The treatment will be given with the frequency of 3 times per week for 8 weeks. Treatment sessions will be 25 to 30 minutes with short resting intervals.

The treatment will be given with the frequency of 3 times per week for 8 weeks. Treatment sessions will be 25 to 30 minutes with short resting intervals.

patient will receive Teach Back Breathing Exercises like pursed lip breathing, DE breathing and diaphragmatic breathing Teach-back breathing exercises refer to a method of instructing individuals in breathing techniques and then having them demonstrate or "teach back" the instructions to ensure comprehension and mastery. This educational approach is commonly used in healthcare settings, particularly when teaching patients how to perform various breathing exercises for therapeutic purposes. Patients were informed about the importance of regular chest percussion I will use the clapping technique which provided by cupped hand for 3 minutes in 5 positions of drainage (upper lobes-apical and posterior segment, apical and anterior segment, right upper lobe-posterior segment, left upper lobe-posterior segment, lower lobes- apical segment) with assisted suction three times/shift for four days, and then each patient will be observed.

A pulmonary function test (PFT) is a diagnostic assessment that evaluates the functional capacity of the respiratory system, providing valuable information about lung volumes, capacities, and the efficiency of gas exchange. These tests are crucial for diagnosing and monitoring respiratory conditions such as asthma, chronic obstructive pulmonary disease , and restrictive lung diseases, Pulmonary function test Normal values are FEV1 80% to 120%, FVC 80% to 120%. Absolute FEV1 /FVC ratio, Within 5% of the predicted ratio, TLC 80% to 120%

The SF-36, or Short Form 36, is a widely used questionnaire designed to assess an individual's health-related quality of life. It encompasses 36 questions across eight health domains, providing insights into various aspects of physical and mental well-being. The questionnaire covers areas such as physical functioning, role limitations due to physical health, bodily pain, general health perceptions, vitality, social functioning, role limitations due to emotional problems, and mental health.