratory peak stability and duration. When the warm halitus maets the cold wall of a tube or manometer, it turns into droplets usually, which is common, especially in winter.

Intended Use and Users

Users

Sonmol Respiratory Muscle Trainer is an inspiratory and Expiratory Muscle Training device. This device works for groups of individuals including patients, athletes as well as all healthy people to improve and strengthen respiratory muscles and life quality.

Patients:

• COPD
• Asthma
• Parkinson
• People with Swallow and Speech Problems
• CHF (Congestive Heart Failure)
• Malnourished Patients
• Neuromuscular Disease (PD, MS, ALS)
• Bronchitis
• Cardiovascular Disease
• ALS, Myasthenia Gravis, Duchesne
• Muscular Dystrophy, Spinal Cord Injury
• Diaphragmatic Paralysis
• Repeated Chest Infections
• Myotonic Dystrophy
• Other Chronicle Diseases Sufferers
• Sleep Apnea
• Insomnia
• Upper Airway Limitations

Intended Use

Benefits of inspiratory Muscle Strength Training & Expiratory Muscle Strength Training

IMST

• Can improve lung volume- which supports swallowing and speech ability
• Helps to improve the lung capacity and lung ventilation
• May improve vocal cord opening
• Assist in weaning from vent (should be carried out under doctor’s indications)
• Improve the quality of life for people with heart failure
• Reduce Dyspnoea
• Pulmonary rehabilitation
• Relaxation
• Mindfulness and concentration

EMST

• Improve cough strength
• Supahyoid complex activation
• Vocal cord closure
• More efficient for O2-CO2 gas exchange and normal body processes like speaking, coughing, and swallowing.
• Train the upper airway muscles necessary for speech, airway clearance, and expectoration
• Train trunk muscles for the body’s flexibility and rotation.
• Prevent aspiration pneumonia (AP) for better health, clear communication, and improved quality of life (QoL).
• Reach full potential during competition and stage performances with the help.
• Pulmonary rehabilitation

Beyond all that, training with Sonmol Respiratory Muscle Trainer can also help you imprcl\18 concentration and mindfulness, relaxation, mental health
Evidence and Conclusion from the Clinical Trials to Show the Breathing Training Means a Lot for Asthma and COPD Patients

Quo. 3:
Breathing exercises for asthma Mike Thomas,

• Anne Bruton Breathe 2014 10: 312-322;
• DOI: 10.1183/20734 735.008414

“Using this device to do breathing exercises and practicing may regularly help you gain more control over your asthma and COPD symptoms. Breathing exercises should be offered to all asthma patients with symptoms or impaired quality of life despite standard treatment.
Breathing exercises can improve patient-reported outcomes and psychological state.” “Breathing exercises should be offered to all asthma patients with symptoms or impaired quality of life despite standard treatment.”

Operations

Getting to Know the RMT with Manometer
1 Main body, 1 Mouthpiece, 1 Manometer, 1 Linking Tube for Manometer, 1 Nose Clip.

Assemble the Device and Operation Details (Only attach the manometer when you need to test your MEP.)
Note: For assembling, please refer to “Manometer Operation Instruction” in 1. Visions and Scope.

Operation details:

1.  Stand or sit upright. Lying on with back can be OK if the user can’t sit or stand.

2. Move the sealing plug beside and plug in the manometer carefully, make sure it well inserted in the position. (Only when you need to test your MEP; otherwise, please skip this step.)

3. Hold well of the device and gently seal the mouthpiece by your lips.

4. AfNays train from the first level / always begin with it on its lowest resistance of both exhalation and inhalation.

5. Breathe in slowly till the air is complete in your lungs, then blow out as slowly as possible.
   We recommend blowing out 2 times longer than blowing in. Use the breathing pattern you like, if you need to train expiratory muscles solely, use your nose to breathe in and your mouth to breathe out.
   Use your nose clip and breathe in and out by your mouth to train your inspiratory muscles and your expiratory muscles at the same time, the time you use to breathe in should be 2 or 3 times more than the time you use to breathe out. ****Please note that you shouldn’t exercise for more than 3 minutes at one time when using a nose clip to avoid physical discomforts.

6. Select your resistance level. Tum the inhalation and exhalation adjustment dials on each side to choose the resistance levels. We suggest training start from level 1 (the lowest resistance level) and do your breathing exercises gradually. Increase your levels when you’re able to do more.

7. Practice twice daily. We recommend 5-10 minutes for a session at the beginning. You’re encouraged to step up to train 2×1 0 minutes a day when you are capable of doing more. We strongly recommend you always take a break every three minutes. Performing a max of 5 sessions per day and a max of 60 minutes per day is recommended.

8. Compare the results before and after to get your training conclusion.

What is Diaphragmatic Breathing and How to Do Diaphragmatic Breathing

• The diaphragm is the dome-shaped muscle below your lungs that helps you breathe. In diaphragmatic breathing, you learn how to breathe from the region around your diaphragm, rather than from your chest. This technique helps to strengthen your diaphragm, slow your breathing, and
• decrease your body’s oxygen needs.
• Abdominal Breathing is recommended. You can breathe in and out through your mouth. Applying the Diaphragmatic breathing if you are meant to strengthen your diaphragm.
• Firstly make sure that your back is well supported and that your shoulders are relaxed Place your hand on your tummy, just underneath your ribcage. Your hand should be placed lightly here so that you don’t impede the movement of your diaphragm.
• You should feel your tummy moving up and down as you take nominal-sized, relaxed Breaths in and out. As you breathe in your tummy should rise and as you breathe out it should fall.

Note: You can also use this device while standing, sitting, lying, or any other posture.

How to Train Inspiratory Muscle and Expiratory Muscle Separately or Together

Inspiratory Muscle Training (Don’t attach the manometer.)

• Breathe in by your mouth and breathe out through your nose:
• Use your nose or mouth to breathe out and your mouth to breathe in. If you use your mouth to breathe out, you need to set the exhale resistance level to 1 .
• Only adjust the inhalation resistance level to level 1 or gradually higher when you practice respiratory muscles solely.

Expiratory Muscle Training (Don’t attach the manometer.)

• Either breathing in through your mouth or nose will be OK. Breathing out with your mouth is necessary when you do expiratory muscle training. The exhalation duration should be 2-3 times the inhalation time when you breathe out.

Respiratory Muscle Training

• Use a Nose Clip to train both the inspiratory Muscle & Expiratory Muscle at the same time.
• A recent systematic review showed that in normal subjects, the combination of IMT plus EMT is more effective in increasing the performance exercise compared with IMT or the control group.
• Use your mouth to breathe in and out.
• Train your respiratory and inspiratory muscles at the same time under-settled the inhalation and exhalation resistance level (Both start from Level 1 or the level you are capable of. Comfortably doing breathing exercises is essential.)

NOTE : AVOID VIGOROUS BREATHING IN AND OUT.

Caution

• Always train from the first level/always begin with it on its lowest resistance.
• Move to the next resistance level after several days of constant training.

Please note that:

• Make sure the device is clean and no foreign matter
• Always do the respiratory training within your individual capability and consult your physician once you meet any discomforts.
• Clean after use.
• Only for individual use to avoid of cross-infection.
• Read the instructions carefully before use.

If you are staying in any of the following conditions, please consult your doctor or physician before use.
We recommend no more than 60 minutes of training per day to avoid muscle damage.

• A history of spontaneous pneumothorax (i.e., not due to traumatic injury)
• A pneumothorax due to a traumatic injury that has not healed fully
• A burst eardrum that has not healed fully, or any other condition of the eardrum
• The sub-group of asthma patients with unstable asthma and abnormally low perception of dyspnoea are also unsuitable candidates for RMT.
• Spontaneous pneumothorax (a collapsed lung that was not due to traumatic injury e.g.broken rib)
• A collapsed lung due to a traumatic injury that has not healed fully
• Asthma and COPD with frequent severe exacerbations
• Respiratory disorders involving the lungs (asthma, bronchitis, COPD, emphysema, cystic fibrosis, pneumonia, tuberculosis; pulmonary edema; etc.)
  • Other specific situations include:
  • Presence of transplanted organs
• Pregnancy
  • Brain traumas
• Acute bleeding injuries
• Blood clots
• Acute stages (exacerbations) of life-threatening conditions (infarct, stroke, cardiac ischemia, etc.)

Know Your Manometer Results

Exhalation Performance and the Purpose of Using the Manometer

• Your personal breathing ability varies based on the testing environment and your situation.
• People of different genders, ages, and heights may have different MEP performances, in addition, training environment variation may bring different readings/values. So we mean to set an average range for this manometer:
• Maximal Expiratory Pressure (MEP) Normal range: 20 – 230 cmH20 ;
• The range of this manometer: 0 – 210 cmH, O

Table of MEP (Maximum Expiratory Pressure)
The green, yellow, and red zones divided on the manometer mean nothing to indicate your health condition or lung capacity. It is just for a clear recognition. Please offer your MEP values to your physician for better knowledge of your health condition.

Disassemble, Clean, and Storage

Take apart the Mouthpiece from the main body, immerse these two parts into the water for cleaning, and make it air-dry.
Note : The manometer is not waterproof. Please do not immerse it in the water. But the linked tube for the manometer can be immersed in water. Shake for dryness or air dry later. You can order an extra pack of the manometer and linking tube for the replacement.
Store it in our travel case or other dry and well-ventilated place.

After-Sales Service

Manufacture’s Liability:
DISCLAIMER: Do not discontinue the use of any respiratory medication that you might be taking without consulting your doctor or healthcare professional.

• Manufacturer: Chongqing Moffy Innovation Technology Co., Ltd.
• Address: (C30 Dadi Corporate Park), No.50-5, No. 292, Jingdongfang Rd., Beibei Dist.,
• Chongqing City, 401147, China

After-Sales Service:

• For any after-sales issues, please send an email to: contact1@nascool.com
  • Warranty: 1 year after purchase

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