Abstract

Chronic obstructive pulmonary disease is a heterogeneous condition embracing several overlapping pathological process including chronic bronchitis, chronic Bronchiolitis (small air way disease) and emphysema. Many patients also exhibits systemic component characterized by impaired nutrition, weight loss and skeletal muscle dysfunction. Fear for shortness of breath often results in avoidance of physical activity and therefore enhances exercise intolerance and social isolation of chronic obstructive pulmonary disease patients. Physiotherapy plays a key in multidisciplinary interventions. The purpose of this study is to find out the effect of sub maximal exercise training on exercise capacity in patients with chronic obstructive pulmonary disease. Experimental study design was utilized in this study .Intervention protocol mode is done with sub maximal exercise ,at frequency of 20 minutes/day at 5 days/week at a duration of 4 weeks .intensity has been set at 60 revolution /min ( 85/100x 220-age) .the study was done at pulmonary rehabilitation department Alva

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