Participant in the group A were instructed to perform the Jacobson relaxation technique.

• Quite place were chosen where there is no disturbance.
• Patients were relax either on the lying position or sitting position with head well-supported.
• Patients were instructed to loosen any tight clothing.
• Patients were educated for muscles of each group emphasis on attention on that muscle group only.
• Repeat this three times, constrict the muscle and then relax, tens the muscle and maintain it for five seconds then relax it lightly and then tense and relax. Constrict the muscle very slightly then relax it. Focus on each muscle group and then decide to relax the target muscle.

Participant in group B were instructed to perform the pranayama relaxation technique.

• Quite place were chosen where there is no disturbance and patient were relaxed in sitting position with spine straight.
• In this technique patients were instructed to perform different type of pranayama techniques.
• Guide the participants to take a steady breath in through your both nostrils. Then inhale until you reach your total lung capacity, maintaining a tall spine.

Treatment was continuous 4 weeks, 3 times in a week for 15 mint. Assessment was done through the tool before and after the treatment.

Quality of life, cough and sputum analysis, spirometry, and shortness of breath were assessed.

The Borg scale measures the severity of dyspnea (shortness of breath).

Scale Details:

Full Title: Borg Rating of Perceived Exertion (RPE) ScaleFull Title: Borg Rating of Perceived Exertion (RPE) Scale Minimum Value: 0 (No breathlessness at all) Maximum Value: 10 (Maximal breathlessness) Interpretation: Higher scores indicate worse outcomes, meaning greater severity of dyspnea.

The CASA-Q (Cough and Sputum Assessment Questionnaire) evaluates the severity and impact of cough and sputum production.

Scale Details:

Full Title: Cough and Sputum Assessment Questionnaire (CASA-Q) Minimum Value: 0 (No symptoms) Maximum Value: 100 (Severe symptoms) Interpretation: Higher scores indicate worse outcomes, meaning more severe symptoms of cough and sputum.

Spirometry will be used to measure lung function, specifically Forced Expiratory Volume in 1 second (FEV1) and Forced Vital Capacity (FVC).

Scale Details:

Full Title: Spirometry (FEV1 and FVC) Minimum Value: Variable (dependent on patient's lung function) Maximum Value: Variable (dependent on patient's lung function) Interpretation: Higher values typically indicate better lung function.

The SF-36 (Short Form Health Survey) questionnaire assesses the overall quality of life.

Scale Details:

Full Title: SF-36 Health Survey Minimum Value: 0 (Worst possible health state) Maximum Value: 100 (Best possible health state) Interpretation: Higher scores indicate better quality of life.