Journal of Research in Medical Sciences1735-19952831202306071144711447EN20230607<p><strong>Background:</strong> The purpose of this study was to evaluate the effect of threshold inspiratory muscle training (IMT) on the duration of weaning in intensive care unit (ICU)?admitted patients.</p><p><strong>Materials and Methods:</strong> This randomized clinical trial enrolled 79 ICU?admitted, mechanically ventilated patients in 2020–2021 in Imam Reza Hospital, Mashhad. Patients were randomly divided into intervention (n = 40) and control (n = 39) groups. The intervention group received threshold IMT and conventional chest physiotherapy, while the control group only received conventional chest physiotherapy once a day. Before and after the end of the intervention, the strength of inspiratory muscles and the duration of weaning were measured in both the groups.</p><p><strong>Results:</strong> The duration of weaning was shorter in the intervention group (8.4 ± 1.1 days) versus the control group (11.2 ± 0.6 days) (P &lt; 0.001). The rapid shallow breathing index decreased by 46.5% in the intervention group and by 27.3% in the control group after the intervention (both P &lt; 0.001), and the between?group comparison showed a significantly higher  eduction in the intervention group than control group (P &lt; 0.001). The<br />patients’ compliance after the intervention compared to the 1st day increased to 16.2 ± 6.6 in the intervention group and 9.6 ± 6.8 in the control group (both P &lt; 0.001), and the between?group comparison showed a significantly higher increase in the intervention group than control group. The maximum inspiratory pressure increased by 13.7 ± 6.1 in the intervention group and by 9.1 ± 6.0 in the control group (P &lt; 0.001). Furthermore, the weaning success was 54% more probable in the intervention group than control group (P &lt; 0.05).</p><p><strong>Conclusion:</strong> The results of this study showed the positive effect of IMT with threshold IMT trainer on increased strength of respiratory muscles and reduced weaning duration.<br /><br /></p>http://jrms.mui.ac.ir/index.php/jrms/article/view/11447http://jrms.mui.ac.ir/index.php/jrms/article/download/11447/6256