Effect of two chest physiotherapy techniques along with chest mobility exercises on chest expansion and breathing ability in patients with pleural effusion.

INTERVENTION: Intervention1: Chest PNF: The patterns of movement associated with PNF are composed of multi joint , multiplanar, diagonal, and rotational movements of the extremities, trunk and neck. Various chest PNF techniques based on Kabat s concept are Hold Relax, Contract Relax, and Contract Rela XAntagonist Contract etc. Hold Rela Xis utilized to activate properly when the agonist is too weak. The patients restricted muscle is put in a position of stretch followed by an isometric contraction of the restricted muscle. After the allotted time the restricted muscle is passively moved to a position of greater stretch. This technique utilizes the autogenic inhibition, which relaxes a muscle after a sustained contraction has been applied to it. Control Intervention1: Stacked Breathing: Stacked breathing exercise is a breathing exercise which helps to improve and maintain the volume of breath you take and can be used regularly to clear mucus from airway secretion clearance. It helps to Improve depth of breathing, aids secretion clearance, helps improve rib cage mobility and flexibility, stretches respiratory muscle, improves cough strength and effectiveness. Stacked breathing is one of the exercises that helps in improving and maintaining the size of the breath that the patient is able to take and can be used regularly to help the patient clear secretions from his chest. It can also be used to help improve the force of the cough and voice. CONDITION: Health Condition 1: J918‐ Pleural effusion in other conditions classified elsewhere PRIMARY OUTCOME: Chest ExpansionTimepoint: Pre intervention at Day 1 and Post intervention after 6 days SECONDARY OUTCOME: Peak Expiratory Flow RateTimepoint: Pre intervention at Day 1 and Post intervention after 6 days INCLUSION CRITERIA: Those who give written consent to participate in this study. Individuals with clinical diagnosis of unilateral pleural effusion with ICDT. Able to follow the instructions and perform breathing exercise