two groups: a group subjected to CRP+IMT (GCR+IMT) followed the IMT protocol in addition to the combined training (aerobic and resistance training) and a group subjected to CRP (GCR) followed the combined training protocol and performed breathing exercises for 12 weeks. An RMS test was conducted before and after the intervention, and the functional capacity and QoL were evaluated. All evaluations were conducted by investigators blinded to the allocation of patients into the intervention groups.