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Comparison of Breathing Characteristics during Deep Breathing and Modified Flow-Feedback Incentive Spirometer (Triflo) Use in Healthy Adults: A Randomized Controlled Trial

Comparison of Breathing Characteristics during Deep Breathing and Modified Flow-Feedback Incentive Spirometer (Triflo) Use in Healthy Adults: A Randomized Controlled Trial

Status
Recruiting
Phases
Phase 1
Study type
Interventional
Source
TCTR
Registry ID
TCTR20251229006
Enrollment
60
Registered
2025-12-29
Start date
2026-02-20
Completion date
Unknown
Last updated
2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Breathing exercise using a modified Triflo incentive spirometer by closing the second and third inspiratory inlet holes Triflo, incentive spirometer, breathing exercise

Interventions

The Triflo device will be modified by closing the second and third air entry holes (mTFc). Participants will sit upright. Participants will begin with a relaxed expiration, followed by a slow, deep in
Experimental Other,Active Comparator Other
Breathing exercise using a modified Triflo with selected inspiratory inlet hole closed (mTFc),Traditional deep breathing exercise (TDB)

Sponsors

Faculty of Associated Medical Sciences, Khon Kaen University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 80 Years

Inclusion criteria

Inclusion criteria: 1.Age between 18 - 39 years (young adults), 40 - 59 years (middle aged adults), or 60 - 80 years (older adults) 2. Ability to comprehend and follow instructions 3. Normal lung function, confirmed by spirometry (FEV1 and FVC ratio less than or equal to 70 percent and FVC greater than 80 percent). 4. Normal vital signs

Exclusion criteria

Exclusion criteria: 1. Respiratory diseases such as asthma, interstitial lung disease, or chronic obstructive pulmonary disease (COPD) 2. Neurological conditions affecting respiratory mechanics, such as hemiplegia or phrenic nerve palsy 3. Active respiratory infection 4. Recent surgery involving the thoracic or upper abdominal regions 5. Asthma screening questionnaire greater than 3 scores. 6. Current physical therapy students and physical therapists

Design outcomes

Primary

MeasureTime frame
Respiratory variables Measurement during inspiratory flowrate, inspiratory pressure, inspiratory tidal volume, respiratory phase duration,Respiratory variable measurement baseline, during, post Maximal inspiratory pressure, Thoracic expansion

Secondary

MeasureTime frame
Diaphragmatic Excursion, Excursion rate, excursion time baseline, during, post Ultrasonography,Muscle activity During Surface electromyography,Perceived Exertion during Rating of Perceived Exertion (RPE) scale,Participants perception post Patient reported outcome using four point Likert scale on level of discomfort during performance, ease of performing, and ability to remember the breathing procedure

Countries

Thailand

Contacts

Public ContactChatchai Phimphasak

Assistant professor

chatphi@kku.ac.th66 43 202 399

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026