• Dr. E.Chandramouli,
• Dr. E. Shanmugananth

Chronic obstructive pulmonary disease (COPD) is a leading causes of morbidity, hospitalization and disability among pulmonary diseases. Airway obstruction, reduced lung elasticity, increased chest wall stiffness, altered length-tension relationship, decreased chest mobility, increased functional residual capacity (FRC), decreased tidal volume and increased respiratory rate are the commonest problems seen in patients with COPD. Respiratory muscle stretch gymnastics (RMSG) has been proposed as a possible additional form of rehabilitation for patients with COPD. To find out the effectiveness of respiratory muscle stretch gymnastics RMSO) in improving tidal volume (TV) and reducing respiratory rate in COPD patients. The study was carried out with purposive sampling in the Division of Physical Medicine and Rehabilitation, Rajah Muthiah Medical College and Hospital, Annamalai University. Ten COPD patients with FEV1<70% and age group between 35 and 65 yrs were selected for the study. Acute breathlessness, associated cardiovascular disorders, and other significant medical problems were excluded. Ten patients with COPD were selected. Five pattern of RMSG training were given for 1 week duration. Pre and post respiratory rate and tidal volume measurements were obtained using Schiller Spirometer. Lung function was assessed based on the measurement of respiratory rate and tidal volume which were obtained by minute ventilation test through spirometer. The mean value of respiratory rate before treatment is 23.85 and after treatment is 14.57. The different is statistically confirmed by the obtained t-valuè5.55, p value p = 0.000. The’t’ test value and 1% level of significance shows that respiratory rate is significantly reduced after treatment, The mean value of tidal volume before treatment is 0.85and after treatment is 0.83. It shows that tidal volume is not improved, but it is maintained. It is statistically confirmed by the obtained t value 0.69 and p value 0.509. Respiratory muscle stretch gymnastics is effective in reducing the respiratory rate and maintaining the tidal volume.

Chronic obstructive pulmonary disease (COPD), Respiratory muscle stretch gymnastics(RMSG),Chest Mobility, Tidal volume, Respiratory rate.

"EFFECTIVENESS OF RESPIRATORY MUSCLE STRETCH GYMNASTICS IN COPD PATIENTS", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.6, Issue 6, page no.253-258, June-2019, Available :http://www.jetir.org/papers/JETIR1906B38.pdf

"EFFECTIVENESS OF RESPIRATORY MUSCLE STRETCH GYMNASTICS IN COPD PATIENTS", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.6, Issue 6, page no. pp253-258, June-2019, Available at : http://www.jetir.org/papers/JETIR1906B38.pdf