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Inspiratory muscle training decreases ankle proprioceptive use during balance control in patients with COPD. Background: Balance deficits are often reported in patients with COPD. Proprioception is a primary sense for balance control. Patients with COPD, especially those with inspiratory muscle weakness, predominantly use ankle relative to back muscle proprioception during balance control. This leads to postural instability during challenging postural conditions. Aim: To observe the effect of inspiratory muscle training (IMT) on proprioceptive use during balance control in individuals with COPD.