0.05).There was high significant improvement in PImax post-PT in the test group when compared to control group (-34.36.02 cmH2O) versus (-24.62.45 cmH2O) respectively (P<0.001).The indices of weaning were significantly improved in test group than control group as regards PaO2/FIO2, PImax and RSBI (P<0.05).The incidence of complications (VAP, Bed sore and Electrolyte imbalance) increased among the control group than the test group but without statistical significance differences (P>0.05).The weaning success was (90% &70%) in test group versus control group, while the duration of MV, duration of weaning and length of ICU stay were significantly reduced in test group (5, 4.5 and 8.8 ± 2.22 days) versus control group (6, 6 and 11.95 ± 3.4.2 days), (P<0.05, P<0.01 and P<0.001), respectively.Conclusion: Conventional chest physiotherapy is safe ICU intervention with few complications. Adding inspiratory muscle training (using a threshold pressure device) to the conventional physiotherapy can improve maximum inspiratory pressure,functional capacity and RSBI, with potential reductions in length of ICU stay and the duration of invasive mechanical ventilation.]]>
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