A positive pressure airway device for providing resistance in an air pathway for a patient exhaling. The device includes an inhalation passageway for letting air into the device when a patient breathing through the device inhales, and an exhalation passageway for passing air out of the device when a patient breathing through the device exhales. The device preferably includes an inhalation valve to allow air to flow into, but not out of, the inhalation passageway, and an exhalation valve to allow air to flow out of the exhalation passageway only when a patient using the device exhales with an expiratory air pressure greater than a pre-determined pressure. A variable pressure spring may control the force needed to open the exhalation valve.
