Concomitant Use of Radiotherapy and Integrated Exercise - Lung Cancer

Exclusion Criteria

• •Decompensated cardiorespiratory comorbidities that contraindicate moderate-intensity physical exercise:
• •* New York Heart Association (NYHA) class III-IV congestive heart failure or unstable angina.
• •* Recent myocardial infarction (\<6 months) or uncontrolled arrhythmias.
• •* Very severe chronic obstructive pulmonary disease (COPD) GOLD IV with recent exacerbations, permanent home oxygen therapy, or severe pulmonary hypertension.
• •Severe physical or neurological limitations that prevent exercise.
• •Absolute medical contraindications to inspiratory muscle training: unresolved pneumothorax, recent thoracic surgery (\<4 weeks), or active hemoptysis.
• •Refusal or inability to understand/follow the program instructions (e.g., severe cognitive impairment, insurmountable language barrier).