Shweta Salve, Javid Sagar


Background: The purpose of this study was to assess the effectiveness of shoulder girdle strengthening as an adjunct to conventional treatment    in COPD patients.


 Method: 40 subjects of COPD were included in this study. Following the data collection, the subjects were allotted into 2 groups, Group A – Conventional treatment and Group B – Conventional treatment along with shoulder girdle strengthening. Before and After the treatment protocol subjects were assessed by MMT, Shape of Chest, Respiratory Rate, Incentive Spirometer, PEFR .these outcome measures were analysed.


Result: Statistical analysis was performed using paired t-test and unpaired t-test.  Intra group comparison (within group) was analysed statistically using paired t-test for MMT, Shape of Chest, Respiratory rate, Incentive Spirometer, PEFR. This shows there is significant effect in Group A similarly there is extremely significant difference in Group B. But in intergroup comparison (between groups) was analysed statistically using unpaired t-test. This shows that pre intervention there was no significant difference in MMT, shape of chest, incentive spirometer, PEFR. While on comparing post interventional values, the results between two groups using unpaired t-test revealed that there was statistically significant difference seen in MMT, incentive spirometer. But there was no statistically significant difference seen in respiratory rate, PEFR.

Conclusion: From this study, it can be concluded that there was extremely significant improvement in subjects who underwent conventional treatment and shoulder girdle strengthening statistically and clinically. Overall there was significant difference found between the groups. Hence this study accepts the alternate hypothesis (H1)


chronic obstructive pulmonary disease

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