Chronic obstructive pulmonary disease (COPD) is an important issue in modern healthcare. According to GOLD (2018), great attention is paid to the programs of pulmonary rehabilitation (PR), which also include respiratory muscle training (RMT). Indications for RMT. According to the latest research data, the routine use of RMT is not advised for patients with COPD who can properly participate in PR programs with a full range of necessary general physical exercises. RMT can be considered as a compound to treatment in patients with COPD who cannot fully participate in general physical training due to the presence of comorbid diseases. Contraindications for RMT. In most studies of RMT in patients with COPD, the exclusion criteria were the following: the need for long-term oxygen therapy, a recent exacerbation of the disease, severe concomitant cardiovascular or neurological pathology. Also, RMT is not recommended for patients with: 1) a history of spontaneous pneumothorax; 2) large bullae on chest x-ray films; 3) marked osteoporosis with history of rib fractures; 4) lung surgery within the last 12 months. The choice of training methods. It is recommended to use devices with an adjustable threshold applied force. Despite the fact that the use of devices with fixed inspiratory resistance is described in the literature as a possible RMT technique, the use of such devices requires special attention to breathing pattern, since a patient can reduce the training load by decreasing the inspiratory flow. Conclusion. RMT is recommended for those patients with COPD, who have significant limitations for general physical training, usually due to concomitant diseases.