Yep! But you crank the handle as slow or fast as you want, and you can do it both inhaling and exhaling. It's pretty cool! And I don't know if it is that I have been using the Quake in the shower for the last 2 days (I usually do my Flutter there when I am sick), or that the crud is just finally loosening up on it's own, but it is finally getting less tight, and I am getting some garbage up and out, which I haven't done in a week! <img src="i/expressions/face-icon-small-wink.gif" border="0">