Effectiveness of Acapella and ELTGOL Technique to Promote Airway Clearance in COPD:a Comparative Study

Effectiveness of Acapella and ELTGOL (Expiration in Lateral Position With Open Glottis)Technique to Promote Airway Clearance in COPD Patients:a Comparative Study

To compare the efficacy of acapella and expiration against open glottis (ELTGOL) technique in promoting airway clearance of chronic obstructive pulmonary disease (COPD) patients

This study is carried out to determine the effectiveness of acapella and expiration in lateral position with open glottis to clear the secretion in COPD patients. The sessions will be carried twice daily for twenty minutes. The outcome measures are values of pre and post intervention fev1/fvc and breathlessness cough sputum scale. Duration of the study will be for five days.

Inclusion Criteria:

• Mild copd
• Moderate copd
• Patient able to sustain expiratory flow greater than 15l/min
• Patient expectorate more than 25.-30ml

Exclusion Criteria:

• Severe copd
• Peripheral oxygen saturation lower than 85%
• Rr>35breaths/min
• Current acute chest pain
• Recent history of haemoptysis