An incentive spirometer is disclosed having a helical tube, wherein the helical tube includes a first inlet, second outlet, third outlet, and fourth outlet. The spirometer further includes a chamber, wherein the chamber is in fluid communication with the first inlet, second outlet, third outlet, and fourth outlet of the helical tube; and an object disposed within the spirometer, wherein the object is adapted to move through the first inlet of the helical tube and through either the second outlet, third outlet, or fourth outlet. In addition, the spirometer further includes an inhalation draw tube in fluid communication with the chamber and helical tube.