IRCT20191117045462N10 IRCT 2023-11-30 Riphah International University EFFECTS OF DIAPHRAGMATIC STRETCH WITH AND WITHOUT RIB CAGE MOBILIZATION ON CHEST EXPANSION, DYSPNEA, PULMONARY FUNCTION TEST AMONG COPD PATIENTS EDSWRMCEDPFTA EFFECTS OF DIAPHRAGMATIC STRETCH WITH AND WITHOUT RIB CAGE MOBILIZATION ON CHEST EXPANSION, DYSPNEA, PULMONARY FUNCTION TEST AMONG COPD PATIENTS 2023-11-01 anticipated 40 Complete https://irct.ir/trial/73245 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Convenient sampling technique will be used to recruit the COPD patients in the study and then they will be divided into two groups by simple random sampling through sealed opaque enveloped, Blinding description: Participants will be aware of the research but they will not be aware of the groups and study hypothesis. So, we will divide the participants into two different groups and they will not have any knowledge about these techniques and objective of the study. So, the participants will be blinded. The second one assessor therapist will do the assessment before and after the treatment. So, the assessor therapist will not be aware of your objective and research project. N/A Condition 1: Chronic Bronchitis. Condition 2: Emphysema. Intervention 1: Intervention group: Diaphragmatic stretch with rib cage mobilization Diaphragmatic Stretch Technique: The diaphragmatic stretch techniques will be applied on patient. Patient will be positioned in seated with your knees bent and feet flat on the floor. Place one hand on your chest, and the other on your belly. Take a deep breath in through your nose and focus on expanding your belly, allowing it to push out against your hand. Hold for a few seconds and then exhale slowly through your mouth, contracting your belly muscles as you do so. The treatment duration will be 10 minutes, once a day, 5 days per week for 2 weeks. Rib Cage Mobilization: Rib cage mobilization will be applied on patients in the seated position, the patients remained seated on the stretcher, keeping the feet on the floor, while the therapist stood in front of him or her. The patient’s head (frontal region) was positioned over his or her overlapping arms, which were placed on the therapist’s trunk. The therapist then positioned his or her fingertips at the costal angles (bilaterally), moving from the lateral region to the anterior midline throughout the patient’s inspiration and returning to the initial position on expiration. The therapist’s fingers were then placed 1 level below the rib, repeating this procedure until his or her fifth finger reached the 10th rib. This technique was then carried out toward the 1st rib, completing a treatment cycle. Another cycle was conducted after a 1-minute rest period. The treatment duration will be 20 minutes, once a day, 5 days per week for 2 weeks. Intervention 2: Control group: Diaphragmatic stretch Diaphragmatic Stretch Technique: The diaphragmatic stretch techniques will be applied on patient. Patient will be positioned in seated with your knees bent and feet flat on the floor. Place one hand on your chest, and the other on your belly. Take a deep breath in through your nose and focus on expanding your belly, allowing it to push out against your hand. Hold for a few seconds and then exhale slowly through your mouth, contracting your belly muscles as you do so. The treatment duration will be 10 minutes, once a day, 5 days per week for 2 weeks. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information.