Effects Of Inspiratory Muscle Training Research Articles

Effect of post-extubation inspiratory muscle training on diaphragmatic function in mechanically ventilated patients: A randomized controlled trial.

Diaphragmatic dysfunction is a common problem in patients who have been mechanically ventilated. The study aimed to evaluate the effectiveness of inspiratory muscle training (IMT) on diaphragm muscle thickness and function in mechanically ventilated patients. A single-blind trial was conducted. Twenty patients were randomly assigned to either the conventional physiotherapy (CP) group or to the IMT group for 5 days following extubation. The CP group received only CP, while the IMT group received CP in addition to IMT. Ten healthy controls (HCs) underwent IMT. Maximum inspiratory pressure (MIP) and physical function were recorded. Diaphragm excursion (DE), diaphragm thickness at the end of inspiration (Tdi), diaphragm thickness at the end of expiration (Tde), peak contraction velocity (PCV), and peak relaxation velocity (PRV) were evaluated with ultrasonography before and after the intervention. The IMT group and HCs showed significant improvements in DE (p = 0.005; p = 0.005, respectively), PCV (p = 0.028; p = 0.015, respectively) and PRV (p = 0.029; p = 0.020, respectively) after 5 days of IMT. A significant increase in MIP was recorded in all groups after the intervention (CP: p = 0.044; IMT: p = 0.005; HC: p < 0.001). There was a significant improvement in the Medical Research Council (MRC) and the Physical Function in Intensive Care Test (PFIT) scores in both the CP and IMT groups (p < 0.001 and p < 0.001, respectively). Inspiratory muscle training improves diaphragmatic functions, including MIP, diaphragm excursion, PCV, and PRV. We think that IMT applied after extubation may serve as a tool to prevent and facilitate the recovery of diaphragmatic function.

The effect of respiratory muscle training on respiratory muscle strength, diaphragm thickness/mobility, and exercise capacity in patients with systemic lupus erythematosus and associated shrinking lung syndrome.

Systemic lupus erythematosus (SLE) is a chronic autoimmune disorder that can impact any organ in the body. The pathophysiology of shrinking lung syndrome (SLS), a rare pulmonary complication of SLE, remains unknown. The objective of the current case series was to investigate the effects of inspiratory muscle training (IMT) on diaphragm thickness/mobility, respiratory muscle strength, peripheral muscle thickness/strength, and functional exercise capacity in patients with SLE and associated SLS. Three patients with SLE were included in the case series. Respiratory muscle strength, peripheral muscle strength, peripheral muscle thickness, diaphragm muscle thickness, diaphragm muscle mobility, functional exercise capacity, and pulmonary function test were assessed. A significant improvement has been determined in respiratory muscle strength, functional exercise capacity, peripheral muscle strength, peripheral muscle thickness, diaphragm muscle thickness, and diaphragm muscle mobility. This is the first case series showing the beneficial effects of IMT on respiratory muscle strength, diaphragm thickness/mobility, peripheral muscle thickness/strength, and exercise capacity in patients with SLE.

Effect Of Inspiratory Muscle Training On Agility In 7-12 Years School Going Children

Effect Of Inspiratory Muscle Training On Agility In 7-12 Years School Going Children

The Effect of Inspiratory Muscle Training, Incentive Spirometer and Deep Breathing Exercise in Asthmatic Patient: A Narrative Review

The Effect of Inspiratory Muscle Training, Incentive Spirometer and Deep Breathing Exercise in Asthmatic Patient: A Narrative Review

Ab. No. 40 The Effect of Inspiratory Muscle Training on Respiratory Muscle Strength and Quality of Life in Maintenance Hemodialysis Individuals- A Case Study

Introduction: Chronic kidney disease (CKD) is a global public health concern characterized by multiple organ dysfunction, including lung function. The kidneys and lungs regulate acid-base balance, blood pressure, and fluid homeostasis, and CKD can significantly impair lung function due to persistent fluid overload, individuals with chronic kidney disease (CKD) frequently develop a restrictive spirometry pattern. Pulmonary edema and respiratory muscle dysfunction can occur when the glomerular filtration rate (GFR) decreases as a result of fluid retention as well as alterations in the metabolism, endocrine system, and cardiovascular system. Deteriorating pulmonary function may be associated with both GFR and urine protein excretion. Other significant systemic symptoms associated with lung diseases, such as anemia, osteoporosis, malnutrition, muscular wasting, and cardiovascular disease, are also affected by chronic kidney disease (CKD). The study aims to study the effect of inspiratory muscle trainers on respiratory parameters in CKD patients undergoing hemodialysis. Methods: Individuals with chronic kidney failure and undergoing hemodialysis. Maximum inspiratory pressure (PImax) was assessed by use of a pressure vacuum meter reading. Pulmonary function was assessed by use of spirometry. Functional capacity was assessed by use of walked distance obtained in the six-minute walk test (6MWT). A four-week inspiratory muscle training (IMT) protocol was applied during hemodialysis sessions, with load set to 40% of PImax and a weekly frequency of three alternate days. Result: After 4 weeks of training, there was a significant improvement in the walked distance, pulmonary function test, and respiratory muscle strength (PImax-21cmH2O to -90cmH2O). Conclusion: The study showed significant differences in respiratory muscle strength, and pulmonary function. An increase in the walked distance was observed in the 6MWT. Implications: Based on the current case it is safe to say that inspiratory muscle training can be used in chronic kidney disease to improve respiratory outcomes.

A Review on Optimising Limb Function with Inspiratory Muscle Training: Unlocking Potential with Enhanced Performance

Introduction: The potential of Inspiratory Muscle Training (IMT) to enhance limb function holds broad significance across sports science, rehabilitation, and physical therapy. The present review elucidates the link between respiratory muscle function and limb performance, suggesting that integrating IMT into training protocols and rehabilitation programs, particularly in sports and preventive healthcare, could yield improved outcomes. Recognising the vital role of respiratory muscle function in overall performance may inspire innovative approaches to training and rehabilitation strategies. Aim: To investigate the effect of inspiratory muscle training in optimising limb function and its impact on overall performance enhancement. Materials and Methods: Full text published articles from year 2004 to 2024 from different databases like Google Scholar, PubMed, Physiotherapy Evidence Database (PEDro) and Cochrane library were included. The search items like “Inspiratory muscle training,” “Limb function”, “Respiratory muscle strength” using Boolean operators AND, OR were used. The study involving both male and female individuals were included. Results: From a total of 345 studies, seven full text studies were relevant and meeting the inclusion criteria were selected. IMT was proven to improve limb function especially in athletes. Conclusion: The findings are expected to provide valuable insights into the potential of IMT as a novel intervention for optimising limb function and enhancing overall performance. The conclusion drawn will contribute to the body of knowledge in sports science, rehabilitation and physical therapy, prepare the way for clinical applications.

문턱값 들숨근훈련과 복합호흡훈련이 만성 뇌졸중 환자의 가로막 두께 및 호흡기능에 미치는 영향

Purpose: The purpose of this study was to identify the effects of the application of inspiratory muscle training and complex breathing training on diaphragm thickness and respiratory function in individuals with chronic stroke.&#x0D; Methods: A total of 30 patients were randomly divided into experimental and control group. The experimental group performed 30 minutes of inspiratory muscle training and complex breathing training and 30 minutes lower limb ergometer training for a total of 60 minutes, 3 times a week for 6 weeks. The control group performed 30 minutes of conventional physical therapy and 30 minutes lower limb ergometer training for a total of 60 minutes, 3 times a week for 6 weeks. The diaphragm thickness of the participants was measured by using rehabilitative ultrasound image, and a respiratory function test was conducted using a Pony FX spirometer. These parameters were evaluated prior to the intervention and 6 weeks after the intervention.&#x0D; Results: In both groups, there was a significant difference (p&lt;.05) between the results obtained before and after training. There was significant improvement in the affected and unaffected diaphragm thickness during contraction, as well as the respiratory function, in the experimental group compared to the control group (p&lt;.05).&#x0D; Conclusion: In this study, we confirmed that there are significant effects of inspiratory muscle training and complex breathing training on diaphragm thickness and respiratory function in patients with chronic stroke.

Inspiratory muscle training in patients with obesity: a systematic review and meta-analysis

IntroductionObesity is a chronic medical condition that affects, among others, the cardiovascular and respiratory systems. Interventions for its treatment focus on sustained weight reduction and general health improvement, leaving respiratory management aside. Our objective was to determine the effects of inspiratory muscle training (IMT) in patients with obesity.MethodsA systematic review was performed in Embase, Cochrane Library (CENTRAL), CINAHL, Web of Science, and PubMed/MEDLINE on June 26, 2023. Randomized clinical trials (RCTs), and quasi-randomized clinical trials investigating the effects of IMT in people with obesity were included. Selected studies were screened by two independent reviewers who extracted data and assessed the quality of the evidence.ResultsThe initial search returned 705 potential studies were included. Ultimately, eight studies met the criteria for eligibility and were included in the review. IMT improves physical capacity [6-minute walk test (6MWT): 44.5 m, 95% CI: 30.5 to 58.5; p &amp;lt; 0.0001] and the strength of the inspiratory muscles [maximal inspiratory pressure (MIP): −28.4 cm H2O, 95% CI: −41.9 to −14.8; p &amp;lt; 0.0001] compared to the controls, without differences in the pulmonary function, body mass index (BMI) and metabolic parameters.ConclusionInspiratory muscle training improves physical capacity and inspiratory muscle strength without significant changes in lung function, BMI, and metabolic parameters.Systematic review registration: PROSPERO, identifier CRD42023439625, https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023439625.

What are the effects of inspiratory muscle training (IMT), with or without concomitant pulmonary rehabilitation (PR), for adults with chronic obstructive pulmonary disease (COPD)?

What are the effects of inspiratory muscle training (IMT), with or without concomitant pulmonary rehabilitation (PR), for adults with chronic obstructive pulmonary disease (COPD)?

Effectiveness of Inspiratory Muscle Training among Chronic Obstructive Pulmonary Disease Patients: A Systematic Review

Inspiratory muscle training (IMT) has been shown to be effective for some types of illnesses or conditions, including respiratory problems, cardiac disorders, and neuromuscular disorders. Reduced exercise capacity and health-related quality of life, weakness of respiratory muscles, and complaints of dyspnea are all frequent among COPD patients. This study aimed to investigate whether the use of IMT can alter the consequences of COPD in patients and provide an updated understanding of the effects of IMT in COPD patients. The specific objectives of the study were to evaluate the effectiveness of IMT on respiratory muscle strength, exercise tolerance, dyspnea, and health-related quality of life in COPD patients. Included databases were the Physiotherapy Evidence Database (PEDro), Google Scholar, and PubMed. A preliminary selection of papers was produced using inclusion/exclusion criteria. Subsequently, a final selection was made based on the quality of the studies assessed using the PEDro scale. For the realization of this systematic review, seven studies were involved. According to the evidence gathered from the literature review, IMT therapy has been shown to improve respiratory muscle strength, exercise tolerance, perception of dyspnea, and health-related quality of life in COPD patients. It is necessary to conduct studies using high-quality, evidence-based data to draw more definitive conclusions about the effectiveness of IMT in COPD patients. Future research should examine whether these improvements are applicable to all COPD patient groups. Additionally, it should explore the long-term effectiveness of these therapeutic improvements and determine which IMT treatment protocol provides the most significant clinical benefits.

The Effect of Inspiratory Muscle Training in Patients With Lung Cancer After Surgery: A Systematic Review

Objective: The standard of care treatment of potentially resectable lung cancer (LC) is surgery. However, postoperative pulmonary complications (PPCs) and impairments in physical capacity are common. Recently, the effect of inspiratory muscle training (IMT) in postoperative patients with LC (PWLC) was investigated in these outcomes in different studies. The purpose of this systematic review was to synthesize the effect of postoperative IMT (P-IMT) on PPCs and physical capacity in PWLC. Database: PubMed, EMBASE, Cochrane, and CINAHL were searched. Study Selection: Randomized controlled trials, including control/sham group, IMT as the intervention group, and key measures including PPCs, 6-minute walk test (6MWT), Vo 2peak, maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), quality of life (QoL), physical activity level, hospital length of stay, spirometry. Data Synthesis: The quality of the studies was assessed using the Physiotherapy Evidence Database (PEDro) scale. The outcome findings were compared and interpreted. Results: Five studies with 249 patients were analyzed. The PEDro scores of studies ranged from 6 to 8. There is no significant difference in PPCs between the groups. The effects of P-IMT on the 6MWT, Vo 2Peak, MIP, MEP, and QoL were ambiguous. No effect of P-IMT on spirometry was reported. Conclusion: No effect of P-IMT in PPCs was reported. The effect of P-IMT on physical capacity and respiratory muscle strength was not observed. The level of the effect of P-IMT on hospital length of stay and postoperative physical activity was low. No optimal setting of P-IMT for PWLC with surgery was found. More studies are needed.

Effect of inspiratory muscle training on hypoxemia in obese patients undergoing painless gastroscopy: protocol for a single-center, double-blind, randomized controlled trial.

Obese patients who undergo painless gastroscopy are particularly prone to suffer from upper airway obstruction, respiratory depression, and subsequent hypoxemia. Despite adequate preoxygenation, the incidence of hypoxemia remains high. Recently, inspiratory muscle training (IMT) has been considered to be a promising strategy to increase respiratory muscle strength and endurance with the attendant improvement of pulmonary function. However, it remains unclear whether IMT is associated with a lower rate of hypoxemia in obese patients during this sedative procedure. This study aims to investigate the effectiveness of IMT used in obese patients who are scheduled for selective painless gastroscopy. This prospective, randomized controlled trial (RCT) will enroll 232 obese patients with a body mass index (BMI) of 35-39.9 kg·m-2 who undergo painless gastroscopy at the First Affiliated Hospital of Xiamen University. Subjects will be randomly assigned to two groups with a 1:1 ratio. Participants in both groups will receive IMT for 4 weeks prior to gastroscopy. The intervention group will receive IMT with a load of 30% of the maximal inspiratory pressure (Pi(max)) in the first week, with an increase of 10% per week since the following week, while the counterparts in the control group will not receive any load during the 4-week IMT. The primary outcome is the incidence of hypoxemia during painless gastroscopy. Secondary outcomes include the need for airway maneuvers, blood pressure changes, sleep quality assessment, pro-inflammatory cytokines levels, and monitoring of adverse events. The outcomes of this study will offer invaluable guidance for the clinical implementation of IMT as a potential non-invasive preventive measure. Additionally, it stands to enrich our comprehension of anesthesia management and airway-related challenges in obese patients undergoing procedural sedation, which we anticipate will further contribute to addressing the turnaround concerns within high-volume, swiftly paced ambulatory endoscopy centers. This study has been approved by the Ethics Committee of the First Affiliated Hospital of Xiamen University (2022, No.091). The results will be submitted for publication in peer-reviewed journals. China Clinical Trial Center (ChiCTR2200067041).

The effects of inspiratory muscle training on swimming performance: A study on the cohort of swimming specialization students

PurposeCurrent evidence posits a strong correlation between respiratory muscle function and swimming performance. Despite this, few studies have explored the integration of inspiratory muscle training (IMT) into standard swimming training regimens, which remains an unexplored avenue for improving performance in swimmers. This study aims to evaluate the potential advantages of IMT for enhancing respiratory function and swimming performance and determine whether such training could induce beneficial physiological adaptations. MethodsWe designed and conducted a randomized controlled trial involving 43 swimming specialization students aged 18–25 years. Participants were randomly allocated to two groups: a control group, which followed regular swimming training, and an experimental group, which complemented the standard training with IMT. The intervention lasted for six weeks. Key outcomes measured included swimming performance metrics (time of 50 m freestyle, number of breaths in 50 m freestyle, distance before first breath in freestyle, time of 100 m freestyle) and various inspiratory muscle function parameters such as vital capacity (VC), maximum inspiratory pressure (MIP), maximum inspiratory flow (MIF), and maximum inspiratory capacity (MIC). We also assessed certain biochemical parameters, including hemoglobin, creatine kinase (CK), blood urea nitrogen (BUN), testosterone, and cortisol concentrations. ResultsFollowing the training period, the experimental group exhibited significant improvements in swimming performance and respiratory function parameters. We also noted an increase in hemoglobin levels and a reduction in testosterone concentrations in this group, suggesting beneficial physiological adaptations in response to the combined IMT and swimming training. ConclusionOur findings underline the potential of IMT as a supplementary training modality for enhancing respiratory function and improving swimming performance. The changes in biochemical parameters suggest physiological adaptations that might contribute to these observed improvements. This study opens the door for future research on the benefits of integrating IMT into training regimens for competitive swimmers. Further investigation is warranted to fully elucidate the mechanisms behind the observed benefits and to validate these findings in a larger cohort and other athlete populations.

Effects of Inspiratory Muscle Training on Physiological Performance Variables in Women's Handball.

Inspiratory muscle training (IMT) has been used in different sports, although there is no consensus on its benefits. We investigated the effects of eight weeks of IMT in women's handball. Twenty-four players were randomly distributed into experimental (EXP; n = 13) and control (CON; n = 11) groups. Only the EXP group performed IMT using the POWERBreathe device, following indications of the manufacturers. Before and after the intervention, spirometric variables were evaluated at rest and during a graded test using direct analysis of respiratory gases. Perception of exertion at submaximal intensity was also determined. No significant differences were observed post- vs. pre-intervention (p ≥ 0.05) regarding forced vital capacity (FVC), forced expiratory volume in the 1st second (VEF1), FVC/VEF1, maximal expiratory flow at 50% of FVC or peak inspiratory flow. Post-intervention, only the CON group increased their absolute and relative VO2max (2.1 ± 0.2 L/min pre vs. 2.2 ± 0.3 L/min post; 33.6 ± 3.6 ml/kg∙min pre vs. 34.5 ± 3.2 ml/kg∙min post, respectively). No significant improvements (p ≥ 0.05) were observed in VO2 associated with ventilatory threshold 1 (VT1), nor in the intensity associated with VO2max and VT1. However, there was a tendency for the mentioned variables to decrease in the CON group, while in the EXP group the trend was to maintain or increase previous values. IMT did not determine an improvement in the perception of exertion at submaximal intensity. The use of POWERBreathe, as described in the present study, is feasible in terms of time and effort, although its benefits may not be significant.

The effects of inspiratory muscle training on balance and functional mobility: a systematic review

ABSTRACT Introduction Inspiratory muscle training (IMT) has been widely used in both healthy and diseased populations especially in older adults, and its effects have been proven not only on inspiratory muscle strength but also on dyspnea, exercise capacity, quality of life, and other health parameters. Aim This study aims to review the effects of IMT on balance and functional ability of healthy and diseased populations. Methods A systematic literature search was conducted on MEDLINE, EMBASE, AMED, and Cochrane Central Register of Controlled Trials (CENTRAL). Randomized control trials having participants > 18 years of age and having balance and functional mobility as primary or secondary outcomes were included. Two independent reviewers screened studies against the eligibility criteria, extracted the data, and assessed the quality of evidence. The protocol was prospectively registered on PROSPERO: CRD42021261652. Results Ten studies were included in the review out of which eight had balance and six had functional mobility as an outcome measure. There was a significant improvement in balance of the participants after treatment with IMT, however the effect on functional mobility was inconclusive. Conclusion The review provided evidence of improvement in balance and functional mobility following inspiratory muscle training in both healthy and diseased adults. Future studies should be conducted to determine the optimal protocol and dosage of treatment.

A Review of Effects of Inspiratory Muscle Training on Clinical and Functional Outcomes of Patients With Mechanical Ventilation

Objectives: This review aimed to explore inspiratory muscle training (IMT) use in patients with mechanical ventilation (MV). The topics were related to its effect on the duration of MV or weaning, respiratory symptoms or lung function, inspiratory muscle strength (IMS) or endurance, functional ability, and quality of life (QoL). Methods: Articles published in the last ten years were reviewed narratively to obtain data about how inspiratory muscle training (IMT) can affect breathing muscle strength in prolonged mechanically ventilated patients. Results: Eleven articles were relevant to the topic, including seven original articles and four systematic reviews. We also found one practical guide on IMT in intensive care unit (ICU) patients. Discussion: Inspiratory muscle weakness is found in most intensive care unit (ICU) patients which further causes difficulty in weaning from MV. No standard protocol exists for the use of IMT in patients who failed to wean from MV. The use of IMT was found to be safe with the incidence of side effects or unexpected events was very rare. Several studies found various effects on the success of weaning after IMT administration, such as decreased MV and weaning duration or no effect on these parameters. Studies also found various effects on IMS or endurance although most investigators found increased IMS after IMT administration. These effects vary with exercise intensity and baseline maximum inspiratory pressure (MIP). The IMT program improves lung function thereby reducing symptoms, leading to improved functional abilities and QoL.improved functional abilities and quality of life (QoL).

The effect of inspiratory muscle training in PCD and CF patients: A pilot study.

Effective work of breathing and bronchial hygiene requires synergy of inspiratory and expiratory muscles. Inspiratory muscle training (IMT) is a part of pulmonary rehabilitation in chronic obstructive pulmonary disease (COPD). There is some evidence of its efficacy in cystic fibrosis (CF) and, recently, in long COVID-19. We are not aware of studies on IMT in primary ciliary dyskinesia (PCD). Our aim was to assess the effect of IMT on respiratory muscle strength and pulmonary function in PCD and CF patients. A single center pilot study. Spirometry, lung clearance index (LCI), maximal inspiratory pressure (MIP), and maximal expiratory pressure (MEP) were measured at baseline (visit 1), after a month of IMT with ®POWERbreathe (visit 2), and at follow-up (visit 3). The cohort included 27 patients (19 PCD, 8 CF); mean age 18.4 ± 9.8 years. After a month of IMT, there was a significant increase in MIP and MIP% (6.19-7.44, p = .015; and 81.85%-100.41%, p = .046, respectively), which was sustained at visit 3. Compliance ≥90% led to higher improvement in MIP. In sub-group analysis, improvement in MIP and MIP% remained significant for PCD patients (p = .026 and p = .049, respectively). No significant changes were found in spirometry, MEP or LCI. IMT was well-tolerated and led to improved inspiratory muscle strength in PCD patients. The clinical implication of improved MIP should be further investigated. Larger, long-term studies are needed to evaluate long-term effects of IMT on pulmonary function, respiratory muscle strength, pulmonary exacerbations, and quality of life.

Effects of inspiratory muscle training on weaning from mechanical ventilation and other aspects: a systematic review

Effects of inspiratory muscle training on weaning from mechanical ventilation and other aspects: a systematic review

Effects of Inspiratory Muscle Training in Patients With Pulmonary Hypertension

The study aimed to examine the effects of inspiratory muscle training (IMT) in patients with pulmonary hypertension (PH). A total of 24 patients with PH were included in the randomized controlled evaluator-blind study. IMT was performed at 40% to 60% of the maximal inspiratory pressure for 30min/d, 7d/wk (1day supervised) for 8weeks. Respiratory muscle strength, dyspnea, diaphragm thickness (DT), pulmonary functions, 24-hour ambulatory blood pressure (BP), arterial stiffness, exercise capacity, upper extremity functional exercise capacity, physical activity levels, fatigue, anxiety-depression levels, activities of daily living (ADL), and quality of life were evaluated. A total of 24 patients (treatment=12, control=12) completed the 8-week follow-up. There was no significant difference between the patient groups in terms of demographic and clinical characteristics (p>0.05). Considering the change between the groups in the treatment and control groups, brachial and central BP, dyspnea, respiratory muscle strength, DT in total lung capacity, knee extension muscle strength, functional exercise capacity, upper extremity functional exercise capacity, physical activity, ADL, fatigue, anxiety, and quality of life improved in favor of the IMT group (p<0.05). In conclusion, IMT has improved brachial and central BP, dyspnea, respiratory muscle strength, DT in total lung capacity, knee extension muscle strength, functional exercise capacity, upper extremity functional exercise capacity, physical activity, ADL, fatigue, anxiety, and quality of life compared with the control group. IMT is an effective method in cardiopulmonary rehabilitation for patients with PH.

Effects of Inspiratory Muscle Training with and without Resistance Training on Functional Capacity and Quality of Life in Patients with Phase II Cardiac Rehabilitation

Background: Inspiratory muscle preparing is a protected mediation in early postoperative period which cause enhancements in utilitarian limit and respiratory muscle strength might lead patients to take part in exercises of everyday living. Objective: The objective of study was to determine the effects of Inspiratory muscle training with and without resistance training on Functional capacity and quality of life in patients with phase II cardiac rehabilitation. Methods: It was randomized controlled trial. Data was collected from Dr. Zia ul Rehman Heart Center, Chiniot. 20 subjects Aged between 40-60 years were randomized in this study design. Cardiac Patients, Undergoing Cardiac surgery Patients, Patients undergoing CABG at least 3 weeks prior and Presently non-smokers were included in the study. Clinical course without complications during hospital stay was scored on Glittre-ADL test and Minnesota living with heart failure questionnaire before and after end of treatment session. Upper and lower limb resistance training was performed for 20 minutes, with 3 sets of 10 repetitions. Results: Independent sample t-test was applied to compare pre-treatment and post-treatment Minnesota Living with Heart Failure Questionnaire here was statistically significant difference between two groups with P &lt; 0.05. Comparison of Glittre-ADL test within each treatment group applied paired sample t-test which showed statistically important variation for both groups (P&lt; 0.05) with greater difference seen in group Inspiratory Muscle Training with Resistance Training. Comparison of MLHFQ within each treatment group applied paired sample t-test which showed statistically important variation for both groups (P&lt; 0.05) with greater difference seen in group Inspiratory Muscle Training with Resistance Training. Practical Implication: it was shown that CABG patients whose personal satisfaction, uneasiness, and sorrow were undeniably diminished subsequent to taking part in inspiratory muscle preparing. Conclusion: Inspiratory muscle training with resistance training is more effective on functional capacity and quality of life in patients with phase II cardiac rehabilitation. Keywords: Inspiratory Muscle Training, Resistance training, Functional capacity, Cardiac rehabilitation.