IRCT20191117045462N21 IRCT 2024-07-31 Riphah International University Effects Of Dynamic Hug Exercise And Serratus Punch On Chest Wall Mobility, Dyspnea, Pulmonary Function Test And Strength Of Scapulothoracic Muscle In COPD Effects Of Dynamic Hug Exercise And Serratus Punch On Chest Wall Mobility, Dyspnea, Pulmonary Function Test And Strength Of Scapulothoracic Muscle In COPD 2024-08-15 anticipated 50 Complete https://irct.ir/trial/77898 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients who will meet the inclusion criteria will be recruited by convenient sampling technique and allocated to groups by simple randomization process using sealed opaque enveloped labeled as 0 for Group A and for 1 group B, Blinding description: This is single blinded study. Although the patient will sign a consent form but still he will not be aware of other treatment group. Another physical therapist or assessor will be involved in the study. He/she must have a minimum of 2 years of clinical experience in the relevant domain. He will assess the patient by defined outcome measure tools before start, follow up and, at the end of the study. N/A COPD. Intervention 1: Control group: it will be treated by pursed lip breathing (to inhale through the nose for several seconds with the mouth closed and then exhale slowly over 4 to 6 seconds through lips held in a whistling or kissing position. This cycle can be repeated for three to five breaths per session), upper trapezius stretching (Moderate stretching Hold stretch 60 sec. /time 5 times/set, 1 set/day 3 days/weeks, 8 weeks). Intervention 2: Intervention group: it will be treated by pursed lip breathing, upper trapezius stretching as well as dynamic hug (The subject will stand with the feet shoulder-width apart, elbows flexed at 90° and internally rotated at 90°, and shoulders abducted at 90°. The subject will push the handle using horizontal shoulder adduction and elbow extension until the hands touch together) and serratus punch (The patient will lie down on the floor. Then he will Raise both arms directly above shoulders and keep the elbows straight. Proceed to protract the shoulder blades by pushing them forwards (pushing the fists towards the ceiling)). No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information