Abstract
There is an overwhelming body of evidence that supports the efficacy of inspiratory muscle training in improving strength of the inspiratory muscles and activity performance in a variety of patient populations. Essential to the utilization of this abundant body of evidence is knowledge translation, a concept that emphasizes the translation of global knowledge to application that can be effectively integrated into clinical practice. To this effect, this perspective paper aims to provide physical therapists with explicit ways to apply and integrate the evidence related to inspiratory muscle training into clinical practice by proposing a novel 7-step BREATHS framework. This framework discusses the Biomechanics of breathing, Resources and devices available for inspiratory muscle assessment and treatment, Examination of inspiratory muscle strength, Assessment of outcome measures, Treatment considerations in strengthening inspiratory muscles, Holistic health impact through inspiratory muscle training, and Safety considerations for clinicians to consider across the continuum of care. This framework is designed to upskill physical therapists and other health care providers with a contemporary model to deliver safe, effective, and evidence-informed inspiratory muscle training for various patients and clients. The paper elucidates the underpinnings of each aspect of the BREATHS framework and its application to practice, enabling clinicians to better appreciate the power of inspiratory muscle training in maximizing overall health and wellness in their patients and clients.