Comparative effects of Manual Diaphragm Technique and Chest Mobilization Techniques on Dyspnea and Chest Excursion in patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial

Chronic obstructive pulmonary disease (COPD) is defined by ongoing and typically worsening restrictions in airflow. The primary risk factor is smoking, but the condition is also linked to environmental pollution, workplace exposures, genetic changes, and the effects of aging. It is a diverse lung condition characterized by chronic respiratory symptoms. It results from problems with the air sacs and air passages. It ultimately results in a disruption of airflow that is persistent occasionally gets worsened. However, early detection and treatment of COPD, in addition to lifestyle modifications like discontinuing smoking and exercising regularly, improves the quality of life for those who are affected and minimizes the disease’s progression. This is a diverse condition that exhibits significant differences in how it progresses. It leads to sudden worsening of respiratory symptoms that is linked to varying levels of physiological decline. The MDRT and CMT are effective clinical approaches for managing patients with COPD. They aid in alleviating symptoms such as dyspnea and enhancing chest excursion. Additionally, these techniques have proven beneficial for other conditions like asthma and Neuromuscular Disorders (NMD), positively impacting cardiorespiratory and physiological functions. There is a notable gap in comprehensive evaluations of their effectiveness. This lack of published literature and rigorous assessment makes it challenging to determine how well the techniques work compared to other interventions or therapies. More research is needed to establish clear evidence of their benefits and to understand role in the management of respiratory conditions. There is a need for research to compare the efficacy of both techniques. Identifying which method is more effective could allow healthcare providers to incorporate it alongside standard exercises for these patients. This integration aims to improve their quality of life, shorten hospital stays, and boost lung capacity for those dealing with respiratory challenges.