Late in December 2019, an unusual pneumonia outbreak was reported at the Huanan Seafood Wholesale Market in Wuhan, Hubei, China. COVID-19 patients' chest physiotherapy should be adapted to their particular phenotype. 

Objective: To find out the effects of chest physiotherapy in hospitalized elderly patient with Covid-19.

Methodology: A randomized controlled trial was performed using a non-probability convenient sampling technique. The study was conducted in Jinnah Hospital Lahore, Pakistan recruiting 44 subjects according to sample selection criteria. Assessment of oxygen saturation, level of dyspnea, PaO2, FEV1, FVC and FEV1/FVC ratio were taken using pulse oximeter, Modified Borg‘s Dyspnea (MBS) scale, Blood gas test and spirometer. Group A received chest physiotherapy with breathing exercises and steam. Group B received breathing exercises and steam. Treatment lasted 15-30 minutes and consisted of one session per day. And treatment was given for 6 days a week for up to 2 weeks. Data was analyzed by using SPSS 22. The data collection tools include Pulse oximeter, The Modified Borg Dyspnea Scale (MBS), Spirometry and Blood gas test.

Results: There was a statistically significant change within both groups in the pulse oximetry, Modified Borg‘s Dyspnea (MBS), ABG test and spirometer with p- value of < 0.05 Both were effective but Group A showed more improvement.

Conclusion: Breathing exercises combined with or without chest physiotherapy improved oxygen saturation, dyspnea, PaO2, FEV1, FVC, and the FEV1/FVC ratio. However, based on their mean differences, chest physiotherapy with breathing exercise was more beneficial in terms of the indicated outcome measures.

Index Terms-  COVID 19, Respiratory physiotherapy, Postural Drainage, Dyspnea, Deep breathing-exercise.