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The CombT showed greater improvement on MIP, while IMT compared to EMT, was more effective to improve physical activity. © Georg Thieme Verlag KG Stuttgart · New York.The inflammatory myopathies comprise disorders of immune-mediated muscle injury. The histopathology and clinical features help distinguish them. Juvenile dermatomyositis (JDM) is the most common form of myositis in children and adolescents. Children with JDM present with proximal muscle weakness and characteristic rashes. The presentation is similar in children and adults,