Introduction: COPD is the respiratory disease that affects almost 24 million people and this prevalence is about to increase 32 billion till 2020 in India. It is the disease causing disability and is the fourth leading cause of death in India affecting mostly men, but 40% are women in India. The prime cause is smoking and rest is pollution. It is a slowly developing disease with the main feature of dyspnea and cough with or without expectoration, which can be treated with Breathing exercises. So, this study is designed for a better protocol, which can help patients of COPD reliving dyspnea and other features of COPD, improving their health quality. Methodology: A sample of 30 COPD patients was taken on the basis of their symptoms of dyspnea and other features. 15 patients were grouped under Dyspnea Reliving Position (DRP) on the basis of their resting dyspnea. The other group was of rest 15 patients, having no resting dyspnea, were grouped under Paced Walking (PW) group without dyspnea reliving position. Group DRP was taught ACBT (Active Cycle of Breathing technique) in dyspnea reliving position. Group PW was taught ACBT without dyspnea reliving position. Data was collected in the form of outcome variables- SPO2, BHT (Breath Holding Time), PEFR (Peak Expiratory flow Rate Meter), 6MWT (Minute Walk Test), HR (Heart Rate) and BRPE (Borg Rate of Perceived Exertion) score. ACBT was done 2 times a day for 3 days a week. Data was collected by ANOVA Test and Tukey Kamar’s Post Hoc Test as appropriate. Result: The total outcome variables were shown to be improved after 4 weeks of pulmonary rehabilitation program. A significant increase in SPO2, PEFR, 6 MWT distance and Breath holding time was noted in both the groups. A significant decrease in BRPE score and Heart rate was shown in both the groups. Discussion/Conclusion: 4 weeks of exercise program showed a significant improvement in the outcome variables of SPO2after ACBT given in both groups of COPD patients, which shows a significant improvement by new protocols of ACBT.

Keywords: COPD; DRP; ACBT; PW; SPO2; PEFR; 6MWT.