Effects Of of Pursed Lip Breathing and Coordinated Breathing in Adult Patients With COPD

Not Applicable

Recruiting

Interventions: Other: coordinated breathing technique
Other: pursed lip breathing techniques

Brief Summary: COPD is the chronic lung condition characterized by the damage and enlargement of the air sacs in the lungs, leading to breathing difficulties. A blockage may develop, which traps air inside your lungs. The patient shows clinical manifestation of cough, wheezing, chest tightness, shortness of breath. This research of randomized clinical trial will check the combined effects of pursed lip breathing and coordinated breathing techniques to improve aerobic capacity and dyspnea in patients with COPD by taking sample of 54 patients through convenience sampling and randomly allocating them to two groups A and B out of which A will receive pursed lip breathing with aerobic exercise for 4 times per week for 4 week and duration will be 45-60 min, B will receive coordinated breathing with aerobic exercise for 4 times per week for 4 weeks. And duration will be 45-60 min.Pre and post training outcomes of aerobic capacity and dyspnea will be measured through Six minute walk test and dyspnea Borg scale, and Saint George respiratory questionnaire. The data will be analyzed through SPSS 21.

Recruitment & Eligibility

Inclusion Criteria

Age range 25 -45 years(5)
Adult patient diagnosed with (chronic obstructive pulmonary disease) based on clinical and diagnostic criteria.
Patient willing and able to participate in an pursed lip breathing and coordinated breathing exercise program
Gender both male and female

Exclusion Criteria

Those who cognitive impairment that might affect their ability to comprehend and follow instructions
Any contraindication to the use of pursed lip breathing or coordinated breathing exercise as determined by the health care provider.
Individual with severe musculoskeletal limitations or other physical condition that may hinder the ability to perform exercise
Individual who have experienced the recent exacerbation of COPD symptoms within past three month

Arm && Interventions

Group	Intervention	Description
coordinated breathing technique	coordinated breathing technique	The intervention will be given un every day till the patient discharge from hospital. Coordinated breathing with aerobic exercise for 4 times per week for 4 weeks. And duration will be 45-60 min
pursed lip breathing techniques	pursed lip breathing techniques	Pursed lip breathing with aerobic exercise for 4 times per week for 4 week and duration will be 45-60 min. Relax your neck and shoulder muscles. For the use of PLB exercise, the intervention will be given every day till the patient discharged from hospital. Patient will perform 5 sets

Primary Outcome Measures

Name	Time	Method
Six minute walk test	baseline and fourth week	Patients were instructed to walk back and forth at their own pace in a 35 m corridor. A physiotherapist supervised the test through the course, telling the patient the remaining exercise time every 2 min
Borg dyspnea scale	baseline and fourth week	Dyspnea during the test was evaluated with the modified Borg dyspnea score. Pulmonary function test, inspiratory capacity, and dyspnea score, together with the walking distance were recorded before and after walking. Modified Borg scale is valid patient self-report scale for measuring breathlessness after exercise with the scaling from 0 to 10.

Secondary Outcome Measures

Name	Time	Method

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