This document summarizes the pulmonary management of a 19-year-old male patient with a complete thoracic spinal cord injury and internal injuries from a gunshot wound. After two weeks of daily inspiratory muscle training (IMT) using a resistance device, the patient showed improvements in measures of chest excursion, incentive spirometry, breath support, and timed mobility tests. While IMT appeared beneficial for this patient, further research is needed to determine its efficacy for individuals with paraplegia using larger sample sizes and controlling for confounding variables. Pulmonary management can help improve respiratory status and function for those with spinal cord injuries.