Effectiveness Of Modified Chest PT Technidue In Pre And Post-Operative Program In Patients Open Heart Surgery

Inclusion Criteria: * Patients with a leaky septal defect, valvular heart disease and coronary artery disease, both male, and female, scheduled for primary elective open heart surgery age 20-80 years who had the ability to communicate and understand informed consent. Exclusion Criteria: * Unstable angina pectoris at the moment of selection or during the program * Complex ventricular and uncontrolled arrhythmia * Uncontrolled high blood pressure (\> 140/90 mm/Hg) * A history of cerebrovascular accident * Presence of a neuromuscular disorder * Cardiovascular instability or the existence an aneurysm * Ejection fractions were less than 0.40 * Unable to participate because of physical limitations