IRCT20191117045462N24 IRCT 2024-08-29 Riphah International University Comparative Effect of Buteyko Breathing Technique and Lotorp Method Among COPD Effects of Lotorp Method Among COPD. Comparative Effect of Buteyko Breathing Technique and Lotorp Method Among COPD 2024-07-16 anticipated 40 Complete https://irct.ir/trial/78003 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Taking into account the above mentioned inclusion and exclusion criteria, patients will be recruited into two groups labeled as 0 for group A and 1 for group B by simple random sampling through sealed opaque enveloped, Blinding description: The study will be double blinded. The assessor physiotherapist and the patient both will be blinded. Although the consent form will be taken from the patient. But the patient will not be aware of the study. Accessor physiotherapist will be involved in the study. He or She must have 2 or 3 year experience in relevant domain. He will access the patient by defined outcome measure tools before the start of study at the end. N/A Chronic Pulmonary Obstructive Disease. Intervention 1: Intervention group A: Buteyko breathing technique: Treatment to this groups will be performed twice a day, 3-5 times per week, for 3-4 months. . The idea behind it is that people tend to hyperventilate –to breathe faster and more deeply than necessary. Subjects in the Buteyko a groups were trained for 3–5 days and instructed to practice the exercises for 15 minutes twice daily, and for three months duration. Step 1: The ‘‘Control pause (CP)’’ breathing test Step 2: Shallow breathing Sit up straight Step 3: Putting it together Take Control pause Each patient was trained by Buteyko breathing technique twice per week, and the session was about (20 min). The first week each patient of this group trained by Buteyko breathing technique intensively for 4 days then the following 3 weeks were 2 sessions per week. The time of the session was in the morning at least two hours after meals. Each patient performed the BBT by himself at home twice daily (in the morning and in the evening, at least 2 h after meals) during the time of the study Buteyko Breathing Technique. Intervention 2: Intervention group B : Lotorp Method: Lotorp Method is a two-part therapy involving daily breathing exercises and massage of thoracic muscles at the clinic every third week. The treatment at the clinic is performed for a time of about 60 min. It starts massage based on classic Swedish massage, combined with trigger point treatment if the therapist finds specially tense points in the muscles. On the larger muscles are performed a little faster rubbing movement. The patient lies on his/ her stomach when the back is treated. Back muscles and tendons treated with deep massage are: Erector şpinae, (the sacro spinal system),Rhomboids major and minor, Quadratus lumborum, and external intercostal muscles, Sternum (several muscles attach to the sternum, and a rubbing movement is used to stimulate these attachments),Subclavius, Serratus anterior (upper parts), Scalene Sternocleidomastoids, Diaphragm (external front part), abdominal muscles (transverses abdominis, oblique, internusabdominis, externus abdominis and rectus abdominis). After this exhalations are manually assisted during exhalation by pressing the chest, slowly but powerfully. The hands are placed along the side of the chest and deep exhalations are performed 10 times. Then the hands are moved to the upper parts of the chest. A similar manual pressure during exhalation is performed 5 times. After this the patient is instructed to breathe in and out so that the thorax is moving as much as possible. Treatment to this groups will be performed twice a day, 3-5 times per week, for 3-4 months. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information