$$\int \frac{(16-9x^2)^{\frac{3}{2}}}{x^6}dx$$
$$\int \frac{(16-9x^2)^{\frac{3}{2}}}{x^6}dx=\int \frac{3\left(\frac{16}{9}-x^2\right)^{\frac{3}{2}}}{x^6}dx$$
$x=\frac{4}{3}\sin\theta$
$dx=\frac{4}{3}\cos\theta d\theta$
$$\int \frac{3\left(\frac{16}{9}-\frac{16}{9}\sin^2\theta\right)^{\frac{3}{2}}}{x^6}d\theta=\int \frac{4(1-\sin^2\theta)^{\frac{3}{2}}}{x^6}d\theta=\int \frac{4(\cos\theta)^3}{x^6}d\theta=4\int \left(\frac{\cos\theta}{\frac{16}{9}\sin\theta}\right)^3d\theta$$
How should I continue?
Notice, you have made mistake while substituting
let $3x=4\sin\theta\implies dx=\frac{4}{3}\cos\theta\ d\theta$ $$\int \frac{(16-9x^2)^{3/2}}{x^6}\ dx$$$$=\int\frac{(16-16\sin^2\theta)^{3/2}}{\left(\frac 43\sin\theta\right)^6} \left(\frac{4}{3}\cos\theta\ d\theta\right)$$ $$=\frac{243}{16}\int \frac{\cos^4\theta}{\sin^6\theta}\ d\theta$$ $$=\frac{243}{16}\int \cot^4\theta\csc^2\theta\ d\theta$$ $$=-\frac{243}{16}\int \cot^4\theta(-\csc^2\theta\ d\theta)$$ $$=-\frac{243}{16}\int \cot^4\theta d(\cot\theta)$$ $$=-\frac{243}{16}\cdot \frac{\cot^5\theta}{5}+C$$ $$=-\frac{243}{80}\cot^5\theta+C$$