Breathing TrainersUpdated September 2026

Threshold IMT (Philips Respironics)

The Threshold IMT is the device used in most clinical research on inspiratory muscle training in COPD. Its spring-loaded, threshold resistance mechanism delivers consistent, measurable training loads no matter the breathing rate, which is what separates genuine IMT from simple resistance breathing. Respiratory thera…

Reviewed by
HealthRankings editors
Evidence
Limited
Overall score9.0/10Excellent
Price$288Premium
HSA / FSACheck with provider
EvidenceLimited
Quick take

What we loved & what to know.

Strengths

  • Used in clinical research trials
  • True threshold resistance (not flow-dependent)
  • Physiotherapist recommended
  • Durable, proven design

Tradeoffs

  • No digital measurements
  • No app connectivity
  • Manual resistance adjustment
Real-world usage

Living with the Threshold IMT (Philips Respironics).

Practical considerations for daily operation.

Daily routine

Designed to slot into a typical daily-use routine without friction.

Learning curve

Set-up is straightforward — most readers are comfortable after a single calibration session.

Maintenance

Keep the unit clean and store it in a dry case to preserve accuracy long-term.

Portability

Best kept on a counter or shelf at home; not engineered for daily commuting.

Manual / offline use

App access unlocks history and trend tracking, but on-device readouts cover daily use.

Hands-on notes

Deep dives.

At a Glance

The Threshold IMT is the device used in the majority of clinical research studies on inspiratory muscle training in COPD. Its spring-loaded, threshold resistance mechanism delivers consistent, measurable training loads regardless of breathing rate — the key feature that distinguishes genuine IMT from simple resistance breathing. Recommended by respiratory therapists worldwide and explicitly referenced in ATS/ERS COPD management guidelines.

How it stacks up

Breathing Trainers ranked.

The Threshold IMT (Philips Respironics) alongside our top picks in breathing trainers.

RankDeviceScore
#1
Airofit PRO Breathing Trainer
9.4/10Compare →
#2
Threshold IMT (Philips Respironics)You’re reading
9.0/10Current
#3
POWERbreathe Medic
8.8/10Compare →
#4
Acapella Vibratory PEP Device
8.6/10Compare →
#5
Expand-A-Lung Breathing Exerciser
8.2/10Compare →
9.0/10
Excellent
HealthRankings verdict

The bottom line

The Threshold IMT is the device used in most clinical research on inspiratory muscle training in COPD. Its spring-loaded, threshold resistance mechanism delivers consistent, measurable training loads no matter the breathing rate, which is what separates genuine IMT from simple resistance breathing. Respiratory therapists recommend it worldwide, and the ATS/ERS COPD management guidelines reference it directly.

How we test

HealthRankings buys, tests, and rates devices independently. Our scoring blends quantitative measurements (accuracy vs reference, sample-to-sample variability, fit testing) with everyday usability and cost. We disclose affiliate links and never accept paid placement in our rankings.

Medical disclaimer: Reviews are for general information only and are not medical advice. Always follow your clinician's guidance for diagnosing or treating health conditions. Read full disclaimer