Published Paper Details:

Spirometry is commonly accepted as the gold standard for the diagnosis of COPD but quality assured spirometry cannot be provided universally around the globe along with lack of availability of spirometers in primary health care due to financial limitations or limited availability of expert technicians or clinicians to perform the procedure. Peak flow meter is portable, hand held, easy to use and low cost device which can also be used to measure airflow limitation. The exercises are help full to improve mucus clearance, reduce work of breathing, increase strength, power and endurance of respiratory muscles. 41 patients with COPD were treated with home based physiotherapy and PEFR was measured as an outcome measure which is statistically significant. Patients with COPD with greater changes in PEFR causes more frequent hospitalization and increased mortality and morbidity due to COPD related complications which can also be reduced as patient can check PEFR level regularly.