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Abstract
Is to evaluate efficacy of acapella in the treatment of acute exacerbations in COPD patients. Forty patients of both sexes with acute exacerbation of COPD were included in this study. Age was ranged from 40 - 60 years old. Patients were assigned into two equal groups: group (A) study group and group (B) control group with pre - and post- treatment protocol application. The study group consisted of 20 patients received treatment by the green Acapella device in addition to chest physiotherapy, this program was performed 3 times per week for two successive weeks with total duration of each session of (20 - 30) minutes, the control group consisted of 20 patients received conventional chest physiotherapy program which was performed 3 times per week for two successive weeks and the total duration of each session was nearly (20 - 30) minutes. The data concerned with the ventilatory functions included, forced expiratory volume in first second (FEV1), forced expiratory volume in sixth second (FEV6) and the ratio between forced expiratory volume in one second to forced expiratory volume in sixth second (FEV1/FEV6),were measured at baseline, and through the two weeks of treatment