COVID-19 expression appears to be non-specific; no specific symptom can lead to a suspicion of a case without any evidence of exposure. As a result of significant lung injury, COVID 19 often causes pneumonia and even acute respiratory distress syndrome.

Objective: To determine the combine effects of postural drainage and steam on oxygen saturation, dyspnea and sputum profile in post COVID-19 patients.

Method: A randomized controlled trial was performed. 48 subjects were recruited according to sample selection criteria and were assigned to Group A and B. Assessment of oxygen saturation, level of dyspnea, and sputum profile was taken using pulse oximeter, Modified Borg‘s Dyspnea (MBS) scale and Cough and Sputum Assessment Questionnaire (CASA-Q). Group A received treatment with breathing exercises and postural drainage. Group B received breathing exercises, steam and postural drainage. Total 6 sessions were given to each patient in 2 weeks with 3 sessions per week. Both groups were reassessed after 2 weeks of treatment. Data was analyzed by using SPSS 22.

Results: There was a statistically significant change within both groups in the oxygen saturation, Modified Borg‘s Dyspnea (MBS) scale and Cough and Sputum Assessment Questionnaire (CASA-Q) with p- value of < 0.05 Both were effective but using postural drainage with  showed more improvement. Pre-treatment Mean±SD of Pulse oximetry in postural drainage technique is 79.58±3.90 while in postural drainage with steam is 79.41±4.79. Post-treatment Mean±SD of Pulse oximeter in postural drainage technique is 85.71±2.85 while in both postural drainage with steam is 91.87±2.40.

Conclusion: Postural drainage technique with or without steam were useful in improving oxygen saturation, level of dyspnea and sputum profile among Covid-19 patients. However, postural drainage with steam was more effective in terms of mentioned outcome measures based on their mean differences.

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