Effect of Farinelli Breathing Exercise on Respiratory Outcomes After Abdominal Surgery A Randomized Controlled Trial

INTERVENTION: Intervention1: farinelli breathing exercise versus conventional physiotherapy: Intervention group Conventional physiotherapy and farinelli breathing exercise consist of controlled inhalation breath suspension controlled exhalation Control Group consist of conventional physiotherapy including Diaphragmatic Breathing exercise Thoracic Expansion Exercise Supported Coughing Technique Early Mobilization Intervention2: farinelli breathing exercise: Intervention group fairnelli breathing exercise controlled inhalation breath suspension controlled exhalation total time duration of session 45 minutes 2 times daily for 1 week Control Intervention1: nil: nil Control Intervention2: conventional physiotherapy exercise: Control group consist of conventional physiotherapy including Diaphragmatic breathing exercise Thoracic expansion exercise supported coughing technique early mobilization total time duration of session 45 minutes 2 times daily for 1 week CONDITION: Health Condition 1: K918‐ Other intraoperative and postprocedural complications and disorders of digestive system PRIMARY OUTCOME: 1 Chest expansion ; 2 Respiratory rate ; 3 oxygen saturationTimepoint: week 0 to week 1 SECONDARY OUTCOME: NILTimepoint: NIL INCLUSION CRITERIA: 1 patients undergoing elective abdominal surgery open or exploratory laprotomy. 2 hemodynamically stable patient. 3 patients able to understand instruction and perform breathing exercise independently. 4 patients willing to provide informed consent.